Post-Operative Instructions: Permanent Nail Procedure

You have undergone a chemical matrixectomy today to treat an ingrown or damaged toenail. This involves removal of part or all of the nail and use of a chemical (typically phenol) to prevent regrowth.

Please follow the instructions below carefully to promote healing and reduce the risk of infection:

• Leave the bandage on for 24 hours. Keep the area clean and dry.
   
• After 24 hours, begin daily warm Epsom salt soaks:
   
  • Use lukewarm water and about 1 tablespoon of Epsom salt
     
  • Soak the affected toe for 15–20 minutes
     
  • Pat dry with a clean towel or gauze
     

• After each soak, apply a small amount of antibiotic ointment or Mupirocin (if prescribed) directly to the wound.
   
• Cover lightly with a Band-Aid or sterile dressing.
   
• Repeat daily soaks and dressing changes for at least 10–14 days or as directed.
   

• Limit excessive walking or pressure on the foot for the first few days.
   
• Wear open-toe shoes, sandals, or loose-fitting shoes to avoid irritation.
   
• Avoid tight socks or shoes that put pressure on the surgical site.
   

• Some mild discomfort is expected for 1–2 days.
   
• You may take Tylenol or ibuprofen as needed unless otherwise directed and if not contraindicated by certain other disease states.  For example if you are on a blood thinner then taking ibuprofen with that is not acceptable. Also, if you have a history of stomach irritation especially ulcers is definitely not recommended for use with ibuprofen.
   
• Avoid aspirin unless prescribed, as it may increase bleeding.
   

Please call us immediately if you notice:

• Increasing redness, swelling, or warmth
   
• Pus or yellow-green drainage
   
• Fever or chills
   
• Severe or worsening pain after the first 48 hours
   

• Your follow-up visit is scheduled in 2 weeks. If you don’t have one scheduled, please call our office.
   

We’re here for you. Call or text us anytime at:

Gentle Foot Care Clinic
📍 Brandon & Zephyrhills
📞 (813) 502-5904
🌐 www.gentlefootdoctor.com