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toenail removal: why only injections - 10/20/2011 10:58:50 AM

defiantbadgirl

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I have a couple of ingrown toenails that need to be removed. I've put it off for several years because I remember how excruciatingly painful the local anesthesia injections were when I had stitches in the arch of my foot years ago. I've tried searching online for both general and epidural anesthesia for toenail removal and can't find any information on doctors doing that. If people can get knocked out to have teeth removed, why can't the same thing be done for toenail removal.....or if not that, at least an epidural? Shots in feet are far more painful than shots at the dentist. Has anyone been given the choice of epidural or general anesthesia for toenail removal?

< Message edited by defiantbadgirl -- 10/20/2011 10:59:47 AM >

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RE: toenail removal: why only injections - 10/20/2011 11:10:52 AM

littlewonder

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have you asked your doctor?

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RE: toenail removal: why only injections - 10/20/2011 11:33:31 AM

defiantbadgirl

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I'm currently in the process of finding a new primary care provider. I did call a local podiatrist's office and was told they only give local anesthetic. If a foot doctor doesn't do it......

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RE: toenail removal: why only injections - 10/20/2011 11:40:35 AM

Aylee

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~Fast Reply~

Because then they could not do it in the office and you would need an operating room with an anesthesiologist.

Do you have ANY idea how much the cost goes up at that point?

You might see if they can give you a Valium or darvocet/percocet before the local shot.

Or you could just suck it up, Buttercup.

I have never had a problem with local shots.

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RE: toenail removal: why only injections - 10/20/2011 11:43:48 AM

lisub4one

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I had half the nail on my right big toe removed several years ago due to recurring problems with the nail growing into the side of the toe. The injections into the side and knuckle of the toe for the local anesthesia really didn't hurt at all, and all I felt was pressure as he cut down the middle of the nail and removed the problematic half. What hurt more than anything else was the compound he applied to the skin that was exposed after the nail was removed to make sure the nail would not grow back, and even that just felt like wax being dripped on me from too dark a candle from too close a distance.

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RE: toenail removal: why only injections - 10/20/2011 1:18:46 PM

defiantbadgirl

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quote:

ORIGINAL: Aylee

~Fast Reply~

Because then they could not do it in the office and you would need an operating room with an anesthesiologist. Do you have ANY idea how much the cost goes up at that point?

You might see if they can give you a Valium or darvocet/percocet before the local shot.

Or you could just suck it up, Buttercup.

I have never had a problem with local shots.

I can handle local shots as long as they aren't in my foot. Dental patients don't have to go to the hospital to get knocked out.

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RE: toenail removal: why only injections - 10/20/2011 1:25:02 PM

defiantbadgirl

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They gave you a shot in your knuckle? How could getting stuck in the bone not hurt? A needle stuck directly into bone - wow it's even worse than I thought.

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RE: toenail removal: why only injections - 10/20/2011 1:27:31 PM

Hisprettybaby

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I've had local anesthesia shots in the arch of my foot. I've also had local anesthesia shots in my toes for ingrown toenail removal. The shots in the toes didn't hurt nearly as bad as the ones in the arch. As a matter of fact, they just stung a little bit is all.

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RE: toenail removal: why only injections - 10/20/2011 1:42:03 PM

stef

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quote:

ORIGINAL: defiantbadgirl

I can handle local shots as long as they aren't in my foot. Dental patients don't have to go to the hospital to get knocked out.

Some dentists have anesthesiologists on staff because they perform oral surgery on-site. Podiatrists generally don't perform surgery in the office so they don't have a need for them. You're almost certainly not going to find a doctor willing to knock you out or give you an epidural for this. On the astronomical chance you do, it certainly won't be covered by insurance and you'll pay through the nose for it.

I've had a circumferential nerve block to remove the toenail on my right foot after someone dropped a server on it at work. It's 10 seconds of discomfort then nothing. Aylee pretty much covered it already; suck it up.

