Don't delay treatment
An untreated ingrown toenail can become seriously infected and may require antibiotics or hospital treatment. If you are in pain or notice signs of infection, call us for a same-day appointment.
YOUR PROCEDURE
What's Included
All nail surgery at Grays Foot Clinic is performed by Michael Keet - a foot surgeon with over 40 years of surgical experience and thousands of successful PNA procedures. Procedures are performed chair-side in our Holborn clinic, with no hospital referral required. We use sterile, clinical-grade equipment and provide a full aftercare kit so you can heal safely at home.
NHS Recommended Podiatrist →DO YOU NEED SURGERY?
Symptoms to Look For
You may benefit from nail surgery if you are experiencing any of the following:
THE PROCEDURES
Understanding Your Options
Spicule Removal
This is a non-surgical procedure for early-stage ingrown toenails where a sharp spike (spicule) of nail is piercing the skin. No anaesthetic is required. The offending spike is removed precisely, bringing immediate relief. A sterile dressing is applied and the healing process begins the same day.
Partial Nail Avulsion (PNA)
For recurring or more severe ingrown toenails, PNA is the gold-standard permanent solution. The edge of the nail is removed under local anaesthetic, and a chemical (phenol) is applied to the nail matrix to permanently prevent that section of nail from regrowing. The success rate is approximately 95%.
Most patients are back in normal footwear within 2 to 4 weeks and the nail heals to look completely natural.
ON THE DAY
What to Expect
Consultation
Your podiatrist will examine the nail, discuss the severity, and recommend the most appropriate procedure. You will have the opportunity to ask any questions.
Anaesthetic (PNA only)
Local anaesthetic is injected at the base of the toe. This takes around 5 minutes to work and ensures the procedure is completely painless.
Nail Removal
The ingrown section of nail is carefully removed. For PNA, phenol is applied to prevent regrowth. The entire procedure takes 20 to 30 minutes.
Dressing & Aftercare
A sterile dressing is applied and you receive a full aftercare kit to take home. We will explain how to redress the toe and what to expect during healing.