Toenail Pain [Toenail Fungus, Ingrown Toenails, Discolored Toenails]
Permanent Ingrown Toenail Removal Surgery [Causes & Best Treatment]
Permanent ingrown toenail removal surgery is an in-office procedure.#1) Mostly permanent cure for ingrown toenails, #2) Needs a short recovery time!
Look:
- Ingrown toenail pain in the big toe or the small toes can be improved with a few simple treatment changes.
- We are foot doctors & we see this problem get better almost every day.
- The goal is to solve this problem without medication or surgery if at all possible.
So, let’s GO!
Look:
- An ingrown toenail is also known as onychocryptosis.
- An ingrown toenail can include toenail fungus, which is called onychomycosis.
- If the toenail is very thick and rough, this is called onychogryphosis.
- We have specific guides for how to fix an ingrown toenail, when to see a doctor for an ingrown toenail, and how to pursue ingrown toenail surgery.
- This gallery also shows MRI images that can lead to a bone infection in very severe cases of ingrown toenails.
- Don’t wait too long. See your podiatrist!
So, feel free to click on the gallery for descriptions & please share!
Permanent Ingrown Toenail Removal Surgery [Causes & Best Treatment] Overview:
- Removing the outside edge of the nail plate in a procedure known as a partial toenail avulsion is the best permanent ingrown toenail removal surgery.
- The nail matrix is then permanently inhibited from ever-growing that nail edge back.
- When performed correctly, this procedure is shown to be the greatest possible option for keeping your ingrown toenail away.
Safer Non-Surgery Options:
1) Complete or partial toenail avulsion:
- -This refers to the removal of the nail in the podiatrist’s office.
- The big toe is first numbed up with an anesthetic so that you won’t feel a thing.
- The edge of the nail is then cut out, or if something is really wrong with the nail.
- The whole nail may be removed and allowed to grow back then.
- In some cases, it does grow back, and a nail avulsion with inhibition of the nail matrix must be attempted.
- In most cases, this is unnecessary as the nail will grow back normally.
2) Partial toenail avulsion with nail matrix inhibition.
- If the nail regrows in the painful position, the avulsion should be attempted with chemicals or electricity to stop the nail from re-growing.
- Most offices will use phenol which works very well, but some people advocate that newer techniques such as using electricity or a laser to stop the nail from re-growing are the best options.
- Research is limited on this opinion, but the claims are decreased inflammation and more regular healing when using electricity.
3) Complete excision of the nail in the operating room.
- Although this method is the most guaranteed to work.
- It is usually only used if you go into the OR for a second larger procedure like a bunion or hammertoe surgery.
- The cost-to-benefit ratio doesn’t really make sense otherwise.
Ingrown Toenail Removal Surgery:
Supplies:
Sterile gloves, Iodine solution, Syringe with lidocaine, gauze, spatula, 2 straight hemostats, sterile rubber band, Nail splitter (English Anvil), electrocautery unit.
Procedure Steps:
- 1) Patient’s toe is prepped with povidone-iodine solution. A digital block is performed with lidocaine(2-3ml of lidocaine on each side of the toe).
- 2) The toe should be given 10 minutes to become numb.
- 3) The rubber band should be tied at the toe base to reduce bleeding during the procedure. Clamp it tight with a hemostat
- 4) A drape should be placed to obstruct the patient’s view to prevent fainting.
- 5) The outside edge of the nail should be loosened underneath with a spatula, and then the nail splitter should cut the edge all the way back to the base of the nail. The hemostat should then turn the nail in and remove it from the base. Make sure that no nail spicules remain in that area.
- 6) The electrocautery unit or phenol should then be applied to the nail matrix for 10-30 seconds. Make sure there is no blood in the area. If there is excess granulated tissue to the area, this can then be treated as well at this point electrically or cut out.
- 7) Apply antibiotic ointment and put on a dressing.
- 8) It is possible to prescribe an anti-inflammatory medication if the patient is prone to pain.
