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Stabbing Toe pain After Toenail Surgery

by Rhonda

I had a partial toenail operation on Aug.2nd. It was doing fine and just a few days ago I have been dealing with some numbness at times in my big toe on the right foot and also at times I have a stabbing sharp pain. The Podiatrist did use a chemical to kill the nail root.This is my second surgery on this same toe. I am concerned why the pain will not completely go away.




Thank you,
Rhonda

ANSWER

Hi Rhonda,

Obviously numbness and pain are two different sensations and I am not quite sure where these symptoms are coming from. Both may occur in an ingrown nail surgery.
My first concern would be a neuritis (numbness) where you had the injection to numb the toe. Sometimes, the needle actually hits the nerve and thus irritates it. If this is the case, in most cases it will eventually subside.
The sensation of pain on the other hand is something else. Yes, you may also have pain from the needle hitting one of the nerves, but pain may also be indicative of a problem in the surgical site itself.
The most common causes of pain could be, 1. not all the nail was removed and there is still some nail irritating the side of the toe. 2. the possibility of a reaction to the chemical that was placed in the nail area to kill the root of the nail. If phenol was used, this chemical kills the root of the nail via a chemical burn and it can hurt in some people. 3. the possibility of an infection, which will usually occur 36-72 hours after the surgery.
You had your surgery approximately two and one half weeks ago and by this time under normal conditions you should no longer have any pain.
My best advice is to call your podiatrist and insist he or she actually look at the toe to make sure there is no problem brewing.

Marc Mitnick DPM
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