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An ingrown toenail, also known as onychocryptosis, is a condition that occurs when the edge of the nail grows into the skin of the toe. It can result in swelling, pain, and redness. Sometimes, you can take care of ingrown toenails on your own. However, if the pain is spreading or severe, you may need medical treatments. You may also want to promptly seek medical treatments if you have diabetes, a compromised immune system, or poor circulation.
The treatment option for ingrown toenail may include lifting the nail, removing some of the nail (partial nail removal), and removing all of the nail and tissue (total nail removal). The type of treatment you will undergo depends on your specific condition.
Lifting the nail
If your problem is mild, meaning the nail is only slightly ingrown and there is no pus, your doctor may be able to carefully lift the edge of the ingrown nail and place a splint, dental floss, or cotton under it. The splint, dental floss, or cotton will set the nail in a new position, separating the nail from the overlying skin and helping it to grow above the skin.
Partial nail removal
Partial nail removal may be needed for a more severe ingrown toenail. This means that there’s redness, pain, and pus.
During partial nail removal, your doctor will cut away the sides of the nail so that the edges are completely straight. Then, a piece of cotton or a splint is placed under the remaining portion of the nail in order to stop the ingrown toenail from recurring. In some cases, your doctor may also use a compound called phenol to treat your toe. Phenol can keep the nail from growing back.
Total nail removal
If you experience ingrown toenails repeatedly on the same toe or if your ingrown toenail is caused by thickening, your doctor may remove your whole nail along with the underlying tissue (nail bed).
To start the procedure, your doctor will loosen the skin around and from the nail. Then, the nail is separated from the skin by using a special tool under the nail. Your doctor may use a laser, a chemical, or other methods to remove the nail.
All procedures are performed under local anesthesia, which is injected directly into the toe. With local anesthesia, you will be awake but your toe will be numbed, so you will not feel anything throughout the procedure.
You are allowed to leave the hospital on the same day of your ingrown toenail treatment. However, it is recommended that you stay in Dominican Republic for a few days following the surgery, at least 3 days, to let your toenail to recover before you travel home. It may be uncomfortable for you to travel long distances during your initial recovery time.
Recovery can be different for everyone. On average, it takes about four to six weeks to heal after partial nail removal and around 10 to 12 weeks after total nail removal. During the recovery time, you should be able to walk and carry on your life as normal after 3 days of rest. However, you need to avoid strenuous activities, including running and jumping for 2 weeks. It is also advisable that you avoid taking part in sports activities and dancing until you have fully healed.
Your doctor will give you specific aftercare instructions, which may include:
If your doctor gives you pain reliever make sure to take it as directed. Your doctor may also give you oral or topical Medication (antibiotics) which helps get rid of the infection.
Keep your foot raised for a day or two to allow your toe to heal properly.
Wear special footwear for the first few days. Then, you can slowly start wearing sandals or open-toed shoes until the area feels better.
Avoid picking at the wound.
Keep the wound clean and dry, except when cleaning the area or showering.
Soak your toenails with salt water daily.
Ingrown toenail treatment is a safe procedure. According to the National Health Services (NHS), partial nail removal is 98% effective in preventing future ingrown toenails. It is important, however, to remember that every type of surgery carries some possible risks, such as toenail deformity, infection, and anesthesia complications. Serious complications are typically rare and untreated ingrown toenails carry a much higher risk of complications.
If your ingrown toenail is not infected, you should be able to treat it with home remedies, such as keeping your feet dry, soaking your feet in warm water, using a wedge to lift your nail and apply antibiotic creams. However, if your ingrown toenail is infected, there’s no alternative than to get the medical treatments mentioned above.
Before ingrown toenail treatment, you may experience swelling, tenderness, hardness, redness, bleeding, pain, and pus coming out of your toe. In some cases, the condition can be serious and cause an infection in the bone, leading to foot ulcers and tissue decay at the site. After treatment, all of the painful symptoms you experience before will be relieved and the chance of the condition to complicate will be reduced.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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The Dominican Republic can be found on the island of Hispaniola and is a part of the island group, the Great Antilles. The nation has diverse natural environments and land features. Characterized by rugged mountains on one side and the other side consist of low lying valleys and coastal plains. It is the world’s leading producer of professional baseball players. It is also home to the highest mountain, Pico Duarte, and the largest lake, Lago Enriquillo in the Caribbean Region.
In recent times, the Dominican Republic has become popular with medical tourists. Tourists, particularly from the United States, visit the country for Plastic and Reconstructive surgeries, especially for Breast Augmentation procedure. About 25,000 to 30,000 patients visit the Dominican Republic yearly for various medical treatments. The most sought-after services are general, Plastic and cosmetic surgeries, dental procedures, weight-loss, oncology, and orthopedic treatments.
Most medical service providers are situated around the capital city Santa Domingo and Santiago. The medical establishments offer competitive healthcare services with highly-qualified and internationally-trained surgeons. The following clinics can be found in Santa Domingo: Dr. Rafael E. Estevez - Plastic, Reconstructive, and Aesthetic Surgeon, Dr. Gustavo Almanzar Plastic Surgery Clinic, Alba Reyes Skin, and Hair Transplant Institute and Dr. Ivan Strachan Bariatric Clinic.
The Dominican Republic is an unmatched destination with amazing natural sceneries, intriguing history, and diverse culture. It offers ecotourism adventures in splendid national parks, mountain ranges, beaches, and rivers.
Top attractions of the Dominican Republic:
Jarabacoa, Sosua, La Romana, Las Aguilas, and Puerto Plata & Playa Dorada are several other popular tourist spots in the Dominican Republic.
The Dominican Republic has a tropical weather climate, and constant temperature throughout the year, with average yearly temperature, is around 77°F.
The hottest and humid period is from May to October. The mild winter season is from December to March. The period between November and April are the moderate seasons.
Rainfall is seasonal. The eastern and southern coasts experience rains between April and October. The northern coast receives rains throughout the year due to the influence of the north-eastern trade winds. The southern region is prone to hurricanes, with most striking in the months of August and September.
The Dominican Republic offers easy access to the rest of the world with a myriad of flight options from North America and Europe. The main ports of entry into the country by air are the international airports in Santa Domingo, Punta Cana, and Puerto Plata. Santiago and Samana airports are other points of entry.
There are many flights from major cities of Canada and the US. The most frequent flights are from New York, Miami, Toronto, and Montreal. JetBlue, the budget airlines, operates flights from North America to Santo Domingo, Santiago, and Puerto Plata.
The Dominican Republic has a well-developed inter-country transport infrastructure with a large network of roads. It has many types of public transportation for moving around within cities such as buses, the metro, carro publicos, guaguas, and the motoconchos.
Carro Publicos are small car-public taxis and have a specific route displayed on their roof. Guaguas are privately-owned minivans and pick up travelers from any point and drop them off close to their desired location. Motoconchos are private motorcycle taxis that have reasonable fares and are ideal for short journeys.
Citizens of countries such as the UK, USA, and Canada, and Schengen countries are not required to have a tourist visa to enter the Dominican Republic, under a bilateral agreement between the countries. However, they do need to:
Nationals of countries like India, Sri Lanka, China, and Russia need to get a tourist visa to travel to the Dominican Republic. The visas are multiple-entry type and are valid for 60 days.