Toenail Fungus (Onychomycosis) Treatment & Cure Infographic:
Toenail Fungus Home Treatment:
- These are our favorite products to treat toenail fungus at home.
- It is difficult to properly diagnose any health problem such as toenail fungus with 100% certainty. So see your podiatrist and make sure you are not missing anything!
- Also, many of these products are considered beauty products more so than health products. Just be aware that they are not always FDA evaluated or approved in any way.
How to fix toenail fungus:
- There are many different types of toenail damage.
- In our experience, about easily 50% or more is related to toenail fungus.
- The key to toenail fungus is to trim it as much as possible and file that nail down vertically and length-wise.
- If you can do that, you have to make sure you can kill fungus the rest of the way with creams and topical medication.
- The best way to do that is to soak exfoliate the affected toenail skin. So, foot soaks can be a strong anti-fungus solution.
- At the same time, you have to apply anti-fungal medication such as these medications evaluated here or the toenail repair pens.
Best Toenail Repair Products:
Best Toenail Repair Pen.
Top Choice For Direct Toenail Application.
Top Choice For Cream For Toenails & Webspaces.
Great Option For Foot Soak.
Great Tea Tree Oil Treatment
Price:
$19.99
$21.88
$9.99
$15.97
$22.99
Overview:
4 Pens with quick dry application that leaves a sealing lid on top. Easy to store and apply. Key is still to trim/file the toenail first!
All natural option that is toxic to fungus. This is similar to tea tree oil in that respect but can be more effective. You still need to exfoliate dead skin and trim thick toenails.
All natural cream option. This is a good option compared to some of the quick dry gels. This can be used on the skin surrounding your toenails.
Safe, cost effective and relaxing all at the same time! This needs to be used in a 20 minute foot soak. Works well for exfoliating loose skin/toenail as well as softening.
Tea Tree Oil is well studied and an all natural anti-fungal treatment.
Pros:
Easy to use, quick drying. This fills into the cracks and seals them with minimal mess. This is great for sealing even dehydrated keratin granulations.
All natural, relatively cost effective. 1,000s of reviews with excellent results. Very clean and quick drying, easy to apply.
Relatively cost effective. All natural tea tree oil that is proven toxic to fungus. Can be used on surrounding skin as well.
Very safe, little risk, low cost and very effective if used correctly. The key is to use it as an aid to soften and exfoliate loose/dry dead skin and toenail.
Great reviews at 4.7/5 at 500+ overall reviews. Well proven and natural option.
Cons:
0% chance of working if your toenail is loose and has no blood supply. Make sure you trim and file any loose finger or toenail. Otherwise “0% CHANCE OF WORKING!” You cannot restore a dead toenail without blood flow.
Small amount and a little more expensive than some other options. Once more has 0% chance of working if your goal is to heal a dead, detached toenail or dry skin. Are you noticing this is a trend? This is really the key!
Still more expensive than other options. Can get messy all over different areas of your foot. Key is still debride and cleaning your dry dead toenails and skin. TRIM them!
It once more has 0% chance working if you are trying to save loose and dead crusty skin. Fungus will always grow on this if no blood flow. It can not regenerate dead skin, only exfoliate it.
Not the greatest amount of solution, the all natural solutions can be more expensive.
Crucial Tips:
There is some evidence that these active ingredients work, just be aware: These are not FDA approved and massively studied medications!
There is some evidence that these active ingredients work, just be aware: These are not FDA approved and massively studied medications!
There is some evidence that these active ingredients work, just be aware: These are not FDA approved and massively studied medications!
There is some evidence that these active ingredients work, just be aware: These are not FDA approved and massively studied medications!
Although tea tree oil does nave studies and is antifungal, it is not an FDA approved medication and not studied for this specific use.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Toenail Repair Products:
Best Toenail Repair Pen.
Price:
$19.99
Overview:
4 Pens with quick dry application that leaves a sealing lid on top. Easy to store and apply. Key is still to trim/file the toenail first!
