Posted 9 Dec '24

How to care for your feet after ingrown toenail surgery  

Ingrown toenail surgery is a common and effective procedure to relieve the pain and discomfort caused by an ingrown toenail. While the procedure itself is straightforward and recovery is typically smooth, proper aftercare is essential to ensure optimal healing and prevent complications. Whether you’ve had a partial nail avulsion (removing a portion of the nail) or a total nail removal, following our post-surgery care advice can make all the difference.

Here’s everything you need to know about caring for your feet after ingrown toenail surgery.

Immediate aftercare: The first 24–48 hours

Keep the dressing intact

• After surgery, your podiatrist will apply a sterile dressing to protect the wound.
• Avoid removing or changing this dressing for the first 24–48 hours unless otherwise instructed.
• The dressing helps shield the wound from bacteria, reducing the risk of infection.

Elevate your foot

• Elevating your foot can help minimise swelling and pain.
• Rest with your foot elevated above heart level for the first day or two, especially if the procedure was extensive.

 Pain management

• It’s normal to experience mild discomfort after surgery. Over-the-counter pain relievers like ibuprofen or paracetamol can help.
• Follow the dosage instructions provided by your podiatrist.

Wound care: days 2 onwards

Once you’re ready to remove the initial dressing, proper wound care becomes a priority to ensure healing proceeds smoothly. Your podiatrist will demonstrate the dressing technique, and if you have any questions, please ask.

You will be provide with Effigerm, Gauze, Podlin and tape by Flawless Feet, you will also need a pair of scissors.

How to clean and apply a new dressing

• Remove old dressing
• Wash your hands
• Spray 3-4 sprays of Effigerm, cleansing spray all around the toe
• Take a piece of the gauze and wipe away the spray
• Cut a sheet of Podlin in half, keep one half tuck inside it’s packaging
• Cut a 5 inch strip of tape and then cut down the middle lengthways
• Remove the backing of one of the pieces of tape and place a piece of Podlin in the centre of it
• Position the Podlin on top of the toe and gently wrap the tape around the toe
• Use the second piece of tape to wrap around the toe over the other piece
• Press any flappy tops of tape down
• Please do not wrap the tape too tightly, the dressing should be loose enough for the toe to breathe and the tissue not compressed
• Do this for each tow that has had surgery
• Do this everyday, when you are home from school or work is ideal as then you can sit with your feet up for a bit 

Monitor for Signs of Infection

• Redness, swelling, increased pain, or discharge could indicate an infection
• Contact your podiatrist immediately if you notice any of these signs

Limit physical activity

• Avoid high-impact activities like running or jumping for at least two weeks
• Walking should be kept to a minimum during the first few days to prevent undue pressure on the wound
• Do not go swimming for 6 weeks after ingrowing toenail surgery

Wear appropriate footwear

• Opt for open-toed or roomy shoes to avoid pressure on the surgical site.
• Avoid tight, restrictive footwear until your podiatrist gives you the go-ahead

Long-term aftercare: week 6 and beyond

As the wound begins to heal, there are additional steps you can take to ensure a full recovery and prevent future issues

Encourage healthy nail growth

• Trim your nails straight across to avoid the nail curving into the skin as it regrows
• Avoid cutting nails too short or rounding the edges

Keep the area moisturised

• Once the wound has fully closed, use a gentle, unscented moisturiser to keep the skin around the nail bed soft and healthy
• This prevents dryness and cracking, which can invite infections

Wear supportive footwear

• Ensure your shoes fit well and provide ample room for your toes
• Avoid high heels or shoes with narrow toe boxes that can place pressure on the toes

When to get in touch

While most patients recover without complications, it’s important to recognise when professional intervention is necessary. Seek help if you notice:

• Persistent or worsening pain beyond the first few days
• Swelling or redness that spreads
• Foul-smelling or discoloured discharge from the wound
• Difficulty walking due to pain

We can evaluate your recovery and provide additional treatment or antibiotics if needed.

Tips for Preventing Future Ingrown Toenails

Once your foot has healed, you can reduce the risk of recurrence by:

• Trimming toenails properly: Cut nails straight across and avoid cutting too short
• Wearing proper footwear: Choose shoes that provide enough room for your toes and avoid overly tight styles
• Practicing good hygiene: Clean your feet daily, and keep them dry to prevent fungal infections, which can increase the risk of ingrown toenails
• Avoiding trauma to the toenails: Protect your toes during sports or physical activity by wearing appropriate footwear

Ingrown toenail surgery offers relief from pain and discomfort, but the success of the procedure depends on diligent aftercare. By following our advice, practicing good hygiene, and making short-term appropriate lifestyle changes, you can ensure a smooth recovery and reduce the likelihood of future issues.

Ingrown toenail surgery is highly effective, permanent solution and an investment into your long term health and comfort. We know its frustrating to take time off of your activities but it is well worth in the long run.

More helpful information-  about ingrown toenails 

If you have any concerns during your recovery, don’t hesitate to contact us—we are there to support you every step of the way. With proper care, you’ll be back on your feet, pain-free, and ready to enjoy your daily activities in no time!

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