nail pain – Dr. Nicholas Campitelli

Suffering from a severely painful toenail that is constantly irritated with shoes and impossible to cut? Surgical removal is most likely the best option. Toenail deformities can be the result of trauma to the nail plate which can occur from dropping something on your toe, or simply through years of irritation of the nail plate on a shoe. Nail fungus can also be the cause of a deformed toenail, so it is imperative to first have the nail tested for fungus before making any decisions to permanently remove the toenail.

An ingrown toenail is typically the result of the nail plate growing into the adjacent nail fold or skin next to the toenail. The break in the skin allows bacteria to enter and an infection occurs.

While many people may initially think this is a result of toenail fungus, it’s more likely caused by trauma resulting in a permanently deformed nail. Think of the nail as being “scarred”.

Subungual hematomas frequently occur in distance runners and I tend to see a lot of them in my practice. While it can be a controversial topic in regard to either draining or removing the entire nail, I learned early in my career that it is best to remove the entire nail.
Read one of my posts on Dr. Nicks Running Blog that gives a detailed approach on the benefits of removing a painful toenail to relieve the pressure from bleeding.

The Foot Doc Blog – Leading Blog on foot and ankle pain

Surgical Removal of a Painful Toenail

Infected toenail or nail fungus?

Dealing with a painful deformed toenail?

SUBUNGUAL HEMATOMAS (RUNNER’S NAIL)

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