Introduction The local anaesthetic you have been given may last a few hours following the surgery. Once this wears off, take whatever painkiller you would usually take for a headache if you feel it necessary (e.g. paracetamol, ibuprofen). Do not take any pain relief medication that contains aspirin. Care of your wound If there is some bleeding through the dressing, do not worry. It is quite normal for there to be a little staining. However, if there seems to be a lot, place an extra dressing over the existing bandage to provide another absorbent layer. Keep the area dry for 2 days. After that you may follow your usual bathing routine but keep the dressing on. This will prevent soap from getting into the wound. Immediately following your bath or shower remove the dressing and bathe your toes with warm (not hot) salt-water. It is important that the water is no warmer than skin temperature or there is a risk of scalding the foot or the toes. • Bathe the toes for 5 minutes, then using the sterile swabs provided gently cleanse the area, and then dry it. • Do not probe or poke around the wound with your fingers. • Once the toe is dry you can redress it with a clean dry dressing. Then cover the dressing with bandage or tape as shown by the Podiatrist when you had your surgery. The podiatrist may alter this routine according to how your toe is healing. • The toe may feel uncomfortable and possibly tender. • There will be some redness and maybe blistering at the base of the nail near the site of the wound. This is usually a reaction to the chemical that has been put onto your toe to destroy the nail cells, in order to stop that part that was removed from growing again. • There will also be some weeping from the wound, which will be pale, yellowish and watery. If the toe becomes extremely painful and starts to throb with the redness spreading further down the toe towards the foot, this may mean the wound has become infected. You will need to see your doctor to obtain some antibiotics. At this point please contact the clinic where you had your nail surgery or the booking centre on 01625 661875 Infection following surgery does not happen very often. However, it is important that you continue with the dressing routine as advised by the podiatrist. Any information given in this leaflet is a guideline as to what may possibly happen so that you are aware of what to look out for whilst you are redressing your toe. We will give you a dressing appointment at the clinic within a week of your surgery. This is so we can monitor the healing process. It may be that you will have a few more dressing appointments depending upon the progress your toe is making. Your first dressing appointment is shown on the front of this advice sheet. Comments, compliments or complaints We welcome any suggestions you have about the quality of our care and our services. Contact us: Freephone: 0800 1613997 Phone: 01625 661449 Textphone: 01625 663723Customer Care, Reception, Macclesfield District General Hospital, Victoria Road, SK10 3BL For large References: Nail surgery Author: Haneke, K. Citation: Cutan Aesthet Surg. 2011 SepDec; 4(3): 163–164 http://www.ncbi.nlm.nih.gov/pmc/articles/ PMC3263124/ print, audio, Braille version or translation contact the Communications and Engagement Team on 0800 195 494. Admission information The trust accepts no responsibility for the loss of, or damage to, personal property of any kind, in whatever way the loss or damage may occur, unless deposited for safe custody. Please leave valuables at home. If you need to bring personal items that are expensive, for example micro hearing aids, please be aware that you do so at your own risk NHS Direct (part of NHS Choices) is a 24 hr phone advice service providing confidential health advice and information. Phone: 0845 4647 (Textphone 0845 606 46 47)www.nhs.uk East Cheshire NHS Trust is committed to ensuring that patients and staff will always be treated with dignity and respect. There will be no age, disability, gender, race, sexual orientation or religious discrimination. Advice Following Nail Surgery Patient Information Podiatry Service 01625 661875 Your first dressing appointment will be: ______________ At_________________________ www.eastcheshire.nhs.uk @eastcheshirenhs Ref:11494Review: 10/2015
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