What is Partial Nail Avulsion or PNA?
Partial nail avulsion is a minor surgical procedure that involves removing a portion of the toenail from the nail bed. This procedure is typically performed on the big toe and is used to treat an ingrown toenail, a condition where the nail grows into the skin surrounding the nail, causing pain, inflammation, and sometimes infection.
During a partial nail avulsion procedure, a local anesthetic is used to numb the toe, and then the Podiatrist will use a scalpel surgical tools to carefully remove the affected portion of the nail. In some cases, the nail bed may also be treated with a chemical to prevent the nail from growing back in the same way.
After the procedure, the toe may be wrapped in a bandage or gauze, and the patient may be given antibiotics or pain medication as needed. It is important to keep the area clean and dry to prevent infection and to follow any post-operative instructions provided by the doctor.
Partial nail avulsion is a safe and effective treatment for ingrown toenails, but it does carry some risks, such as bleeding, infection, and nail deformity. It is important to discuss the risks and benefits of this procedure with a medical professional before undergoing it.
How do you know if you need a PNA?
Partial nail avulsion is a procedure that is typically performed to treat certain nail conditions, most commonly ingrown toenails. If you are experiencing symptoms such as pain, swelling, redness, or infection around the nail, or if you have a toenail that is growing into the skin or causing discomfort, it may be necessary to undergo a partial nail avulsion.
In general, your Podiatrist will recommend a partial nail avulsion if the toenail is recurring and/or more conservative treatments have been ineffective. The decision to undergo the procedure will depend on the severity of your symptoms and the underlying cause of your nail condition.
If an ingrown is constantly recurring, a PNA will save you hurt, time and money in my opinion. Instead of constantly having to address a painful ingrown every few weeks in the clinic, a PNA is a permanent solution that will show your ingrown who’s boss!
How long does it take to heal from a PNA?
The healing time for a partial nail avulsion can vary depending on the extent of the procedure and the individual’s overall health and healing ability. However, in general, most people can expect the area to fully heal within 4-6 weeks.
Immediately following the procedure, the toe may be bandaged and may require limited mobility to ensure proper healing. Over-the-counter pain medication may also be recommended to manage any discomfort.
During the healing process, it is important to keep the toe clean and dry and to follow any post-operative instructions provided by the doctor. The area may be sensitive for a few days, and mild swelling or redness may be present.
After the initial healing period, most people can resume normal activities, but should continue to take care to protect the affected toe and avoid any activities that may put excessive pressure or stress on the nail bed.
In some cases, a follow-up visit may be necessary to ensure proper healing and to remove any remaining sutures or bandages. It is important to follow the advice and instructions of a medical professional during the recovery period to ensure proper healing and avoid complications.
What are the side effects of a Partial Nail Avulsion (PNA)
The most common side effects of partial nail avulsion include:
- Pain and discomfort: Following the procedure, patients may experience pain and discomfort in the affected area. This can usually be managed with pain medication and should subside within a few days.
- Swelling and bruising: It is common for the affected area to swell and bruise after the procedure. This is usually temporary and should resolve within a few days.
- Infection: Any surgical procedure carries a risk of infection. Patients should follow their doctor’s instructions for post-operative care to reduce the risk of infection.
- Nail deformity: In some cases, partial nail avulsion may result in a permanent change in the appearance of the affected nail. This can include a smaller or narrower nail, or a nail that grows back in a different shape or direction.
- Recurrence of the problem: While partial nail avulsion can be an effective treatment for ingrown toenails and other nail conditions, there is a risk that the problem may recur in the future.
Is a Partial Nail Avulsion (PNA) permanent?
A PNA is only permanent when a chemical such as phenol is applied to the wound to prevent the affected part of the nail from growing back. In our clinic, phenol is generally always applied. Even still, however, there is a small chance that the nail may grow back.
What is the success rate for PNA?
Partial nail avulsion is generally considered to be a safe and effective treatment for a range of nail conditions, including ingrown toenails. The success rate of the procedure depends on several factors, such as the severity of the condition, the patient’s overall health, and how well they follow post-operative care instructions.
In general, the success rate for partial nail avulsion is quite high, with most patients experiencing significant relief from symptoms such as pain and infection. Studies have reported success rates of over 90% for partial nail avulsion, indicating that the vast majority of patients experience positive outcomes from the procedure.
However, as with any medical procedure, there is always some risk of complications or recurrence of the problem.
Conclusion
Have you got pain in your feet, ankles, knees, hips, or back? Call and book a comprehensive biomechanical assessment to determine the best solution for you!
- Dr. Yasmin Karam, Podiatrist offers Podiatry services
- Dr. Fadi Habanbou, Chiropractor offers Chiropractic services
- Dr. Robert Korac offers Osteopathy services
- Dr. Sami Karam offers Osteopathy services
Dr. Yasmin Karam
Dr. Yasmin Karam graduated with a Bachelor of Health Science/Masters in Podiatric Medicine. Dr. Yasmin has had experience working in both private and public sectors, exposing her to a great range of foot complications; from minor nail and skin pathologies to foot mal-alignments and diabetic foot ulcers.