Barometers of Health
Toenails frequently function as indicators of our well-being; they act as diagnostic indicators that give the first indication of the existence or beginning of systemic illnesses. For instance, the small depressions and the heightened thickness of nails can indicate the presence of psoriasis. The inward curving or concavity of nails can predict a lack of iron. A number of nail issues can be addressed with either topical or oral treatments, while certain cases necessitate the partial or complete removal of the nail. If there is any alteration in colour or signs of infection on or around the nail, it's important to seek assessment from a podiatrist.
Fungal Nails
Fungal nail infection, known as onychomycosis, often goes unnoticed as it can persist for years without causing discomfort. This condition is characterized by a gradual alteration in the appearance and color of a toenail, which can be aesthetically unpleasing and socially awkward. Essentially, this ailment involves an infection that develops beneath the nail's surface due to fungal activity. As these tiny organisms take hold, the nail often becomes discolored and emits an unpleasant odor. Debris can accumulate beneath the nail, white marks may appear on the nail plate, and the infection can potentially spread to other toenails, the skin, or even fingernails.
If this issue is disregarded, the infection has the potential to expand, potentially hindering one's ability to work or walk comfortably. This is because the resulting thicker nails become difficult to trim and can cause discomfort while wearing shoes. Additionally, onychomycosis might coincide with a secondary bacterial or yeast infection around or within the nail plate. Given the challenge of avoiding contact with microscopic organisms like fungi, toenails are especially susceptible in damp environments where people commonly walk barefoot, such as swimming pools, locker rooms, and showers. Injuries to the nail bed can increase vulnerability to various infections, including fungal infections. Individuals with chronic conditions like diabetes, circulatory issues, or immune deficiencies are particularly prone to developing fungal nail infections. Contributing factors might also include a history of athlete's foot and excessive sweating.
Onychophosis
Onychophosis is a growth of the horny epithelium in the nail. This often causes a build up of "dead skin" under and around the nail.
Onychogryphosis
Onychogryphosis, also known as ram's horn nails, is characterized by a general thickening of the nail or nails. This condition often arises due to factors like trauma to the nail matrix, such as dropping a heavy object on a toe, prolonged neglect leading to excessively long nails, or repetitive impacts such as those resulting from consistently wearing ill-fitting footwear. Alongside an increase in thickness and a curved shape of the nail, it might also exhibit a discolored appearance with a hint of brown, and uneven growth where one side grows faster than the other.
When nails become excessively thick and difficult to trim, seeking regular nail care from a podiatrist is advisable. This professional care aims to reduce the nail thickness and appropriately trim them, ensuring proper nail health.
Onycholysis
Onycholysis refers to the painless detachment of the nail from its underlying nail bed. This condition can arise due to various factors, including illnesses, prolonged exposure to water, skin disorders like psoriasis, irritation caused by chemicals like alcohol, shellac, or nail cosmetics, infections like onychomycosis (tinea), sunburn in individuals sensitive to light, or as a result of injuries, repeated trauma, and irritation from tight footwear or high heels. When all nails are affected, it could indicate a potential iron deficiency or excessive thyroid activity. Additionally, onycholysis can be a complication of chemotherapy.
It is crucial to address onycholysis promptly, as the separated portion of the nail can become a breeding ground for fungal, bacterial, or yeast infections. These infections can hinder the reattachment of the nail to the nail bed.
Changes in Shape & Texture
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Clubbing, or nails that curve down excessively around the fingertips is often associated with oxygen deprivation and lung, heart, or liver disease.
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Spooning (kolionychia - see above) or nails that grow upwards is often associated with iron or B12 deficiency.
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Pitting of the nails is associated with Psoriasis or trauma
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Grooves along the nail are often associated with kidney disorders, aging, and iron deficiency.
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Beading is often associated with rheumatoid arthritis.
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Ridges across the nail (Beau's lines) may indicate stress or a period of sickness where the nail has slowed or ceased growth for a short time.
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Flatness can indicate a B12 vitamin deficiency or Raynaud's Disease.
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Excessive ridges along the nail are often associated with arthritis.
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Short small beds are often associated with heart disease, but are usually just genetic.