Removal of toenail due to fungus

Fungal infection, the doctor tries to do everything to save the patient from the disease. But drug therapy is not always effective. If medications do not help, have to go to extreme measures and remove the affected by the fungus nails. Do not be afraid: today this procedure can be done absolutely painlessly.

Why do I need to remove the nail plate

Primarily fungus (onychomycosis) affects the big toe. The reason is simple: the main part of the nail is often in shoes. Bacteria trapped on the plate, beginning to spread and cause harm. The nail may be bent, and the finger swelling. Usually the person asks for medical help at this stage: the unsuccessful self-treatment leads to the neglect of the state.


When the fungus doctor conducts therapy who prescribed various ointments, and drops. They are designed to kill the root of the disease. If the stage later, the drugs may not reach the goal. Advanced cases require long-term therapy. Make it difficult treatment can factors such as excessive sweating of the feet or the individual features of the Shoe.

For access to medicines the source of contamination is necessary to remove the affected area. This is the fastest way to get rid of onychomycosis. Removing the plate prescribed in the following cases:

  • infected with at least 70% of the nail;
  • surprised by the structure of the plate and swelling of the finger interfere with walking;
  • the infection has not caused the proper growth of the nail.
  • the infected root of the nail plate;
  • recurrence.

Since the nail is a protective function to remove it completely dangerous. It could trigger extra infections and cause severe discomfort in the recovery period. In some cases, removal requires only the top layer or a certain portion of the nail plate.

If before the fungus got rid of only with medication or surgery, but today there were more efficient and painless ways.

Surgical removal of the nail

Drastic measures were one of the first ways of dealing with lesions of nail plates. Today they are rarely used, except in a small public health facilities. With the exception of complex and advanced cases. In such situations you may want to completely remove the nail plate from the bed to open the way for the growth of healthy nail.

Before the procedure the patient is undergoing examination to exclude contraindications:

  • poor blood clotting;
  • capillary permeability and dilated veins;
  • diabetes mellitus (also affects stopping bleeding);
  • intolerance to anesthesia;
  • diseases of the immune system;
  • short-term inflammation and infection (respiratory catarrh, sore throat).

Then assign the day of surgery. The procedure is painful, so local anesthesia is mandatory. The surgery itself is quick and simple. The patient will need to go through the following manipulation:

  • the area disinfected;
  • the surface is treated with iodine;
  • the harness push the base of the finger;
  • the doctor takes the plate, inserting the tool under it;
  • the nail is carefully separated from the tissue;
  • to an open wound, apply antibiotic and bandage.

When the anesthetic wears off, patient may feel pain, itching. The first 30 days after surgery required bed rest. This is necessary in order to have healthy nail grew exactly at the Lodge. An open wound requires daily care with bandaging and applying medicines. In the early days probably bleeding, so until crust is important to prevent new infections.

After surgical removal of the nail, at the time of adaptation, it is better to go to the hospital. This will save you and your family from the hassle of dressings will protect against new infections. You will always be under surveillance, and if something goes wrong, the doctor will be able to respond quickly.

In the treatment at home visit the hospital once a week you need the doctor to keep control of a new nail plate. The rate of nail growth in all individual. The average healthy plate is half a year.


This method is also called mechanical. The procedure requires a special apparatus – mill, which are used for cosmetic manicure. It has a rotating element and replaceable abrasive nozzle. It is important to know that removing a nail is not a cosmetic procedure, and work with Frazier needs a doctor, not the master pedicure.

Cleaning plate on the foot has a number of contraindications:

  • diseases related to poor blood clotting;
  • HIV infection;
  • capillary permeability;
  • diseases of inflammatory or infectious nature.

After the consultation, identify foci of infection and start to remove. It's quite a long process: one finger can leave half an hour. During processing, the land heats up from the friction, but in General, the procedure is painless. It runs as follows:

  • the treatment area, and the apparatus is disinfected;
  • on the nail the composition is applied, which facilitates the cleaning of the nail.
  • the doctor consistently removes Horny layers, getting to the root of the infection;
  • applied antifungal and antibacterial agents.

A big plus exposure to hardware – time-saving: doing a cleanse once. Anesthesia is not required, so no chemicals. Compared to surgical removal is a more gentle method in which bleeding is rare. As the open wounds no rehabilitation takes less time and discomfort is absent.

Laser therapy

laser therapy

This is the modern way to remove nail disease on the leg. It has maximum efficiency. Unlike the surgical method, the laser selectively approaches the problem. Thermal wave penetrates into the stratum corneum, drying only the affected parts and without affecting healthy. Depending on the equipment used, the waves may vary in length and intensity of the temperature. This varies the time of therapy.

