This is the condition in which the side of the toenails incurvate into the surrounding skin causing redness, swelling, and pain.
Causes range from trauma, tight fitting shoes, cutting the nails improperly, or it could be hereditary.
Treatments consist of:
- Radical slant back: if just the corners of the nails are affected, a procedure can be performed in which we cut the corners back to relieve the pain.
- Avulsion: a procedure in which the entire side of the toenail is removed. This procedure is performed under local anesthesia and total healing time is usually 2 weeks. The patient may have some soreness for the first couple of days but is usually able to tolerate daily activities after this period.
- Matrixectomy: a permanent nail procedure in which after the entire side of the toenail is removed, phenol (liquid acid) is used to burn and kill the root of the side of the toenail so that it does not grow back. There is still about a 10% chance of re-growth but is usually rare. The patient may have some soreness for the first 3-4 days but is usually able to tolerate daily activities after this period.