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ingrown toenail

Treatment Options at East Coast Podiatry Clinic

We take a conservative-first approach wherever possible. Our treatment options include:

Conservative Treatment: For mild to moderate cases, our podiatrist will carefully remove the offending nail section and, where infection is present, drain it. This provides immediate pain relief and can often resolve the problem without surgery. We'll also advise on correct nail-cutting technique and appropriate footwear to reduce the risk of recurrence.

Partial Nail Avulsion (PNA) — Minor Nail Surgery: For recurrent or severe ingrown toenails, a Partial Nail Avulsion (PNA) is the most effective long-term solution. This minor surgical procedure is performed in our clinic under local anaesthetic. The offending section of nail is permanently removed using a chemical technique (phenolisation) that prevents that portion of nail from growing back. The procedure typically takes around an hour, and most patients are able to walk out immediately afterwards. The local anaesthetic wears off within one to two hours.

Total Nail Avulsion (TNA): In rare cases where the nail is severely deformed and causing pain on both edges, complete removal of the nail may be recommended.

Ingrown Toenail Treatment in Newcastle — Fast, Effective Relief

An ingrown toenail is one of the most painful and common foot conditions we treat at East Coast Podiatry Clinic. If you're experiencing pain, redness, swelling or infection around a toenail, our experienced Newcastle podiatrists can provide fast, effective relief — often on your first visit.

What Is an Ingrown Toenail?

An ingrown toenail occurs when the edge or corner of a toenail grows into the surrounding skin rather than over it. The medical term is onychocryptosis. It most commonly affects the big toe and can range from mildly uncomfortable to severely painful and infected. A related condition is an involuted (curved) nail, where the nail curls inward at the sides without fully breaking the skin — this can be just as painful if not managed correctly.

Symptoms of an Ingrown Toenail

  • Pain along one or both sides of the nail
  • Redness and swelling around the nail
  • Tenderness when touched or when wearing shoes
  • Discharge or pus (a sign of infection)
  • Bleeding
  • Skin growing over the nail edge

If you notice any signs of infection — particularly pus, increasing redness, or spreading warmth — don't delay. Left untreated, infections can worsen significantly.

What Causes Ingrown Toenails?

  • Cutting nails too short or rounding the corners
  • Tight or narrow footwear
  • Curved or involuted nail shape (often hereditary)
  • Trauma to the toe
  • Nail picking or poor hygiene
  • Family history of ingrown toenails

Frequently Asked Questions

Is ingrown toenail surgery painful? The procedure is performed under local anaesthetic so you won't feel pain during the surgery. The injection itself causes a brief sting, but most patients are surprised at how comfortable the experience is.

Will the nail grow back? With PNA and phenolisation, the treated portion of nail is permanently prevented from regrowing. The remaining nail still grows normally and looks cosmetically natural.

How long is the recovery? Most patients return to normal activities immediately. You may experience some tenderness for a few days. We recommend avoiding swimming or tight footwear for around two weeks.

Can children have ingrown toenail treatment? Yes. We treat patients of all ages, including children who commonly develop ingrown toenails.

Do I need a referral? No referral is needed. You can book directly online or by phone.

Is it covered by private health insurance? Ingrown toenail treatment and nail surgery may be covered under extras cover depending on your health fund and level of cover. We recommend checking with your provider.

Serving Newcastle, Lake Macquarie and Surrounding Areas

East Coast Podiatry Clinic is conveniently located in Kahibah, serving patients from Charlestown, Newcastle, Lake Macquarie, Cardiff, Glendale, Belmont, Kotara and surrounding areas. Book online or call us today for a same-week appointment.