Partial Nail Avulsion – Parramatta Clinic

When a toenail problem turns into a persistent pain, it can feel like there’s no escape. There is hope, Partial Nail Avulsion (PNA) is a targeted approach to relieving your discomfort, without removing more than necessary. We know how debilitating nail issues can be, and we’re here to guide you towards your best pain-free future.

If you’re dealing with persistent ingrown toenails, we recommend our specialised PNA surgery.

At Sports Medicine Clinic, we understand how uncomfortable and painful ingrown toenails can be. Our expert team is here to help you achieve pain-free, healthy feet through our comprehensive medical pedicures and advanced treatments.

Whether it’s your first time considering foot surgery or you’re seeking a more permanent solution to recurrent issues, we’re committed to making your experience as comfortable and effective as possible.

PNA surgery is a minimally invasive procedure designed to alleviate the pain and prevent the recurrence of ingrown toenails. By removing the problematic portion of the nail and applying a special chemical to prevent regrowth, we ensure a long-lasting solution tailored to your needs. Our clinic in Parramatta is equipped with state-of-the-art facilities and staffed by experienced podiatrists who prioritise your comfort and well-being.

Feel free to explore our page to learn more about the benefits of Partial Nail Avulsion surgery, what to expect during the procedure, and how our team at Sports Medicine Clinic can help you step towards healthier feet.


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You Deserve To Be Pain Free

The primary goal of PNA Surgery is to provide long-term relief from the discomfort and pain caused by ingrown toenails. By addressing the root cause of the problem, this procedure helps to prevent the nail from becoming ingrown again. This is particularly beneficial for individuals who experience frequent or severe ingrown toenails that significantly impact their daily activities and quality of life.

Dealing with recurrent ingrown toenails? Here is how PNA Surgery can help

The primary goal of PNA Surgery is to provide long-term relief from the discomfort and pain caused by ingrown toenails. By addressing the root cause of the problem, this procedure helps to prevent the nail from becoming ingrown again. This is particularly beneficial for individuals who experience frequent or severe ingrown toenails that significantly impact their daily activities and quality of life.

Effective Pain Relief

By removing the ingrown portion of the nail, PNA Surgery provides immediate relief from the pain and discomfort associated with ingrown toenails.

Prevents Recurrence

The procedure often includes the application of a chemical called phenol, which helps to prevent the regrowth of the problematic part of the nail, thereby reducing the likelihood of future ingrown toenails.

Minimally Invasive

PNA Surgery is a minimally invasive procedure performed under local anaesthesia, ensuring that patients experience minimal discomfort during the process.

Quick Recovery 

Most patients can resume their normal activities within a few weeks post-surgery, with proper aftercare.

Improved Quality of Life

By effectively addressing the issue of recurrent ingrown toenails, PNA Surgery can significantly improve a patient’s overall foot health and quality of life.

Personalised Care

Each PNA Surgery is tailored to the individual, ensuring the most effective treatment and optimal results.

The PNA Surgery Procedure

Pre-Surgery Preparation

Consultation
Schedule a consultation with one of our experienced podiatrists at Sports Medicine Clinic. During this visit, your podiatrist will assess your condition, explain the procedure in detail, and answer any questions you may have.

Medication Review
Inform your podiatrist about any medications you are currently taking. Certain medications, such as blood thinners, may need to be paused before the surgery.

Foot Hygiene
Keep the affected foot clean and dry before the procedure. This helps to reduce the risk of infection.

Comfortable Footwear

Plan to wear open-toed or loose-fitting shoes to your appointment. This will prevent pressure on the toe after the surgery.

Transportation 
Arrange for someone to drive you home after the procedure, as your foot may be numb and it’s best to avoid driving.

At Sports Medicine Clinic, our skilled podiatrists perform PNA Surgery with utmost precision and care, ensuring that you receive the best possible treatment for your ingrown toenail. Our goal is to help you return to your normal activities as quickly and comfortably as possible, with long-lasting relief from ingrown toenail pain.

What to Expect

Pain Management

One of the most common concerns about PNA surgery is the pain associated with the procedure. Rest assured, the procedure is performed under local anaesthesia, ensuring you won’t feel any pain during the surgery. Post-surgery pain can typically be managed with over-the-counter pain relievers.

Recovery Time

Many patients worry about the downtime following surgery. While it’s important to rest and elevate your foot initially, most patients return to their normal activities within a few weeks. Our team will provide you with detailed aftercare instructions to facilitate a smooth recovery.

