What Is It

What are Nail Disorders?

Nail disorders encompass conditions affecting the nail plate, nail bed, nail matrix, and surrounding periungual tissue. Despite their small surface area, nails are diagnostically rich — their appearance reflects systemic diseases, nutritional deficiencies, skin conditions, and infections.

Nail conditions are frequently undertreated or misdiagnosed — onychomycosis in particular is prone to misdiagnosis and incorrect treatment. At Dr. More's clinic, nail conditions are diagnosed with the same clinical rigour as any other dermatological condition, including onychoscopy and laboratory confirmation where required.

Nail surgery is performed under digital nerve block — a local anaesthetic technique that renders the affected digit completely numb, ensuring a painless procedure.

Nail surgery and treatment Thane
Conditions We Treat

Nail Conditions Diagnosed & Treated

From common and painful to clinically complex — comprehensive nail care combining surgery, medical treatment, and accurate diagnosis.

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Ingrown Toenail (Onychocryptosis)

The nail edge grows into surrounding flesh, causing severe pain, swelling, and infection. Dr. More performs nail avulsion, lateral matrix phenolisation, or wedge resection — selecting the most appropriate technique for permanent correction and prevention of recurrence.

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Onychomycosis (Fungal Nail Infection)

Fungal nail infection affecting 10% of the population. Must be confirmed with KOH microscopy or fungal culture before oral antifungal treatment — these medications carry systemic risks and are unnecessary if the diagnosis is incorrect. Dr. More confirms before treating.

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Paronychia (Nail Fold Infection)

Acute bacterial paronychia presents with painful, swollen nail fold. May require incision and drainage when fluctuant. Chronic paronychia is typically fungal — requiring identification and removal of the predisposing cause alongside antifungal therapy.

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Nail Dystrophy & Nail Biopsy

Nail deformity, ridging, thickening, or discolouration with multiple causes — psoriasis, lichen planus, trauma, onychomycosis. When clinical assessment cannot determine the cause, nail biopsy provides a definitive tissue diagnosis.

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Periungual & Subungual Warts

Viral warts around and under the nail — notoriously difficult to treat, causing significant pain. Electrocautery, radiofrequency, or intralesional bleomycin for resistant periungual warts, with careful attention to the nail matrix.

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Nail Pigmentation & Melanonychia

Pigmented nail streaks require careful evaluation to exclude subungual melanoma. Dr. More applies onychoscopic criteria to assess nail pigmentation and determines the need for biopsy — enabling early diagnosis which significantly improves outcomes.

Our Process

The Nail Surgery & Treatment Process

Precise, pain-free nail procedures — from initial assessment to complete post-operative recovery.

01
Assessment

Clinical Examination & Onychoscopy

Comprehensive clinical examination of affected nail(s) including onychoscopic assessment. For pigmented nail bands, dermoscopy is essential to evaluate the pattern and determine whether biopsy is indicated.

02
Investigation

Laboratory Confirmation When Indicated

KOH microscopy and fungal culture for suspected onychomycosis — performed before prescribing systemic antifungals, not after empirical treatment failure.

03
Anaesthesia

Digital Nerve Block — Completely Painless

Local anaesthetic injected at the base of the digit renders it completely numb. The procedure is performed only once complete anaesthesia is confirmed.

04
Surgery

Precision Nail Surgical Procedure

Technique selected (avulsion, phenolisation, wedge resection, biopsy, drainage) based on clinical indication, anatomy, and desired outcome — for permanent correction wherever possible.

05
Post-Op Care

Wound Care & Recovery Guidance

Post-operative care instructions, dressing technique, activity restrictions, and footwear advice provided in writing. Follow-up scheduled to assess healing.

Treatment Outcomes

What You Can Expect

Honest, realistic outcomes based on 14+ years of clinical practice and thousands of successfully treated patients.

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Permanent Ingrown Nail Resolution

Lateral matrix phenolisation has over 95% success rate in permanently preventing recurrence — far superior to simple nail avulsion without matrix ablation.

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Confirmed Diagnosis Before Treatment

Laboratory confirmation of onychomycosis prevents unnecessary treatment of non-fungal nail conditions — saving cost and avoiding systemic medication side effects.

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Healthy Nail Regrowth

With correct nail surgical technique, nails regrow in a normal, healthy form. Toenail regrowth takes 12–18 months; fingernails 6–9 months.

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Accurate Diagnosis of Pigmented Lesions

Onychoscopic assessment identifies cases requiring biopsy — enabling early diagnosis of subungual melanoma, with excellent prognosis when detected early.

“I had been suffering with an ingrown toenail for 6 months. Previous treatment at two clinics had failed. Dr. More performed the procedure and I walked out without pain. No recurrence in a year.”
— Rahul Patil, Thane West
5000+
Patients Treated
14+
Years Experience
4.9★
Google Rating
98%
Patient Satisfaction
Why Dr. Prratyush More

Why Choose Dr. More for Nail Surgery

Accurate diagnosis, confirmed investigations, and permanently corrective surgical techniques.

