Permanent correction of problematic toenails
Permanent correction of ingrown toenails is a very commonly performed procedure here in our clinic. It offers permanent relief of a very painful problem that sometime lingers for years.
If the nail has become ingrown several times, or the shape of the nail is so badly deformed that it is likely to re-grow, a decision may be made to remove part of the nail root. The end result will produce a normal looking but slightly narrower nail. If the nail has become very deformed or if removing side sections would achieve an unsatisfactory result then the final option is to remove the entire toenail.
Wedge Resection or Partial Nail Avulsion
This is partial removal of the nail or an offending piece of nail.
We first inject the toe with a common local anaesthetic using the thinnest needle possible for your comfort.
When the area is numb, we will perform the procedure in which a very small piece of nail along the edge that is growing into the skin is cut away and is pulled out.
Any infection is surgically drained and any tissue over growth is cut away.
This process, referred to as a “wedge resection” is non-permanent (i.e., the nail will re-grow from the matrix).
For permanent options, the nail root is killed with a chemical (Phenol) to stop the nail growing back on the side.
The procedure causes very little post-procedure discomfort, however pain killers can be taken should discomfort arise.
The entire procedure is performed in the clinic and takes approximately 60 minutes depending on the extent of the problem.
The patient is allowed to go home immediately with a post-operative shoe to take the pressure away and maintain comfort when walking for the following 2 days (optional).
Recovery time is anywhere from a two weeks to two months barring any complications such as infection.
We provide the patient with all the dressing needs, topical antibacterial solutions and ointments, post-op shoe and after care instructions, all tailored individually for the patient.
Verruca Dry Needling
What is Verruca Dry Needling?
The only way that a verruca can be successfully treated is if every infected cell is destroyed, and the only way that can be done is through the immune system, given the chance. That is where dry needling is a useful procedure.
As the virus is confined to the top layer of the skin it is thought for the same reason the immune system cannot see it. The way dry needling works is to push verruca cells from the epidermis through into the deeper layers of the skin, thereby infecting the underlying tissue. This triggers an immune response, the appropriate antibodies are produced and over the subsequent weeks the verruca undergoes a natural deterioration before ultimately disappearing.
The Procedure Dry needling is performed under local anaesthetic with two to three injections around the verruca so it is completely numb before proceeding.
A hypodermic needle is used to repeatedly puncture the verruca. This pushes verruca tissue from the epidermis through into the dermis and underlying adipose tissue layer.
Once this process has been completed a simple dry dressing is applied. This must be kept dry for at least twenty four hours.
The anaesthetic will start to wear off in two to three hours, but do not be concerned if it takes a little longer as the effects vary from person to person.
After forty eight hours showering is permitted and life can continue as normal.
There may be some slight discomfort for the first couple of days and pain relief may be taken to ease this as long as it is not aspirin based.
The site of the procedure will be checked by your podiatrist after two weeks to check healing and remove scabbing and again after eight weeks to measure the degree of regression of the verrucae.