Reassurance and Support

At Sports Medicine Clinic, we prioritise your comfort and well-being. From your initial consultation to your final follow-up visit, our team is dedicated to providing compassionate and personalised care. We understand that undergoing surgery can be daunting, and we are here to support you every step of the way. If you have any questions or concerns, please don’t hesitate to reach out to us.

Procedure Safety

The procedure is minimally invasive and performed under sterile conditions to minimise the risk of infection. Our experienced podiatrists take every precaution to ensure your safety and comfort.

Phenolisation

This step involves applying a chemical (phenol) to prevent the regrowth of the problematic part of the nail. Patients often ask if this is painful or harmful. Phenolisation is a safe and common practice in PNA surgery, and you will be under local anaesthesia when it is applied.

Effectiveness

PNA surgery is highly effective in treating severe or recurrent ingrown toenails. The procedure significantly reduces the likelihood of recurrence, providing long-term relief from pain and discomfort.

 

Choosing a medical pedicure ensures your feet receive the specialised attention they deserve, promoting both immediate relief and long-term health. It’s an investment in your wellbeing that goes far beyond what a cosmetic pedicure can offer.

Partial Nail Avulsion (PNA) Surgery is a medical procedure designed to treat severe or recurrent ingrown toenails. During the surgery, a portion of the toenail is removed along with the underlying tissue. This helps to alleviate pain and prevent the ingrown toenail from recurring. The procedure often includes the application of phenol to prevent the regrowth of the problematic part of the nail.

You may need PNA Surgery if you experience chronic pain, redness, and swelling around your toenail, or if conservative treatments have failed to provide relief. It is particularly recommended for severe or recurrent cases of ingrown toenails that significantly impact your daily activities and quality of life. A consultation with a podiatrist at Sports Medicine Clinic can help determine if PNA Surgery is the right option for you.

The procedure itself is not painful as it is performed under local anaesthesia, which numbs the affected area. You may experience some mild to moderate pain once the anaesthesia wears off, but this can be managed with over-the-counter pain relievers such as ibuprofen or paracetamol. Your podiatrist will ensure you are as comfortable as possible throughout the process.

To prepare for PNA Surgery, follow these steps:

  • Schedule a consultation with your podiatrist to discuss the procedure.
  • Inform your podiatrist about any medications you are currently taking.
  • Keep the affected foot clean and dry before the procedure.
  • Wear open-toed or loose-fitting shoes to your appointment.
  • Arrange for someone to drive you home after the surgery, as your foot may be numb.

The typical recovery period lasts several weeks. Initially, you may experience some pain and swelling, which can be managed with pain relievers and by keeping your foot elevated. It’s important to keep the treated area clean and dry, change the dressing daily, and avoid strenuous activities. Most patients can resume normal activities within a few weeks, but full recovery can take up to 4-6 weeks. Follow your podiatrist’s aftercare instructions for the best outcome.

As with any surgical procedure, there are potential risks and complications, including:

  • Infection: Minimized by keeping the area clean and following aftercare instructions.
  • Pain and Discomfort: Managed with pain relievers and proper aftercare.
  • Swelling and Redness: Normal and can be reduced by keeping the foot elevated.
  • Bleeding: Minor bleeding is common and can be managed with gentle pressure.
  • Nail Regrowth: Rarely, the nail may regrow even after phenolisation.

Your podiatrist will take every precaution to minimize these risks and ensure a safe procedure.

Most patients can begin to resume normal activities within a few weeks. Initially, it’s important to rest and avoid putting pressure on the treated toe. Gradually, you can return to your regular activities as the toe heals. Avoid strenuous exercise and tight footwear until your podiatrist gives you the all-clear.

PNA Surgery significantly reduces the likelihood of the ingrown toenail recurring. By removing the problematic portion of the nail and applying phenol to prevent regrowth, the chances of recurrence are minimized. However, in rare cases, the nail may regrow. If this happens, further treatment options can be discussed with your podiatrist.

After Hours Podiatry Home Visits

Can’t visit us in the clinic? No problem! We will come to you! Find out how to book an after hours Podiatry home visit with one of our friendly podiatrists. 

Picture of Dr. Yasmin Karam

Dr. Yasmin Karam

Dr. Yasmin Karam graduated with a Bachelor of Health Science/Masters in Podiatric Medicine. Dr. Yasmin has had experience working in both private and public sectors, exposing her to a great range of foot complications; from minor nail and skin pathologies to foot mal-alignments and diabetic foot ulcers.

More about Dr. Yasmin Karam