How We Treat
Nail avulsions & Tenotomies Performed by a Licensed Chiropodist
Our clinic provides two minimally invasive foot procedures performed by regulated chiropodists: nail avulsions for chronic ingrown toenails and tenotomies for toe deformities that cause pain, pressure, or recurrent corns. These treatments are designed for patients who have not improved with conservative care and are seeking long‑term relief delivered in a safe, sterile clinical environment.
A nail avulsion is a minor surgical procedure used to treat chronic or recurrent ingrown toenails. The problematic portion of the nail — or the entire nail, when necessary — is removed under local anesthesia.
This procedure is recommended when patients experience:
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Repeated infections
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Persistent pain along the nail edge
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Inflammation that does not respond to routine care
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Nail curvature that continually grows into the skin
A chemical matrixectomy may be used to prevent regrowth of the offending nail border when appropriate.
Nail Avulsion (Partial or Total)
Tenotomy
A tenotomy is a minimally invasive procedure used to correct toe deformities caused by tight or contracted flexor tendons. By releasing the tendon through a tiny incision, the toe is allowed to straighten, reducing pressure and eliminating painful corns or calluses.
This procedure is commonly recommended for:
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Hammertoes causing painful corns
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Recurrent lesions at the tip of the toe
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Toe deformities that interfere with walking
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Patients who did not benefit from conservative care such as footwear changes, orthotics, or padding
Tenotomies are quick, require minimal downtime, and often provide immediate relief.
Before Your Procedure
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A full assessment
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Review of your medical history and medications
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Explanation of the procedure, risks, and expected outcomes
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Local anesthesia is administered when appropriate
During the Procedure
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The area is cleaned and prepared using sterile technique
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The procedure is performed using precision instruments
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Most treatments take about 60 minutes
Aftercare
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A dressing is applied to protect the area
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You receive clear written and verbal aftercare instructions
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Follow‑up appointments are scheduled as needed
Healing time varies depending on the procedure, but most patients return to normal activity quickly.