Dr.Artis was so amazing. After going to two other podiatrists who gave me no support or hope, Dr. artis made me feel like there can be change for me. She was so patient, kind and informative. I’m actually excited to go back and get my results.
Toenail removal nail avulsion for fungal infection is indicated in a specific subset of onychomycosis patients where the infected nail cannot be adequately cleared with antifungal therapy alone: patients with total nail dystrophy where the nail plate is completely replaced by infected subungual debris, cases where nail plate thickening exceeds two millimeters preventing adequate antifungal penetration, diabetic patients where a thickened onychomycotic nail is creating pressure ulceration risk, recurrent cases that have failed two or more adequate courses of oral antifungal therapy, and patients with painful fungal nails impairing weight-bearing who require immediate relief rather than the twelve-month timeline of antifungal nail clearance. Nail avulsion can be performed as partial avulsion removing only the most severely affected portion of the nail or total avulsion, removing the entire nail plate under local anesthesia. Permanent nail ablation using phenol or sodium hydroxide applied to the nail matrix following avulsion is discussed when the nail has caused sufficient recurrent problems that the patient prefers permanent removal over continued treatment cycles. At Healthy Feet Podiatry, our NYC podiatrists discuss nail avulsion candidacy with full transparencyexplaining what the procedure involves, what regrowth looks like, and what the combined avulsion-plus-antifungal protocol achieves compared to antifungal therapy alone.
At Healthy Feet Podiatry, nail avulsion for fungal infection is performed under digital block local anesthesia in the office the nail plate is separated from the nail bed using a blunt elevator, removed in full or in part, and the exposed nail bed is treated with topical antifungal solution directly applied to the debrided tissue. The procedure takes fifteen to thirty minutes and patients walk out of the office with a protective dressing, typically experiencing mild soreness for twenty-four to forty-eight hours that resolves with OTC analgesics. Following avulsion, we prescribe topical antifungal therapy applied directly to the nail bed daily throughout the regrowth period typically six to nine months for the nail to fully regrow achieving significantly higher cure rates than topical therapy through an intact nail plate. Serial follow-up appointments monitor regrowth quality, confirm antifungal response, and address any complications including nail bed irregularity or adherence issues during the regrowth phase. The result for the majority of patients is a healthy, clear nail grown fresh from a fungal-cleared nail bed that represents a genuine fresh start rather than a partially treated chronically infected nail.
Healthy Feet Podiatry’s NYC podiatrists have performed hundreds of nail avulsion procedures for fungal infections providing the definitive treatment option that ends years of recurrent onychomycosis cycles for patients who have exhausted antifungal therapy without adequate clearance. We serve patients across Manhattan and the five boroughs, accepting most major insurance plans for nail avulsion procedures when medical necessity is established. Our Upper East Side and Midtown Manhattan offices offer same-week appointments and provide complete pre-procedure counseling so every patient fully understands what the procedure involves, what to expect during recovery, and what the regrowth timeline looks like before they make their decision. If toenail fungus has been resistant to every treatment you’ve tried and you’re ready for a definitive solution, toenail removal at Healthy Feet Podiatry in NYC may be exactly the fresh start your nails need.
TESTIMONIAL
Dr.Artis was so amazing. After going to two other podiatrists who gave me no support or hope, Dr. artis made me feel like there can be change for me. She was so patient, kind and informative. I’m actually excited to go back and get my results.
Everyone was super friendly. Doctor Rick’s explained everything thoroughly.
Dr Bell was incredibly thorough and personable. Gave me great information and useful information for my next steps. A great experience!
“Fast, professional, and very clean office. I was checked in and seen within 10 minutes of my scheduled time. Dr. Ricks was straight to the point but thorough. The front desk staff was also incredibly helpful.
All of the staff are super welcoming and professional! Bianca took excellent care in getting my X-rays. Dr. Ricks was thorough in explaining my diagnosis and next steps. Highly recommended!!
Well before I came in today to see Dr. Ricks my foot in pain was 9/10 and now I feel good 🙏🏿🤩 thanks
Behind every great care experience is a team that truly listens. Our doctors are committed to understanding your needs, delivering personalized treatment, and supporting you every step of your health journey.
Dr. Farah Alani is a New York City foot and ankle surgeon at To Healthy Feet Podiatry, a boutique podiatry practice located in the heart…
Dr. Alison Bell was born in Manhattan and is a Public Health graduate of Charles R. Drew University. She obtained her medical degree from Kent…
Dr. Roxann Clarke is a graduate of Hampton University in Virginia, where she obtained her Bachelor of Science in Biology and her Master of Science…
Dr. Ricks is a board-certified fellowship-trained podiatric surgeon committed to delivering top-tier foot and ankle care. From New Jersey, she a Bachelor’s in…
As the Chief Operating Officer of To Healthy Feet Podiatry, Tiffany provides leadership to ensure all administrative are producing optimal results. Dr….
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