A:
Toenail surgery is performed with local anesthesia. Preoperative x-rays may be taken to be sure there is no bone spur involved. Removal of a portion of the nail border causing the problem will give temporary relief. Permanent correction may be required if this is a recurring problem. This correction is performed under local anesthesia and consists of removal of the offending portion of the nail and nail root.
Chemical Cauterization for Permanent Nail Removal
Chemical cauterization involves the removal of one side of a toenail, and the careful debriding and cleansing of this area for any type of fungus tissue that may be present. The root area of that portion of the toenail that is to be removed permanently is then treated with a chemical agent, which destroys that portion of the root. If the entire toenail is removed, then the same procedure is employed for the entire tissue under the nail. The complete removal of the root area of the toenail prevents the nail from growing back. After the Procedures
Dr. Perlstein will dress your toe after chemical surgery with appropriate medication. He will also give you instructions for home care, and an appropriate prescription for medication to dress your toe. There is normally very little, if any, pain after either of these surgical procedures. Dr. Perlstein will instruct you accordingly, and prescribe whatever appropriate medication you may need for pain. Usually, after the first day, you do not need to wear a cut-out or surgical shoe, if you follow Dr. Perlstein’s instructions. You will usually be able to walk comfortably after either of these procedures.
Post-Operative Care
Most of these surgeries can be performed in our office. Walking is usually permitted immediately following the surgery. Dr. Perlstein may allow you to walk in your normal shoe or sneaker. Dr. Perlstein may prescribe medication to be taken if needed for discomfort.
Next Steps
If you are struggling with toenail issues that are not being resolved by conservative treatment, then toenail surgery may be for you. Contact our office to schedule an appointment with Dr. Perlstein. He can provide a thorough examination and identify if toenail surgery is an option.
Dr. Michael Perlstein’s podiatry office is located at 4414 14th Avenue in Brooklyn, New York. He serves patients throughout the greater New York City area, including those residing in Manhattan, Queens, Staten Island, the Bronx, New Jersey, and Connecticut.
Dr. Perlstein’s office is open Monday through Friday as well as on Sunday.
