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Dr. Ismaïl ZARROU - Médecin généraliste à Casablanca :
bernoussi et ain sebaa
Does your big toe hurt?
You have pain around the nail, especially on pressure
Your finger is red and swollen
Do you have throbbing pain at night?
There is a bead around the nail, with a white color? with a flow sometimes
Can't put on your shoes anymore? or walk freely?
You most likely have an ingrown toenail
What is an ingrown toenail?
A nail is ingrown when it penetrates the tissues (of the finger) that limit its lateral edges.
An inflammatory reaction ensues and then, in the absence of early treatment, an infection.
It is a pathology of the nails of the feet and particularly of the big toe.
Sometimes surgery is necessary.
How do you know if your nail needs surgery?
During the consultation, the doctor will carry out a meticulous clinical examination of your nail, finger and foot, to judge whether surgery is necessary, or a simple conservative treatment will solve the problem.
In addition, a vascular evaluation of your feet will be performed to ensure optimal healing.
An x-ray evaluation may be requested if necessary to check if the bone under the nail has suffered secondary damage.
Conservative treatment ?
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Local medical treatment with ointment cream or solution.
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Foot bath / soaking with massage to clear the nail.
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The application of a strip to straighten certain nails.
Surgery of the ingrown nail ?
This is a minimally invasive procedure.
It effectively and permanently eliminates the pain and solves the problem radically.
The operation is performed under local anesthesia, so zero pain during and after.
Where and how does the intervention take place?
In the office
During the same consultation appointment, after discussion, explanation and decision
The operation take place in a second room
With tourniquet around the finger then we administer local anesthesia to your toe (the effect will last from 6 to 9 hours)
Cleaning and disinfection of your toe
Delicate nail lifting
Matricectomy: Removal of part of the nail (usually 2 to 5 mm)
Or the entire nail depending on your case/condition.
Removal of the infected region using a phenol solution
Rinsing the area with saline solution or alcohol
Application of antibiotic cream, gauze and bandage
After surgery? when can i go home?
After the procedure, you can go home immediately .
At home, you have to lift your foot under two cushions for the first few hours, you have to keep your finger covered with the bandage until the third day.
It is normal to feel tingling and tenderness after the operation when the anesthetic wears off, it is normal to see traces of blood on your dressing.
The first bandage is removed on the third day at the practice, the nurse will take care of it and will teach you how to do it at home.
It is important not to wet your finger the first week.
Send photos of your finger at each dressing change at home to the doctor, to establish a close follow-up.
If you have any further questions, send your message directly to the doctor on
00 212 6 44 38 24 31
How should I cut my nail to prevent recurrence?
Cut the nail straight across, with right angles.
If you cut it in a curve, the nail may grow back and dig into the flesh on the side (become ingrown).
Only cut the white part of the nail, not the pink part (the nail bed) that is vascularized. Leave the nail extending 2 to 3 mm beyond the free edge.

