Ingrown Toenails

Ingrown toenails are scary! But they don’t have to be.

Ingrown toenails are usually first noted to develop during adolescence as tissue growth changes, and the child starts to trim their own nails. There are also inherited factors that can be causative.

Basically, when the nail punctures the skin of the toe, an infection ensues, and then an overgrowth of tissues, called a granuloma or “proud flesh,” will develop. This is obviously a painful process, and the last thing someone wants is anyone to touch it. Another point of worry, particularly for children, is the concern of getting a shot to numb the toe. Dr. McNamara’s technique is to prevent any initial pain from the stick of the needle by using a cold spray on the skin, then proceeding with the patient in control of the process, which allows him to be eminently gentle. It is rare to not have a patient admit afterwards that “that wasn’t bad” and be smiling when they leave the treatment room.

There are two types of procedures for ingrown toe nails. One is temporary in nature and the other permanent.

The temporary procedure is done in the presence of infection, usually at the first point of treatment.

The permanent procedure ideally follows the temporary procedure by approximately two weeks to allow infection to resolve and inflammation to settle down. The goal of this procedure is to never have the recurrence of an ingrown toenail at the location treated and to have a good cosmetic result.

Dr. McNamara’s results in achieving the desired results with the permanent procedure are greater than 99.99 percent.

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