Toe Nail Complications

Ingrowing toe nails

Ingrown toe nails are one of the most common conditions treated at this practice especially during season changes. There are two ways of managing a painful ingrown nail. The first is conservatively where the podiatrist will painlessly remove the corner that is going in offering temporary relief. The other option is a nail wedge resection. This is the most common operation performed for ingrown toe nails which involves the removal of wedges from the side of the nail. Phenol acid is then applied so that the nail is permanently narrowed. This operation leaves no scar (in the absence of complications which are rare) and a perfectly normal looking nail. Often a nail wedge resection can take place during the first consultation but patients are encouraged to contact the practice first to discuss their problem. Nail procedures are safe and effective.

Nail Wedge Resection

Please contact this Practice for more information.

Toe nail fungus / Onychomycosis

Onychomycosis is a fungal infection of the nail. It is another one of the most common diseases of the nails and constitutes about half of all nail abnormalities. This condition may affect toenails or fingernails, but toenail infections are particularly common. It occurs in about 10 percent of the adult population.

The most common symptom of a fungal nail infection is the nail becoming thickened and discolored: white, black, yellow or green. As the infection progresses the nail can become brittle, with pieces breaking off or coming away from the toe or finger completely. If left untreated, this condition can spread from toe to toe until both feet and hands are affected.

onychomycosis

In approximately half of suspected nail fungus cases there is no fungal infection, but only nail deformity.  A confirmation of fungal infection should precede treatment. Avoiding use of oral antifungal therapy in persons without a confirmed infection is a particular concern because of the side effects of that treatment, and because persons without an infection should not have this therapy.

In this practice there are three different ways of treating nail fungal infections, topical, oral antifungal medications or with laser. With all treatments, results can take a couple of months to see the results.

  • With topical treatments, only lacquers that have active ingredients are recommended, and most topical treatments require from daily to weekly applications for prolonged periods (at least 1 year) for the most effective results.
  • Oral medications include tablets which require a couple of months to work.
  • Laser therapy is effective with an 85% success rate with no contra indications or complications recorded.

As of 2013 tea tree oil has failed to demonstrate benefit in the treatment of onychomycosis.

Please contact this practice for more information.

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