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					                            About podiatrists                                                                              Your Podiatrist Talks About

                            Podiatrists are highly skilled health                 Many health funds in Australia
                            professionals trained to deal with                 provide cover for podiatry services on
                            the prevention, diagnosis, treatment               their ancillary tables and government
nail surgery nail surgery
                            and rehabilitation of medical and                  funded services are available through
                            surgical conditions of the feet                    the Department of Veterans’ Affairs,

                            and lower limbs. Podiatrists have                  some public hospitals and community
                            completed a Bachelor of Podiatry or                health centres. In New Zealand,
                            higher degree, and are continually                 some podiatry services may be partly
                            upgrading their skills and knowledge               or fully covered by the Accident
                            through further education and                      Compensation Corporation.
                               All podiatrists undergo training                *This information is not to be used as
                            in their undergraduate program to                  a substitute for podiatric or medical
                            safely administer local anaesthetic                assistance.
                            and perform nail surgery.
                               Additional post-graduate training
                            is required in both Australia and
                            New Zealand in order to perform
                            deep tissue and bone surgery.

                                                                                             My podiatrist is:

                            Where can I find
                            a podiatrist?
                             To find a podiatrist online go to
                               More information about
                            foot care is available at
                               In Australia refer to your Yellow
                            Pages™ for a list of podiatrists in
                            your area, or contact the Australian
                            Podiatry Association in your state.
                            In New Zealand contact Podiatry                                    Published in the interest
                                                                                               of foot health by the
                            New Zealand Inc.
                                                                                               Australasian Podiatry
                                                                                               ACN 008 488 748

                            Photos courtesy of Department of Podiatry, La Trobe University
                                                                                                                                                                                                                        nail surgery nail surgery
                            Nail Surgery                                   What does a partial nail                                                                            What happens after
                            Nail surgery is a common procedure             avulsion involve?                                                                                   the procedure?
                            performed by most podiatrists to               Your podiatrist will conduct a complete            The offending portion of the nail is             Re-dressings at home and a few
                            effectively treat an ingrown toenail –
nail surgery nail surgery
                                                                           assessment, taking a medical history,           then gently lifted and trimmed away,                consultations with your podiatrist
                            a nail that has pierced (or is pressing        a list of any medications that have             generally without the toe being cut or              may be required over the two to
                            against) the adjacent skin of the toe          been prescribed for you as well as              stitched. Both sides or the entire nail             three weeks following the procedure.
                            causing pain and inflammation and              considering any other clinical factors          may be removed this way. A chemical                 For the first few days after the
                            sometimes infection.                           that will determine whether or not              may also be used at this point to assist            procedure pain relief, the use
                               Surgery may be required when                this surgery is suited to you. An               in preventing nail regrowth.                        of open toed shoes and activity
                            an ingrown toenail repeatedly gets             assessment will generally also include             Once the procedure is completed,                 modification may be necessary,
                            infected, is continually painful, the          an examination of blood supply to the           the tourniquet is removed and a                     however interference with day to
                            patient is unable to wear shoes or the         foot.                                           sterile surgical dressing is applied. The           day activities is generally minimal.
                            condition inhibits work, sporting or
                                                                                                                           patient is able to walk immediately
                            other activities.
                               Before surgery is recommended,
                                                                                                                           afterwards, however assistance getting              What are the potential
                                                                                                                           home is strongly recommended.
                            your podiatrist will explore other                                                                                                                 complications?
                            conservative treatment options.
                                                                                                                                                                               As with any surgical procedure
                                                                                                                                                                               there is some risk of complication,
                            Nail surgery performed                                                                                                                             however this procedure is known to
                            by podiatrists                                                                                                                                     be very safe and effective.
                                                                                                                                                                                  The most common side-effects are
                            A ‘Partial Nail Avulsion’ (known                                                                                                                   post-operative infection in the short
                            as a PNA or nail root and matrix                                                                                                                   term and the possibility of regrowth
                            resection) is a minor nail procedure                                                                                                               of the nail over time. The risks of
                            which aims to permanently treat
                                                                           Only the affected segment of nail is removed,                                                       infection can be minimised through
                            ingrown toenails. The procedure                leaving a small area at the base of the nail                                                        good post-operative care and your
                            is usually performed in podiatrists’           (underlying the cuticle) to heal after the                                                          podiatrist will advise and assist with
                            rooms, takes around one hour and the           procedure.
                                                                                                                                                                               your situation.
                            patient is able to walk immediately
                            afterwards.                                       The procedure itself is performed
                                                                           under local anaesthetic via injection
                                                                                                                                                                               How your
                                                                           into the toe to numb the area. The                                                                  podiatrist can help
                                                                           anaesthetic will wear off in about two                                                              Regular visits to your podiatrist
                                                                           hours.                                                                                              can manage and prevent ingrown
                                                                              Once numb, a tight elastic ring                                                                  toenails, alleviate pain, and help
                                                                           called a tourniquet is applied to the                                                               keep you on your feet and mobile.
                                                                           toe to control bleeding and the area
                                                                           is prepped to minimise the risk of
                            The offending portion of the nail is trimmed   infection.                                      Postoperative dressings will require some further
                            away                                                                                           attention at home.

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