Post Operative Ingrown Nail Instructions


 


  • 2-4 Hours after the procedure the anesthesia will begin wearing off. Recommend taking tylenol limiting ambulation and elevation of the affected foot. 
  • The next morning remove the bandage. Pull out the yellow xeroform (non-stick antimicrobial vaseline gauze) if tender or sticking gently pull out while soaking. Soak for 5-10 minutes in warm water with epsom salt. (About 5 tablespoons/gallon) use a clean terry cloth or paper towel to rub off any dried blood or debris. Dry off well and apply bacitracin or neosporin to the site followed by 2 band aides. First longitudinally and the second around the toe. Keep the foot covered with a sock to prevent dirt from getting in the site.
  • Take tylenol for discomfort if needed up to 2 pills every 6 hours. Try to limit walking. 
  • That same night perform another soak and dressing change as performed in the morning. 
  • Try to let it get some air and dry out over night by not applying the band aid too tight
  • Day 2 perform another soak and dressing change as above
  • Night day 2 wear a clean sock but no bandage to allow it to dry out.
  • Day 3 soak and redress as previously. Keep covered with ointment and band aid during the day. Leave open at night.
  • Day 4 forward apply ointment and sock alone is ok. If raw or tender ok to cover with band aide. Begin to let it get as much air as possible to dry out/ prevent maceration.
  • At any time if you notice puss, increased pain or redness call the office. Most often antibiotics are not necessary for ingrown nails.
  • We recommend following up 2 weeks after the procedure to see that all is healed and to discuss how to prevent this from happening again.
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