ingrowing toe nails

[Burl Ives]

Anyone know where to go in Pattaya to get professional treatment, including anaethesia, to solve this problem?

[rodknock]

would also be interested in any places to go in bangkok for toe nail problems. podiatrist?

[Sheryl]

There are very, very few podiatrist in Thailand (maybe the foot stigma at work?)

This is the only one i know of offhand https://www.bangkokhospital.com/index.php?p=doctor_profile&DrID=2274

[Burl Ives]

OK guys,

just had my 2 ingrown toenails removed very painlessly by Dr Kitchakan at Pattaya International Hospital, very professional job, 3850THB!

[Jingthing]

OK guys,

just had my 2 ingrown toenails removed very painlessly by Dr Kitchakan at Pattaya International Hospital, very professional job, 3850THB!

Were they both the big toe nails?

So you had the entire nails removed?

For those who want to try a more conservative approach, this method has worked for me, but it's not a quick fix:

http://www.webmd.com/skin-problems-and-treatments/tc/ingrown-toenail-topic-overview

[Burl Ives]

Yuup, but mine were pretty special!!

One side growing into the skin and hurt like hell the other side totally curled up almost 270Degrees!

Doc said best to remove both and have a fresh start.

Will let you know how it goes...

[Jingthing]

Was the nail bed removed? My understanding is that in that case the nail won't grow back.

[Burl Ives]

Yuup all removed, but the Doc said the nails will grow back within 1 month

...watch this space will let you know!

[Jingthing]

Yuup all removed, but the Doc said the nails will grow back within 1 month

...watch this space will let you know!

So the nail BED was not chemically treated to prevent regrowth? I thought that was standard. Not that I'm an expert on this, but I guess there is a reason they usually don't want the nail to come back ...

The nail bed is then burned to prevent the nail from growing again.

Read more: http://www.ehow.com/way_5687112_proper-care-toenail-removal.html#ixzz2zW8b2ZqW

Edited April 21, 2014 by Jingthing

[FBN]

Removal of the nail only will not prevent a recurrence of the ingrowing nail; the nail bed, which is approximately 5 - 7 mm deeper than where the nail becomes visible. The incision would be made on both sides of the nail, the skin flap is then peeled back and the nail is removed from the nail bed itself and the nail bed is usually stripped from and to the level of the bone itself. The nail bed can also be destroyed by applying phenol. Whole or partial resection can be done depending on whether both sides of the toe is affected.

This is normally done in a bloodless field with a tourniquet around the base on the big toe; bleeding makes the nail bed difficult to identify and remove. Any bits left behind may lead to a partial nail growth.

Search "ingrown toenail removal" for some video of the procedure.

[Jingthing]

So in this case it seems the doctor wanted the nail to grow back.

[billd766]

My right big toe has an ingrowing nail.

The doctor in the UK who dealt with it cut the nail right back on that side and said that will never grow like that again.

That was 19 years ago and he lied to me.

I still have the same problem but now I go to my local Thai doctor who gives me 2 or 3 injections and sorts it out every couple of months for about 300 baht.

I bring my own nail clippers which he sterilises before using them on me and he does a great job.

[Jingthing]

That is a more conservative approach, cutting off one side. Yes these problems often recur unless of course you burn off the nail bed. Then -- no nail.

I'm pretty amazed the super conservative approach I did myself has worked so far (REDIRECTING the growth with a wedge). I maintain it by always cutting the nail STRAIGHT, not curved, and not TOO SHORT. It doesn't look that great but so far the ingrown hasn't happened again.

Edited April 23, 2014 by Jingthing

[billd766]

That is a more conservative approach, cutting off one side. Yes these problems often recur unless of course you burn off the nail bed. Then -- no nail.

Quite honestly I hate pain and just thinking of having the whole nail removed fills me with fear and apprehension.

Sorry about that.

[Jingthing]

That is a more conservative approach, cutting off one side. Yes these problems often recur unless of course you burn off the nail bed. Then -- no nail.

Quite honestly I hate pain and just thinking of having the whole nail removed fills me with fear and apprehension.

Sorry about that.

I guess it's a case by case. I think the total removal with bed treatment solves the problem for good so then the pain goes away for the future, but it's so UGLY without any nail, yes?

[Burl Ives]

That is a more conservative approach, cutting off one side. Yes these problems often recur unless of course you burn off the nail bed. Then -- no nail.

Quite honestly I hate pain and just thinking of having the whole nail removed fills me with fear and apprehension.

Sorry about that.

Cutting the nail out is done under local anaethetic so you feel nothing, only the original injection!

Removing, cleaning and nreplacing the dressing each day, now that's a different story, reminds me of Chinese torture methods!!

[billd766]

That is a more conservative approach, cutting off one side. Yes these problems often recur unless of course you burn off the nail bed. Then -- no nail.

Quite honestly I hate pain and just thinking of having the whole nail removed fills me with fear and apprehension.

Sorry about that.

I guess it's a case by case. I think the total removal with bed treatment solves the problem for good so then the pain goes away for the future, but it's so UGLY without any nail, yes?

Ugly I can live with but at the moment it isn't tooo bad and the doctor fixes it every couple of months so it is livable with. What happens when I can't get to him is a story for the future.