< Message edited by stef -- 10/20/2011 1:51:41 PM >

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RE: toenail removal: why only injections - 10/20/2011 2:03:09 PM

romanticukmaster

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Hi just my 2p worth I had a long running
Problem with ingrowing big toe nail
So my mom took me to hospital to have
It done under a local
The doc put 2 injections either side of
My nail then after 10 mins started to rip
The nail off that's where the fun begins
I found out then I had very tickly feet
And it was bloody painful
I was screaming and kicking at one point
I kicked him under the jaw he had to tie
Both feet to the table not good :(
I had to have it done again some years
Later I had to go onto hospital and get put
To sleep to do it
I'm not good with pain lol
So get put to sleep to have it done :)

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RE: toenail removal: why only injections - 10/20/2011 2:29:01 PM

LafayetteLady

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Needles can throw me into an unmanageable anxiety attack nearly immediately. Not pretty. But I have had this procedure done on both my big toes. Twice. In the toe, it is nothing like the arch. Ask for a Xanax script to take before you go. I took a 1mg of Xanax, and I was fine. If you are more susceptible, .25 or .5 might work as well. Those doses do nothing for me.

Stop worrying and get it done. The lack of pain you will feel afterward is worth it. And the bonus is you get to knock all the foot fetishists off your mailing list. Sorry, but it doesn't leave for pretty feet. Happy feet, but not pretty feet.

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RE: toenail removal: why only injections - 10/20/2011 10:12:08 PM

bemyslut

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You will not find an anesthesiologist that will do an epidural/general anesthesia for a toe nail removal. The risks of an epidural far outweigh the benefits. People receive general anesthetics/iv sedation for dentistry as it helps facilitate mouth opening (when you are relaxed and semi-unconscious, the dentist can open your mouth much greater thus giving him more room to work in your mouth without you gagging and secondly to protect the airway--you dont want debris going down to your lungs). Serivce charges for epidurals begin around $800 and that doesnt include the costs of the epidural kit!!! Ask your doctor to perform an ankle block or partial ankle block. It will anesthetize your foot without you having to receive injections in the foot itself (the feet can be extremely sensitive--I know) as the injections are given circumferentially around the ankle....if you need more information, PM me

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RE: toenail removal: why only injections - 10/20/2011 10:14:50 PM

xxblushesxx

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Oh my gosh. All these things sound excruciating! (and not in a fun happy way!) My best wishes and thoughts to any of you who have to go through this!

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RE: toenail removal: why only injections - 10/21/2011 7:19:20 AM

poise

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Even if they did put you under to remove the ingrown toenail, once you
come out of the dazed and confused stage, your foot is going to hurt much
much worse than the needle used to give you the initial localized shot.

And just because you have managed to live with the pain of an ingrown
toenail for this long, doesn't mean that you should. Those little buggers
can cause some severe complications. Bite the bullet and get it fixed.

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RE: toenail removal: why only injections - 10/31/2011 7:31:02 PM

mummyman321

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The best thing to do is to talk with your Doctor about what options there are. See if your foot specialist uses and outpatient facility versus a hospital for minor surgeries. And tell him/her you cannot handle pain. See if Versed or similar drug is available. Versed generally does not put you under but you do not remember much of anything. The key here is to have an open and honest discussion with the doctor. The downside is the insurance. Unless you have a medical reason to be knock out the insurance will pay very little if any of it.

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RE: toenail removal: why only injections - 10/31/2011 7:37:42 PM

hausboy

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Hi OP...
I had minor nail surgery a number of years ago. To numb the toe, as you've described, they gave me two needles, but in 5 places around my toe to numb it. It was truly the most difficult part of the procedure--once the toe was numb, I did not feel any pain or discomfort at all. I could feel the doctor working on the toe (I couldn't watch...normally I would...) but didn't feel a thing. As others have said, putting you out is considerably expensive (and to a certain degree, more risky than a local)

Here's what you can consider instead--talk to your physician (your general practitioner) about your concerns. He or she may be able to prescribe an anti-anxiety med or even a sedative, that will make the injections easier to handle. Just don't self-medicate--make sure you speak to your physician to prevent any drug interactions.

