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Minor surgery

Ingrown toenail – why direct surgical assessment may save time

By Dr Elias Tsiolis, specialist in general surgery, senior consultantUpdated 2026-10-255 min read

An ingrown toenail may start as a small nuisance but develop into persistent pain, swelling and infection. Recurrent problems deserve the right expertise early.

Short answer

Mild cases may respond to offloading and foot care. Recurrent inflammation, granulation tissue, pus or persistent pain may require a targeted nail procedure under local anaesthesia.

Why it happens

The nail edge presses into the surrounding skin. Tight footwear, nail shape, trauma and cutting deeply into the corners can contribute.

When to see a surgeon

Recurrent symptoms, marked swelling, granulation tissue or persistent infection need a clear assessment. Direct access to a surgeon may reduce repeated short-term treatments.

  • Recurrent episodes
  • Pus or granulation tissue
  • Difficulty walking or wearing shoes
  • No improvement with offloading

The procedure

Under local anaesthesia, the affected edge is removed and its growth zone may be treated selectively. You usually go home immediately with dressing and activity advice.

Next step

Have your symptoms assessed by a specialist surgeon

No referral needed. Short lead times to assessment and treatment in Karlstad, Sweden.

Frequently asked questions

Are antibiotics always needed?

No. Local treatment is often more important; antibiotics depend on spreading infection and risk factors.

Is the whole nail removed?

Usually only the problematic edge is treated, leaving a slightly narrower nail.

Can I go home immediately?

Yes, it is generally a local-anaesthetic day procedure.

Sources

This text is patient information and does not replace an individual medical assessment.

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