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How to Use a Nail Splitter

Published in Ingrown Toenail Treatment 3 mins read

A nail splitter is a specialized tool used by podiatrists and medical professionals to treat ingrown toenails. It's used to lift and split the ingrown portion of the nail, allowing for easier removal and preventing further ingrowth. Proper use requires training and sterile conditions; attempting to use this tool at home is strongly discouraged.

Using a Nail Splitter for Ingrown Toenail Treatment

The following steps describe the use of a nail splitter, as performed by a medical professional, not for at-home use:

  1. Sterilization: The nail splitter and the surrounding area must be thoroughly sterilized to prevent infection.
  2. Positioning: The affected toe is carefully positioned to allow for optimal access to the ingrown portion of the nail.
  3. Insertion: The nail splitter is carefully inserted between the ingrown nail and the nail bed. This should be done with precision to avoid damaging the surrounding tissue. According to the Merck Manual, the splitter should be inserted "to cut longitudinally between the spicule and the nail plate continuing through the origin of the spicule, about ⅓ to ½ the way under the cuticle to the base of the nail". Another source suggests lifting the lateral 3 to 4 mm of the affected nail margin from the nail bed.
  4. Splitting: The splitter's mechanism is then used to gently split the ingrown portion of the nail.
  5. Removal: Once the nail is split, the loose portion can be carefully removed.
  6. Aftercare: Post-procedure care is essential to prevent infection and ensure proper healing. This usually involves keeping the area clean and dry and applying appropriate dressings or topical treatments.

Types of Nail Splitters

Several types of nail splitters exist, varying in design and features:

  • English Anvil Pattern: A common design featuring a double spring mechanism for smooth operation. Many brands offer this style, noted by several online retailers such as McKesson and GerMedUSA.
  • Different Sizes: Nail splitters come in various sizes to accommodate different nail thicknesses and toe sizes.
  • Single-use vs. Reusable: Some are designed for single use and are sterile-packed, while others are reusable and require proper sterilization after each use.

Important Considerations

  • Professional Use Only: Using a nail splitter requires training and should only be done by a qualified medical professional. Improper use can lead to serious injury and infection.
  • Sterile Technique: Maintaining a sterile environment is crucial during the procedure to minimize the risk of infection.
  • Proper Aftercare: Following the podiatrist's post-procedure instructions is essential for healing and preventing complications.

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