Post-Surgery Nail Growth Issues After Ingrown Toenail Removal - Surgery

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After undergoing surgery for an ingrown toenail, it's common to have concerns about nail growth and healing. The situation you described, where the new nail is growing in a way that it is not properly attached to the nail bed and is instead lifting up, is not unusual. This can happen for several reasons, including the way the nail matrix (the tissue under the base of the nail that produces the nail) has been affected by the surgery or the healing process.

When a portion of the nail is removed, the remaining nail matrix can sometimes be disrupted, leading to abnormal nail growth. The new nail that has formed may not adhere properly to the nail bed, resulting in the condition you are experiencing, where it appears to be "lifting" or "curled up." This can be painful and may increase the risk of further injury or infection if the nail gets caught on something.

Regarding your question about whether the new nail will eventually grow together with the remaining nail on the left side, it is important to understand that nail growth is a gradual process. Nails typically grow at a rate of about 1/8 inch (approximately 3 mm) per month. If the new nail continues to grow but remains detached from the nail bed, it may not fuse with the existing nail. Instead, it could lead to further complications, such as ingrown nails or chronic pain.

Here are some recommendations for managing your situation:
1. Follow-Up with Your Surgeon: It's crucial to have a follow-up appointment with the surgeon or a podiatrist who performed the procedure. They can assess the healing process and determine if any additional treatment is necessary. They may recommend trimming the new nail or performing a procedure to correct its growth pattern.

2. Keep the Area Clean: Maintaining proper hygiene is essential to prevent infection. Gently clean the area around the nail with mild soap and water, and keep it dry. If there are any signs of infection (increased redness, swelling, or discharge), seek medical attention promptly.

3. Avoid Trauma: Be cautious to avoid bumping or catching the new nail on objects, as this can cause pain and further complications. Wearing open-toed shoes or sandals may help reduce the risk of injury.

4. Pain Management: If you are experiencing significant pain, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. However, consult with your healthcare provider before taking any medication.

5. Consider Nail Care Products: Some products are designed to help with nail adhesion and growth. Your healthcare provider may recommend specific treatments or topical solutions that can promote healthier nail growth.

6. Monitor Growth: Keep an eye on how the new nail develops over the next few weeks. If it continues to grow improperly or if you experience persistent pain, further intervention may be necessary.

In summary, while it is possible for the new nail to grow in a way that it eventually aligns with the remaining nail, it is more likely that you may need additional treatment to address the abnormal growth. Regular follow-ups with your healthcare provider will be essential in ensuring proper healing and addressing any complications that arise.