An ingrown toenail typically but not always occurs on the big toe when the edges or corners of the nail grow into the skin next to the nail and break the skin. When the nail cuts into the skin it can be painful, cause swelling, redness and many times become infected. To avoid further complications, ingrown toenails should be treated as soon as symptoms appear, especially if the person has diabetes, nerve damage in the foot or leg, or poor circulation in the foot. If you believe you have an infection, you should also seek medical attention promptly.
Winograd nail procedure is used to remove the problem portion of an ingrown toenail and to prevent the ingrown toenail from recurring. This procedure is performed under local anesthetic, and takes only a few minutes to perform. During the procedure, a healthcare professional will remove some of the nail and possibly some of the bed that is pushing into the skin.
They may need to remove a portion of the nail and some of the underlying nail bed to prevent the problem from coming back. As the nail begins to grow back, the provider may place cotton under the nail to stop it from digging back into the skin. Do not attempt to put cotton in at home as you risk the chance of infection. Always follow the advice of your healthcare provider and use best practices while treating your ingrown toenail post procedure.
The American College of Foot and Ankle Surgeons (ACFAS) advise seeing medical attention rather than using over-the-counter (OTC) medications, as these may mask the pain, but they will not solve the problem as the nail needs to be partially removed.
If you have an ingrown toenail or worried that you may have an infection, please call one of our conveniently located clinics.