Partial Removal of Ingrown Toenail

Aftercare

  • Elevate the extremity for 2-3 hours after the procedure to decrease pain as the anesthetic wears off.
  • Continue intermittent elevation of the extremity over the next 48 to 72 hours to reduce pain and swelling.
  • Pain relief with ice application and oral analgesics.
  • Wear open-toed shoes after initial procedure.
  • Saturate the dressing prior to removal to prevent bleeding and discomfort upon removal.
  • Soak the digit in warm water 24-48 hours after the procedure.
  • Apply antibacterial ointment and cover with a bandage daily for 7-10 days.
  • Review common causes of ingrown toenails and prevention measures.
  • Review conservative treatment options for future cases of mild ingrown toenails:
    • Relieve the pressure off the toe by placing a piece of dental floss or small piece of a cotton ball under the corner of your toenail.
    • Soak the foot in warm, soapy water or warm salt water for 10-15 minutes 3 to 4 times per day for 1 to 2 weeks or until the inflammation has improved.

Follow-up

  • Monitor for signs and symptoms of infection:
    • Persistent or worsening pain 48 hours after the procedure.
    • Increasing redness of the area.
    • Development of a red streak on the toe/foot.
    • Presence of pus.
    • Fever.
  • Arrange for a wound check at 48 hours after procedure.

Patient Education Handout – Ingrown Toenail

License

Icon for the Creative Commons Attribution 4.0 International License

Advanced Procedural Skills Copyright © 2018 by Brittany Stephenson NP, BScN, MN is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.