Pros:
Easy to use, quick drying. This fills into the cracks and seals them with minimal mess. This is great for sealing even dehydrated keratin granulations.
Cons:
0% chance of working if your toenail is loose and has no blood supply. Make sure you trim and file any loose finger or toenail. Otherwise “0% CHANCE OF WORKING!” You cannot restore a dead toenail without blood flow.
Crucial Tips:
There is some evidence that these active ingredients work, just be aware: These are not FDA approved and massively studied medications!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Toenail Repair Products:
Top Choice For Direct Toenail Application.
Price:
$21.88
Overview:
All natural option that is toxic to fungus. This is similar to tea tree oil in that respect but can be more effective. You still need to exfoliate dead skin and trim thick toenails.
Pros:
All natural, relatively cost effective. 1,000s of reviews with excellent results. Very clean and quick drying, easy to apply.
Cons:
Small amount and a little more expensive than some other options. Once more has 0% chance of working if your goal is to heal a dead, detached toenail or dry skin. Are you noticing this is a trend? This is really the key!
Crucial Tips:
There is some evidence that these active ingredients work, just be aware: These are not FDA approved and massively studied medications!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Toenail Repair Products:
Top Choice For Cream For Toenails & Webspaces.
Price:
$9.99
Overview:
All natural cream option. This is a good option compared to some of the quick dry gels. This can be used on the skin surrounding your toenails.
Pros:
Relatively cost effective. All natural tea tree oil that is proven toxic to fungus. Can be used on surrounding skin as well.
Cons:
Still more expensive than other options. Can get messy all over different areas of your foot. Key is still debride and cleaning your dry dead toenails and skin. TRIM them!
Crucial Tips:
There is some evidence that these active ingredients work, just be aware: These are not FDA approved and massively studied medications!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Toenail Repair Products:
Great Option For Foot Soak.
Price:
$15.97
Overview:
Safe, cost effective and relaxing all at the same time! This needs to be used in a 20 minute foot soak. Works well for exfoliating loose skin/toenail as well as softening.
Pros:
Very safe, little risk, low cost and very effective if used correctly. The key is to use it as an aid to soften and exfoliate loose/dry dead skin and toenail.
Cons:
It once more has 0% chance working if you are trying to save loose and dead crusty skin. Fungus will always grow on this if no blood flow. It can not regenerate dead skin, only exfoliate it.
Crucial Tips:
There is some evidence that these active ingredients work, just be aware: These are not FDA approved and massively studied medications!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Toenail Repair Products:
Great Tea Tree Oil Treatment
Price:
$22.99
Overview:
Tea Tree Oil is well studied and an all natural anti-fungal treatment.
Pros:
Great reviews at 4.7/5 at 500+ overall reviews. Well proven and natural option.
Cons:
Not the greatest amount of solution, the all natural solutions can be more expensive.
Crucial Tips:
Although tea tree oil does nave studies and is antifungal, it is not an FDA approved medication and not studied for this specific use.
Affiliate Link (Buying through these links will connect you to Amazon):
Recommended foot fungus products:
- It is also vital to fix your foot fungus.
- Athlete’s feet can be beneficial to remove from the foot because if left unchecked, they can quickly spread back to the toenails even if they are fixed.
- Even if you cure your toenail fungus, keep your toenails trimmed in healthy: your foot fungus can spread back into toenails.
- So make sure you treat your foot fungus, as well as your toenail fungus.
Best Foot Fungus Products
Best Fungus Combo (Foot Soak, Body Wash & Toe Ointment)
Best Foot Powder Option For Shoes.
Best Shower Body Wash
Best choice for Foot Bath Mix
Best & Most Cost Effective Foot Soak Tub.
Price:
$35.85
$22.11
Price not available
$15.92
$18.97
Overview:
This is almost everything you need for foot fungus! This has a foot soak powder, body wash for showering and toenail ointment.
3 pack of foot powder spray. This is great for shoes and feet, but not as practical outside the foot or shoe.
Great cost effective shower wash.
Mix of epsom salts, tea tree oil for a good price.