Nail surgery isn't fun, but it's fairly quick.

< Message edited by hausboy -- 10/31/2011 7:38:26 PM >

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RE: toenail removal: why only injections - 11/1/2011 12:09:42 AM

gorgeoushair

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Sounds awful and painful for the OP. People experience physical pain in different ways and at different levels. (Just don't go the Propofol route, if you catch my drift. Just kidding. I do hope that you find a solution [no pun intended] for your problem--soon.) Wishing you a full and complete healing.

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RE: toenail removal: why only injections - 11/1/2011 12:48:41 AM

Endivius

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quote:

ORIGINAL: defiantbadgirl

I have a couple of ingrown toenails that need to be removed. I've put it off for several years because I remember how excruciatingly painful the local anesthesia injections were when I had stitches in the arch of my foot years ago. I've tried searching online for both general and epidural anesthesia for toenail removal and can't find any information on doctors doing that. If people can get knocked out to have teeth removed, why can't the same thing be done for toenail removal.....or if not that, at least an epidural? Shots in feet are far more painful than shots at the dentist. Has anyone been given the choice of epidural or general anesthesia for toenail removal?

I have this weird condition I was born with, where my toenails grow sideways instead of outwards. When I was very young they were cauterized and cut at the sides. I very rarely ever have to cut my toe nails. I still remember having the procedure done, this was some twenty years ago now, basically the pediatrist hit me with an numbing spray that took a few seconds to sink in, then shot me with lidacane (sp?) and worked it around in my toe. Honestly, it wasn't painfull, a few minor pinches. Getting the shot was not a problem at all. The anesthesia wearing off an hour later and the pain in my foot persisted for several days, THAT was a problem. To this day I cut my toenails on the sides and not on the tips like other folks. If you have an ingrown toe nail on just one toe, it's likely he will do the procedure with just an local, depending on how deep the growth is, and whether or not there is an infection. I had to go back for one of my big toes in my teens because the first procedure on that toe was not done correctly, no needle was used for that one. They just cut the nail, and using a q-tip dipped in acid stuck it inside the cuticle and worked around to ensure the growth would not come back.

< Message edited by Endivius -- 11/1/2011 12:49:59 AM >

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RE: toenail removal: why only injections - 11/7/2011 3:57:39 PM

hlen5

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quote:

ORIGINAL: hausboy

Hi OP...
I had minor nail surgery a number of years ago. To numb the toe, as you've described, they gave me two needles, but in 5 places around my toe to numb it. It was truly the most difficult part of the procedure--once the toe was numb, I did not feel any pain or discomfort at all. I could feel the doctor working on the toe (I couldn't watch...normally I would...) but didn't feel a thing. As others have said, putting you out is considerably expensive (and to a certain degree, more risky than a local)

...........Nail surgery isn't fun, but it's fairly quick.

Ditto for me. Just had my Left Great toe nail removed in Sept. (Wanna see a pic?? Just kidding!!) Maybe in was the power of suggestion, but I just kept taking aspirin on a schedule and I was fine.

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RE: toenail removal: why only injections - 11/11/2011 2:45:24 AM

SexyThoughts

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In NZ the range tends to between the knuckle of just that toe, all the way up to the ankle. The higher it is the harder it is to walk away afterwards. But the toes are pretty fat free, so needles find it hard to get under the skin there. If you're so ticklish that you'll cunt punt the doc with your other foot (Genuine NZ urban legend) then they might inject up at the calf.

Anything more than local, requires an Anesthesiologist and they're risky sods. So even if you become the Doc's total sex slave for a year. And I mean total, Anal *and* doing the dishes, you still won't get more than a Valium IV here

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