Podiatry

Pterygium Surgery (Nail Pterygium Release)

Surgical correction of pterygium unguis—skin overgrowth onto the nail plate.

What is Nail Pterygium Surgery?

In podiatry, pterygium refers to an overgrowth of skin that adheres to and advances over the nail plate (often after trauma, lichen planus, or scarring). Surgery may include:

Adhesion release and scar excision to free the nail fold.
Matrix/bed repair to restore smooth nail growth.
Skin/nail fold reconstruction or grafting in severe cases.
Performed with a digital block under sterile technique.

What to expect after Nail Pterygium Surgery?

Bulky dressing and splinting to protect the nail fold
Elevation and NSAIDs for 24–48 hours
Daily soaking and ointment after 24 hours, per instructions
Stitches removed in 10–14 days; gradual return to shoes as comfort allows
Nail growth is slow; cosmetic improvement continues over months
Report increasing pain, redness, or drainage

Surgical correction of pterygium unguis—skin overgrowth onto the nail plate.

Why is it performed?

To relieve pain and pressure from scar tissue
To improve nail appearance and function
To allow healthy nail regrowth and hygiene

Risks and Considerations

Recurrence of adhesions or scarring
Infection or delayed healing
Nail deformity if the matrix is severely damaged
Sensitivity at the tip of the toe

Early detection is important for managing the condition and preventing further complications.

Schedule a consultation today.

FAQs

Is this the same as eye pterygium?

No—this is a nail condition involving scar overgrowth.

Will my nail look normal again?

Often significantly improved, but severe damage may leave ridging.

How long for results?

Several months due to slow nail growth.

Will the problem return?

Scar management and protection reduce recurrence.

Can it be treated without surgery?

Mild cases may improve with conservative care; scars often need surgery.

Podiatry

Doral Health & Wellness Foot & Ankle Department

Doral Health & Wellness Podiatry provides comprehensive foot and ankle care. Our experienced podiatrists offer a range of services, including diagnosis and treatment of foot and ankle conditions, sports injuries, diabetic foot care, and custom orthotics. We are dedicated to helping you achieve optimal foot health and mobility.