This is a cost effective tub for foot soaks. You still need to also buy a foot soak powder or solution!
Pros:
Great cost ($50+ separately), $29 in the bundle. Tea tree oil has proven antifungal benefits. Excellent reviews and good overall cost value.
If you sweat in your shoes, this is your best bet. This will soak up sweat and kill fungus. Very effective and excellent Amazon reviews. 3 pack online is the price of one bottle at the store.
Over 5,000 5 star amazon reviews. Great reviews, medically proven component in tea tree oil. All natural with excellent results.
Epsom salts and tea tree oil have proven effect. Epsom salts make your loose skin flake off and tea tree oil is anti-fungal. Great price and near 5 star review on Amazon.
Excellent choice for cost effective foot soak tub. Top notch reviews on amazon, great price.
Cons:
The combo could be more than you need. You still need a foot bath tub.
Powder makes a big mess. Good for shoes but it can get powder inside your shoes. Can have chemical like smell.
Can be more expensive than regular soap. It may not be enough by itself without soaking or especially further toenail treatment.
Foot soak by itself may not be enough to fix your problem, but a component. You also need a foot tub.
Not much downsides, it’s a tub! But you have to get foot soak powder or antifungal solution separately.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot Fungus Products
Best Fungus Combo (Foot Soak, Body Wash & Toe Ointment)
Price:
$35.85
Overview:
This is almost everything you need for foot fungus! This has a foot soak powder, body wash for showering and toenail ointment.
Pros:
Great cost ($50+ separately), $29 in the bundle. Tea tree oil has proven antifungal benefits. Excellent reviews and good overall cost value.
Cons:
The combo could be more than you need. You still need a foot bath tub.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot Fungus Products
Best Foot Powder Option For Shoes.
Price:
$22.11
Overview:
3 pack of foot powder spray. This is great for shoes and feet, but not as practical outside the foot or shoe.
Pros:
If you sweat in your shoes, this is your best bet. This will soak up sweat and kill fungus. Very effective and excellent Amazon reviews. 3 pack online is the price of one bottle at the store.
Cons:
Powder makes a big mess. Good for shoes but it can get powder inside your shoes. Can have chemical like smell.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot Fungus Products
Best Shower Body Wash
Price:
Price not available
Overview:
Great cost effective shower wash.
Pros:
Over 5,000 5 star amazon reviews. Great reviews, medically proven component in tea tree oil. All natural with excellent results.
Cons:
Can be more expensive than regular soap. It may not be enough by itself without soaking or especially further toenail treatment.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot Fungus Products
Best choice for Foot Bath Mix
Price:
$15.92
Overview:
Mix of epsom salts, tea tree oil for a good price.
Pros:
Epsom salts and tea tree oil have proven effect. Epsom salts make your loose skin flake off and tea tree oil is anti-fungal. Great price and near 5 star review on Amazon.
Cons:
Foot soak by itself may not be enough to fix your problem, but a component. You also need a foot tub.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Foot Fungus Products
Best & Most Cost Effective Foot Soak Tub.
Price:
$18.97
Overview:
This is a cost effective tub for foot soaks. You still need to also buy a foot soak powder or solution!
Pros:
Excellent choice for cost effective foot soak tub. Top notch reviews on amazon, great price.
Cons:
Not much downsides, it’s a tub! But you have to get foot soak powder or antifungal solution separately.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Toenail Fungus Clippers & Files:
- You have to be careful using at home, and definitely be safe and don’t use these if you have dangerous health conditions.
- It is important to see a podiatrist for foot evaluation and care if you have continued health care issues or problems with your feet.
- These are some great value heavy-duty clippers and sets.
- The key is to cut straight across and file the nail down from the top to keep it from impinging in the corners.
- It is also important to make sure all dead, dry skin is removed surrounding the foot.
- This is where you should really see your podiatrist if you have any concerns or are worried about cutting or hurting yourself.
- This is something covered, so don’t take chances with your health!
