Q&A

how painful is a nail biopsy

Most patients report throbbing pain in the first one to two days after the biopsy. This pain will decrease within a week. After the first week, the digit will still be tender to the touch. You may still have numbness and/or tingling at the biopsy site after a few weeks.

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Are you put to sleep for a nail biopsy?

In most cases, this biopsy technique does not require anesthesia or hemostatic efforts. However, when a more proximal portion of the nail is required, the nail may be partially avulsed before the biopsy, which requires a digital block and hemostasis.

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When should a nail biopsy be done?

Any painful nail bed lesion or any tumorous growth of nail bed will also need a nail bed biopsy to confirm the diagnosis. The nail bed biopsy can be either an excision biopsy or a punch biopsy.

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When should you get a nail biopsy?

A nail biopsy is performed to diagnose clinically ambiguous nail lesions or dystrophies or to remove tumors [1]. Because of the propensity for scarring and inadequate sampling, nail biopsies are best performed by clinicians with appropriate training and experience.

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Why is nail biopsy done?

Nail bed biopsy: This is performed to diagnose skin lesions and rashes isolated under the nail plate. To perform a nail bed biopsy, the nail is commonly avulsed. Alternatively, a punch biopsy may be taken directly through the nail plate.

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Will nail grow back after nail biopsy?

After complete surgical nail avulsion, complete nail regrowth after 4 to 5 months and 10 to 18 months for fingernails and toenails, respectively, has been reported.

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What will a nail biopsy show?

Nail fold biopsy (NFB) can be done from the proximal (PNF) or lateral nail fold (LNF), and is indicated for paronychial dermatoses, inflammation, or nail fold tumors (benign or malignant).

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Is nail bed biopsy painful?

Most patients report throbbing pain in the first one to two days after the biopsy. This pain will decrease within a week. After the first week, the digit will still be tender to the touch. You may still have numbness and/or tingling at the biopsy site after a few weeks.

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Can you walk after a toenail biopsy?

Although you’ll be able to walk, your toe will remain numb for a few hours due to the local anaesthetic we use to block the pain. Once this anaesthetic wears off you may feel some slight discomfort in the toe. This is completely normal and we recommend taking some painkillers if you need to.

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When should a nail biopsy be done?

Any painful nail bed lesion or any tumorous growth of nail bed will also need a nail bed biopsy to confirm the diagnosis. The nail bed biopsy can be either an excision biopsy or a punch biopsy.

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Is it painful to get a fingernail removed?

Nail surgery can be done in your doctor’s office. Before it starts, your doctor numbs the area around your nail. If you’ve ever had your gums numbed at the dentist’s, it’s very similar. You’ll be awake for the surgery, but you won’t feel any pain.

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