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What is a Matrixectomy and Why do I Need One?

Ingrown toenail that needs matrixectomy

An ingrown toenail that lingers and keeps returning can be painful and keep you from your daily activities. When left untreated, an ingrown toenail can become infected and complicate the treatment.  A matrixectomy is the medical term that means removing the growth area of the nail that is leading to the curved ingrown toenail.  This allows for a permanent solution to prevent your ingrown toenail from returning. 

Ingrown toenails can occur at any age and are one of the most common problems treated by a podiatrist.  They can occur from injury to the nail, tight shoes, picking at your toenail, trying to remove deep pieces of the nail and some people are actually born with curved nails.

While ingrown toenails are generally not dangerous, if you let them linger too long and get infected, complications can occur.  Repeated infection around the nail can lead to a bone infection.  The bone is very superficial in this area and that is why there is this risk.  Early treatment is the answer to avoiding more serious problems.

Another typical problem with infected ingrown toenail is not seeing your podiatrist for this condition.  Often, people will seek the care of their primary care physician and they will be placed on antibiotics only.  Without removal of the infection and piece of nail causing the problem antibiotics often don't work.  So both need to be done at the same time. The last thing you want is being placed on multiple types of antibiotics which can lead to these antibiotics not working when you have a more serious problem.

So what exactly happens during a matrixectomy? 

You will come into the office and sit comfortably in the chair.  Feel free to bring some music and a pair of earbuds or something similar.  Your podiatrist will make your toe completely numb with a safe anesthetic.  Your toe will be tested to make sure it is 100% numb.  You may feel touch and pressure but not pain and that is normal.  Now your podiatrist will place a tourniquet around the toe to keep any bleeding from keeping the medication applied to the growth area from working. There will be no incisions.  A specialized instrument will be used to gently slip out the curved portion of the nail along with the growth plate. The area where the growth piece was removed will then be treated with a specialized chemical to destroy any remaining growth tissues and to make the procedure a permanent solution.  The matrixectomy only takes 10-15 minutes and you walk out in regular shoes. Some doctors have you soak the are and others use medication and specialized bandages to promote healing.  The area may get red from the chemical and there may be some drainage from the chemical.  Some people and even doctors mistake this for infection.  If this is happening and you are not sure, see your podiatrist as they understand how these procedures heal and what they should look like. After you heal, you will no longer have a curved nail and you will have a nice cosmetic appearance with a straight-edged nail.  You will be very happy with the results and glad that you finally fixed the problem permanently.

Dr. Jairo Cruz is an expert at performing the matrixectomy minor procedure in his office.  He is a board-certified podiatrist serving Hillsborough and Pasco counties. Call him at his Brandon, Florida or Zephyrhills, Florida offices for an appointment.  Ask about same-day appointments. You can also schedule an appointment here



Dr Marc Katz Marc A Katz DPM Dr. Marc Katz is a podiatrist that previously practiced in South Tampa on Swann Ave with Dr. Jairo Cruz DPM. He works closely with Dr. Cruz to create educational materials to help patients and the community. Dr. Katz is recognized as a leader in the Tampa Podiatry community for over 23 years. Dr. Katz has extensive expertise in all areas of foot and ankle medicine and surgery and is Board-Certified. He was an early adopter and is a leader in Minimally-invasive procedures and Regenerative medicine in the podiatry community. Dr. Katz has had many articles published in podiatry journals discussing his procedures and techniques. In addition, Dr. Katz has advanced training in Functional and Holistic Medicine and Nutrition. He is one of a few podiatrists that has taken advanced courses in Prolotherapy, Neural Prolotherapy and Ozone Therapy. Please enjoy the content and I truly hope that you find great benefit. Dr. Katz can be reached at For more information:

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