Best Grooming Supplies
Best Value Clipping Set
Best Value Heavy Duty Clipper Set
Heavy Duty Non-Scissor Clipper
Price:
$14.39
$24.99
$9.44
Overview:
This is the Amazon best overall rated value set: Great Reviews and cost.
Value heavy duty clipper, nail file and currette for scooping under the nail.
Great alternative choice for heavy duty clipper if difficulty cutting with the other one.
Pros:
4.4/5 ratings at almost 800+ ratings. Multi-tool set that should be adequate for most people.
4.7/5 reviews with 200+ reviews. Strong clipper with files and currette, everything you need!
Excellent reviews, 4.8/5 with 600+ reviews. Some people prefer this grip
Cons:
It won’t work for heavy duty thickness. It can be dangerous clipping if you have health conditions.
It is still not perfect if you can’t reach your foot. See your podiatrist if health conditions.
No currette and no nail file, so you may need this.
Crucial Tips:
If your toenails are too thick and if you have dangerous health conditions, see your podiatrist for your toenail fungus!
If you have health conditions, be very safe at home, this can be a risky treatment! Be very safe.
Make sure to see your podiatrist if you have metabolic or blood flow conditions! Be safe if you can’t reach.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Grooming Supplies
Best Value Clipping Set
Price:
$14.39
Overview:
This is the Amazon best overall rated value set: Great Reviews and cost.
Pros:
4.4/5 ratings at almost 800+ ratings. Multi-tool set that should be adequate for most people.
Cons:
It won’t work for heavy duty thickness. It can be dangerous clipping if you have health conditions.
Crucial Tips:
If your toenails are too thick and if you have dangerous health conditions, see your podiatrist for your toenail fungus!
Affiliate Link (Buying through these links will connect you to Amazon):
Best Grooming Supplies
Best Value Heavy Duty Clipper Set
Price:
$24.99
Overview:
Value heavy duty clipper, nail file and currette for scooping under the nail.
Pros:
4.7/5 reviews with 200+ reviews. Strong clipper with files and currette, everything you need!
Cons:
It is still not perfect if you can’t reach your foot. See your podiatrist if health conditions.
Crucial Tips:
If you have health conditions, be very safe at home, this can be a risky treatment! Be very safe.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Grooming Supplies
Heavy Duty Non-Scissor Clipper
Price:
$9.44
Overview:
Great alternative choice for heavy duty clipper if difficulty cutting with the other one.
Pros:
Excellent reviews, 4.8/5 with 600+ reviews. Some people prefer this grip
Cons:
No currette and no nail file, so you may need this.
Crucial Tips:
Make sure to see your podiatrist if you have metabolic or blood flow conditions! Be safe if you can’t reach.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Toenail Fungus Polish and Remover:
- There is some great toenail fungus polish options and polish removal options.
- There are no acetone-based toenail polish removers, they don’t dry as quickly, but they are less like a dehydrator toenail.
- This also applies to your fingernails and hands.
- The benefits of using these non-toxic toenail polishes are that they are filled with non-fungal options such as tea tree oil, preventing toenail fungus.
- These can also work well for the fingernails.
- So great combo is to use one of these healthier toenail paint options, as well as a non-acetone-based toenail polish remover.
Table could not be displayed.
Best Shoes For Toenail Injuries:
- The key to prevent toenail ripping and lifting is to have good supportive shoes.
- If you have a good supportive shoe that keeps pressure off your toes in your toenails, there will be no lifting and cracking to allow bacteria and fungus to get in.
- This almost seems counter-intuitive, but when people make a switch to perfect supportive shoes that fit properly, their toenail problems almost always get better over the next few months or a year.
- Your current nail is already likely destroyed, especially with joggers toe, but let the new nail growing healthy without new damage.
- Click the following link for our most recommended shoes. Try to focus on shoes with mesh and room around the big toe and also the smaller toes.
Best Antifungal Moisture Wicking Socks:
- These are some great options for moisture-wicking sucks.
- The more you can wick moisture from your foot, the less chance there is that toenail fungus, and athlete’s foot can survive.