[billd766]

That is a more conservative approach, cutting off one side. Yes these problems often recur unless of course you burn off the nail bed. Then -- no nail.

Quite honestly I hate pain and just thinking of having the whole nail removed fills me with fear and apprehension.

Sorry about that.

Cutting the nail out is done under local anaethetic so you feel nothing, only the original injection!

Removing, cleaning and nreplacing the dressing each day, now that's a different story, reminds me of Chinese torture methods!!

Luckily for me it is about 10 minutes every couple of months and the dressin is on for the day only.

When I was here in 1993 just having had the toenail sorted in the UK I was living in a hotel on Sukhumvit 11 in BKK, working night shift, and getting the toe dressed every day at the doctors opposite Suk 11.

To keep the dressing dry and clean I used to buy, and still do, condoms which are easy and clean to go over the dressing. The problems I had with my expenses to try to claim for condoms in BKK as a "necessary medical" expense you wouldn't believe. Still it gave the beanies something to chuckle about.

[rodknock]

went to poditrist at Bangkok Hospital, very happy wiyh the doctor and service. had toe nails ground and apply Loceryl once a week for toe nail fungus. also had new shoe inserts made. very satisfied

[paz]

I suffered serious bilateral toenail ingrown as a teenager. Nothing worked, daily care and dressing, deep side cutting, it was truly painful and limiting. Finally I had the nails completely removed under general anesthesia. They grew back as a deform, tick spathic kind of thing that is boring to keep tidy and presentable, but I never had more trouble with that beside aesthetics.

Edited May 4, 2014 by paz

[billd766]

I went to my local doctor 3 times yesterday. Twice there was nobody there and the third time there was

I think it was his wife (also a doctor) and after a few moments the girl on reception came out and told me mai tam.

From that I figured that the doctor wouldn't do it so I phoned my wife and gave the phone to the receptionist and then my wife confirmed that the doctor would not trim my toenail any more.

This morning I went up to the "local" government hospital 15 km away and got there about 11.30 as I figured the rush would have gone by then. It hadn't so I went through the check in and sat in the waiting area.

A lot of the staff speak some English and I understand some Thai. The lady who allocates patients came over at midday and said that they were closed for lunch and to come back at 1pm.

I went into the village and paid my electricity bill and on to 7/11 for a snack lunch. Back at the hospital at 12.45.

I got the second ticket for the doctor in room 2 and was sent to the doctor in room 4 about 10 minutes later. The doctor in room 4 was one I had seen before about a different problem

Dr Isarapong speaks good English and has a sense of humour and I explained my problem to him and he convinced me eventually to have the nail removed as it was dead. 10 minutes later and the deed was done.

The total cost including 3 types of medication for 10 days, dressing and the hospital charge was 515 baht. I asked him for some condoms to put over the dressing when I shower and he laughed at that but though it was a good plan.

The downside was the total time was around 2 hours but I did bring a book to read andf he didn't take me seriously when I asked for medicinal brandy or rum.

I can't find anyone at home who wants to play nurse and change the dressing tomorrow (wife and neighbours say mai dai) so I will go to the clinic up the road and get it done. A shame really as nurses uniforms turn me on a bit but I can't get one my size 5XL.

[billd766]

I went to the local clinic in the next village this morning to get my dressing changed. Only 3 people there, doctor, nurse and admin assistant.

The doctor speaks English and they changed the dressing in just a few moments, took my details from my driving licence and sent me on my way.

The cost. Free.

I actually had no idea that there was a clinic there but they are closed at the weekends so I will go back to the hospital at the weekend for the dressing change.

If it was the UK I would probably have waited 3 weeks just to see the doctor.

[thaipod]

Normally you get the portion of the nail that's causing the pain or infection removed not the whole nail bed as once the matrix has been damaged the nail being torn off it is often grown back deformed.

[bkkjames]

went to poditrist at Bangkok Hospital, very happy wiyh the doctor and service. had toe nails ground and apply Loceryl once a week for toe nail fungus. also had new shoe inserts made. very satisfied

Where did you get his Loceryl, my nails have been terrible for years and tried things like Loprox etc that never seem to work.

[Sheryl]

Loceryl in Thailand requires a prescription.

[billd766]

As I said back at post #21 I had my toenail removed and it has been growing back again slowly.

It looks as though it may be growing back as it did before into an ingrowing one again.

Does anybody have any idea how to make it straight and keep it that way.

I heard a long while ago that I should pack cotton wool under it. Has anybody tried that?

[Jingthing]

I tried it before surgery to try to prevent the need for surgery and so far it is working out. Never heard of this therapy being done after nail removal which I still think is usually intended to be permanent removal.

http://www.emedicinehealth.com/ingrown_toenails/page6_em.htm#self-care_at_home

Edited October 15, 2014 by Jingthing

[sup3r1or]

I had one, IN BKK went to government hopsital Camilian (dont really like it) anyway doc said let me do it. within 30 mins he popped me on a table made painful injection into my toe and removed nail. First day I was in agony could barely walk, but other days improved my condition.

[Jingthing]

Did he apply chemicals to prevent regrowth?

Sent from my Lenovo S820_ROW using Thaivisa Connect Thailand mobile app

[transam]

Easy fix....File the centre of the nail so you are nearly through it. Can test with a finger nail prod. Leave it, it will recede...