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Dr. Brandon Macy
Podiatrist - Clark, NJ
1114 Raritan Road
Clark, NJ 07066

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Patients are always asking why their ingrown nails keep coming back and why can't they be cut "properly" -- whatever that means--so that the problem never comes back.

Unfortunately, the shape of a toenail can't be changed by cutting it different—straight across, back on an angle or the anachronistic V-shaped notch in the middle of the nail (which has never worked going back to cave-man days). Nails grow straight out toward the tip of the toe.  Ingrown nails are nails which have curled so that the edges can't grow past the skin of the nail groove on the side and poke into the skin. A sharp edge or a poorly trimmed nail can break through the skin in which case an infection can ensue.

In these circumstances, cutting the nail better in the corners can help, but temporarily at best. And if frequent infections are the norm, even small ones, then the best way to deal with the problem is to fix it on a lasting basis by performing an in-office procedure called a matrixectomy. Simply put, this is done by making the nail more narrow on the affected side and then cauterizing the so-called "root" of the nail so that the removed portion does not return at all.

If you'd like to see a video of such a procedure, click on video below.  A word of warning: this is an actual surgical procedure and the contents are graphic in nature.

 

 

This particular patient had a problem with a border of both great toenails. The amount of nail removed is determined by how much the nail curls under. We remove as little as possible, but just the right amount to correct the problem

The process of cauterization takes about 60-90 seconds per nail border. Once again, what we're trying to do is to destroy the nail matrix or "root" of the nail in the area in order to prevent that part of the nail from ever growing back. Numbness from the local anesthetic lasts for a few hours and typically there is little or no need for pain medication afterwards, nothing more than ibuprofen or Tylenol.

We provide a wound care kit to use for postoperative care beginning the next day. The old bandages are removed, the toe is rinsed, dried and a small amount of medication is put into the nail groove and the area covered with a band aid. This is done once or twice per day until healing is complete.

Overall healing time is 2-3 weeks with little or no disability. The procedure is quick, simple and VERY successful at relieving the pain of an ingrown toenail once and for all.

For more information or an appointment, contact us at 732-382-3470 or visit our website at www.clarkpodiatry.com.  

At Clark Podiatry Center, we want to keep you walking! 

 

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1114 Raritan Road
Clark, NJ 07066

Podiatrist - Clark, Dr. Brandon Macy, 1114 Raritan Road, Clark NJ, 07066 732-382-3470