- We tried to focus on budget value stocks that are not too expensive.
- Sure there are better stocks out there, but these are great socks for a great price for most people.
- If you have diabetes, focus on getting yourself some diabetic socks.
Best woman’s antifungal socks:
Best Women’s Anti-Sweat & Anti-Fungus Socks
Great choice for women’s running socks with moisture wicking design.
Best Seller & Most Reviewed Crew Socks
Best Overall Women’s Dress Sock
Great reviewed crew length bamboo sock.
Price:
Price not available
Price not available
$25.99
$16.99
Overview:
Ankle height socks, great for running with moisture wicking design, great company.
This is a great reviewed budget crew sock. It has more cushion and bulk than the running sock.
Great overall full length dress socks, great reviews and good overall price.
This is a great alternative to the other crew sock. Great reviews.
Pros:
4.7/5 reviews with over 5,000+ reviews! Great reliable company with great reviews.
The best seller for moisture wicking women’s socks. Great reviews at 4.2/5 with over 3,000+ reviews.
Great reviews 4.4/5, which suprisingly is better than most dress socks. Excellent overall choice.
Very well reviewed sock: 4.4/5 rating and over 700+ reviews.
Cons:
These are thinner and more likely to curl/fall apart.
Not the world’s most expensive socks. Main complaints are the durability long term.
Dress socks are less durable than crew socks. They can work well.
Not much downsides. Good overall sock.
Crucial Tips:
Not as well cushioned as other socks. Make sure to combine with a good supportive orthotic and breathable sock.
These are great everyday socks. Combine with good breathable shoes and orthotics for best results.
Make sure to get a good 3/4 length dress orthotic or dress shoe orthotic with a good shoe.
Make sure to combine with a good breathable shoe and supportive orthotics.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Women’s Anti-Sweat & Anti-Fungus Socks
Great choice for women’s running socks with moisture wicking design.
Price:
Price not available
Overview:
Ankle height socks, great for running with moisture wicking design, great company.
Pros:
4.7/5 reviews with over 5,000+ reviews! Great reliable company with great reviews.
Cons:
These are thinner and more likely to curl/fall apart.
Crucial Tips:
Not as well cushioned as other socks. Make sure to combine with a good supportive orthotic and breathable sock.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Women’s Anti-Sweat & Anti-Fungus Socks
Best Seller & Most Reviewed Crew Socks
Price:
Price not available
Overview:
This is a great reviewed budget crew sock. It has more cushion and bulk than the running sock.
Pros:
The best seller for moisture wicking women’s socks. Great reviews at 4.2/5 with over 3,000+ reviews.
Cons:
Not the world’s most expensive socks. Main complaints are the durability long term.
Crucial Tips:
These are great everyday socks. Combine with good breathable shoes and orthotics for best results.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Women’s Anti-Sweat & Anti-Fungus Socks
Best Overall Women’s Dress Sock
Price:
$25.99
Overview:
Great overall full length dress socks, great reviews and good overall price.
Pros:
Great reviews 4.4/5, which suprisingly is better than most dress socks. Excellent overall choice.
Cons:
Dress socks are less durable than crew socks. They can work well.
Crucial Tips:
Make sure to get a good 3/4 length dress orthotic or dress shoe orthotic with a good shoe.
Affiliate Link (Buying through these links will connect you to Amazon):
Best Women’s Anti-Sweat & Anti-Fungus Socks
Great reviewed crew length bamboo sock.
Price:
$16.99
Overview:
This is a great alternative to the other crew sock. Great reviews.
Pros:
Very well reviewed sock: 4.4/5 rating and over 700+ reviews.
Cons:
Not much downsides. Good overall sock.
Crucial Tips:
Make sure to combine with a good breathable shoe and supportive orthotics.
Affiliate Link (Buying through these links will connect you to Amazon):
Best men’s antifungal socks:
Table could not be displayed.
Toenail Pain [Toenail Fungus, Ingrown Toenails, Discolored Toenails]