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Board-Certified Dermatological Surgeon

Comprehensive training in nail surgery and nail disease. Dermatologists have specific nail anatomy training that general surgeons do not.

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Onychoscopy — Advanced Nail Diagnostics

Dermoscopy of the nail enables non-invasive assessment of nail structures — significantly improving diagnostic accuracy for nail pigmentation and dystrophy.

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Laboratory Confirmation for Fungal Nails

KOH microscopy before any antifungal prescription. Oral antifungals have hepatic side effects — prescribing them without confirmation is inappropriate.

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Painless Digital Nerve Block Technique

Expert administration ensures complete, pain-free anaesthesia. Patients are frequently surprised at how comfortable the procedure is.

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Permanent Recurrence Prevention

Lateral matrix phenolisation for ingrown nails. Techniques chosen for long-term effectiveness — not short-term ease.

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Complete Post-Operative Support

Written wound care, follow-up appointment, and active accessibility between visits. You are not left to manage recovery without guidance.

Common Questions

Nail Surgery — FAQs

Common questions about nail surgical procedures, recovery, and outcomes.

Is ingrown nail surgery painful?

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No. Nail surgery is performed under digital nerve block — once the anaesthetic takes effect, the procedure is completely painless. Most patients are surprised by how comfortable it is. Post-operatively, mild discomfort for 24–48 hours is managed with standard analgesics.

Will my ingrown nail grow back after surgery?

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This depends on technique. Simple nail avulsion without matrix ablation has a high recurrence rate. Lateral matrix phenolisation — where nail root cells responsible for the ingrown edge are chemically ablated — has over 95% permanent success rate. Dr. More performs phenolisation as the preferred technique.

How long does it take to recover from ingrown nail surgery?

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Most patients walk comfortably 24–48 hours after surgery. Full healing takes 3–6 weeks. Toenail regrowth (when complete nail removal performed) takes 12–18 months. Open-toed footwear during healing is advised.

I've been using antifungal cream for months with no result — what should I do?

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Topical antifungals have very limited nail plate penetration and are generally ineffective for established onychomycosis. Effective treatment requires oral antifungals (after laboratory confirmation) or newer topical lacquer formulations. Dr. More confirms the diagnosis with KOH microscopy and prescribes the most appropriate treatment.

I have a dark streak in my nail — is it serious?

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A pigmented streak has multiple causes — most are benign. However, subungual melanoma presents as melanonychia and must be excluded. Dr. More uses onychoscopy to evaluate nail pigmentation and determines whether nail biopsy is indicated — ensuring potentially serious lesions are not missed.

Can nail fungus be treated without oral medication?

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Mild superficial onychomycosis can sometimes be managed with topical antifungal lacquers. Established onychomycosis affecting the nail bed typically requires oral treatment. Choice depends on extent of involvement, causative organism, and patient factors including liver conditions and drug interactions.

Patient Stories

What Our Nail Surgery Patients Say

Real patient experiences with ingrown nail surgery, nail infection treatment and nail disorders at our Thane clinic.

Dr. Prratyush More
4.9
★★★★★
50+ Google reviews
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Praveen Malviya1 month ago
★★★★★

Dr. Prratyush More is very genuine. I was searching for the best dermatologist in Thane for my persistent skin issues. He spent time understanding my history and the treatment plan delivered amazing results far quicker than expected. If you want real results, look no further.

SP
Shilpa Pawar2 months ago
★★★★★

Dr. More treated my severe eczema which had been uncontrolled for 2 years. He identified my specific triggers, adjusted the treatment plan, and within 6 weeks my skin cleared up completely. Best dermatologist in Thane — no question.

SK
Shailesh Kembale2 months ago
★★★★★

I had been struggling with stubborn melasma for 3 years. Previous treatments gave temporary results. Dr. More diagnosed the exact type and depth of pigmentation and designed a comprehensive treatment plan. Results in 8 weeks were beyond my expectations.

RP
Rahul Patil3 months ago
★★★★★

I had severe psoriasis for years and had tried multiple doctors without lasting results. Dr. More’s approach was completely different — thorough, patient-focused and evidence-based. Within 3 months my skin improved dramatically. Forever grateful.

AK
Anil Kadam4 months ago
★★★★★

I recently saw Dr. Prratyush More for a severe fungal infection. He provided an honest and detailed consultation with true empathy. Treatment worked in just one week. Genuinely the best skin specialist in Thane West.

MS
Manisha Shah5 months ago
★★★★★

After dealing with a severe sunlight allergy on my face I visited a few dermatologists without results. Dr. More put me on a treatment that worked beautifully — allergy completely controlled in just 2 weeks. Best skin specialist in Thane.

Ready to Get Clear, Healthy Skin?

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