Session feedback for one finger takes 5-7 minutes. To get rid of the pathogen, multiple sessions are required. Sessions are conducted with a frequency of 1-2 weeks. Duration of the course depends on the size and number of lesions.

In some cases, the use of laser impossible:

  • parallel treatment of cancer;
  • epileptic seizures and other mental disorders;
  • child bearing, lactation;
  • HIV infection.

People with a low pain threshold it is better to alert the doctor to put a local anesthesia. Laser therapy is painless, but in the process heat can be felt a strong burning sensation. This is particularly evident when the fungus is in the lower layers of the nail plate.

This method is distinguished by the absence of recurrent disease: the fungus is destroyed completely. Unfortunately, laser therapy is rarely found in public clinics, so it should be treated in specialized centers. The cost of treatment for one finger – more than a thousand rubles.

How to remove the nails yourself

In the modern rhythm of each is not enough time, including a visit to the doctors. And many simply don't trust young doctors. Therefore, question about self removal of nail disease on the foot is always relevant. In clinical conditions the risk is much less, but if there's no other way, then you need to follow the instructions below.

There are a number of good pharmacy tools for removing fungal plots. Before using them you need to soak the affected toes in a solution of hot water, soap and soda (per liter of water, one teaspoon). The top layer of the plate should be cut down. Drugs aggressively, so to protect close area a simple patch.

Self-treatment of fungal infections fraught with bad consequences. Don't end up deleted provoke controversy re-infection. The lack of sterility will lead to the spread of fungal infection. In addition, without adequate disinfection may be listed other virus, which again will start the inflammatory process.

The prosthetic nail

After removal of the nail plate remains ugly crust. Especially women suffer more exacting to questions of aesthetics. Disappears sense of security feet, which negatively affects the psychological state. Great inconvenience is felt when walking.

To bring comfort at the time of rehabilitation, you can use the prosthesis nail – set artificial Christmas plate from acrylic or gel.

To make the prosthetics is impossible: it is necessary that the wound had closed and formed a crust. Should not be inflammatory, psoriasis and other problems. An artificial nail is placed only on clean, healthy cover. Before the procedure, be sure to disinfect not only the legs but also the instruments used.

Not to be confused with prosthetics and capacity. The procedure is similar, but in which the polymers are used in various formulations. Introduced in the prosthesis plasticizers to make the artificial nail, flexible and durable. And special ingredients to treat fungus and protects against re-infection. As the main antifungal dentures do not fit. But with prevention and maintaining the health of the feet manage.

How to care for the nail after removal

Regardless of the method of removal be sure to take care of the remaining wound. It is necessary for the prevention of inflammatory processes and recurrence of infection. Immediately after removing the surface again disinfected, apply healing and anti-fungal ointment under the bandage. Then prescribe treatment and for topical application, and ingestion.

You have to follow doctor's orders:

  • the dressing every day until the wound healed;
  • bandage to keep sterile and dry. If it gets wet, immediately replace;
  • in the early days prescribed strict bed rest;
  • during a walk to load the weight of the injured leg;
  • at the time of rehabilitation to try not to wear shoes, wear clean socks made from well ventilated, natural fabrics.

If the bed appeared the swelling or abscess, you need to go to the doctor.

Growing healthy nail is not as fast as we would like. After two or three weeks the wound will heal, and you can slightly loosen strict oversight to make prosthetics. The average nail grows 3 mm per month. Due to the physiological characteristics of the organism, on the legs this process is slower than the arms. Thus, it is plate is increasing not earlier than six months.

How much is the removal of nails

The cost will depend on the method of removal, size of affected area, the prestige of the clinic and region. The modern hospital and its equipment, the higher the price. Surgery is free only in public institutions, under the policy. Other methods require investment.

The average price of laser therapy starts from 2000 rubles. Most medical centers are requesting 250 rubles for one finger, and private clinics – from 600 to 2500 rubles per 1 treatment. In some clinics work depending on spent treatment time. Cost of one minute of laser usually starts from 500 rubles. The fungus is treated comprehensively, so often with all 5 fingers or both legs do discounts. Yes, the price is high, but if you think about how much money will be spent on drugs to treat, even with the event of recurrence, the quality of the laser wins.

In conclusion, we can say that to choose one of the ways to remove toenail disease is not difficult. The main thing – to observe the following recommendations to prevent a return of the disease. But it is best to pay attention to laser therapy. So you can quickly and completely get rid of the infection, minimize discomfort and other problems.