Ingrowing toenail surgery (image 2 of 6). Hand administering an injection of local anaesthetic into the left side of a man's big toe before surgery to remove his ingrowing toenail. Ingrowing toenails press into the adjacent skin, causing pain, inflammation and infection. They result from improper nail trimming, as well as poor hygiene and ill-fitting shoes. For a sequence showing the operation see images M551/272-277.
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