![]() Other causes of thick toenails include aging and underlying conditions like psoriasis and diabetes.This is often seen in athletes, but it can also be the result of wearing improperly-fitting shoes. Thickening of the nail can also be caused by repeated injury to the toenail.X Expert Source Miguel Cunha, DPMīoard Certified Podiatrist Expert Interview. Thick toenails are most commonly caused by a fungal infection known as onychomycosis.Your doctor will likely ask you questions about your lifestyle and other health problems you may have, and may take a sample to send to a lab for testing to see if you have a fungal infection. If you notice your nails becoming thick or changing color, visit your doctor. The cause of thick toenails can be difficult to determine just by looking at your feet. Visit your doctor to determine the cause. This article has been viewed 253,924 times. There are 9 references cited in this article, which can be found at the bottom of the page. Cunha is a member of the American Podiatric Medical Association, the New York Podiatric Medical Association, the American College of Foot and Ankle Surgeons, and is board certified in Podiatric Medicine. Cunha received his DPM from the Temple University School of Podiatric Medicine and completed his residency as the Chief Resident at the Washington Hospital Center and Georgetown University where he specialized in lower extremity trauma, diabetic limb salvage, and reconstructive surgery of the foot and ankle. Cunha is a foot and ankle surgeon with experience treating a wide array of foot and ankle conditions from minor problems to complex reconstructive foot and ankle surgery. Miguel Cunha is the founder of Gotham Footcare and is a podiatrist based in Manhattan, New York. Jellinek says.This article was co-authored by Miguel Cunha, DPM and by wikiHow staff writer, Amy Bobinger. If youre tired of yellow, crumbling, misshapen toenails that youre forced to hide, why not let them see the light through the power of light laser therapy. "The surgery is minimally invasive and, in my experience, people usually do quite well and with a good result post-operatively," Dr. To do so, he uses a normal, cotton-tipped applicator for two cycles, followed by a small, foam-tipped applicator designed for inner ear procedures to target the final remnants of the nail matrix. "It's important to eradicate the entire lateral matrix horn, because if you leave a remnant, patients may recur with a cyst post-operatively," he says. Making sure to remove all of the lateral matrix is of particular importance, Dr. Occasionally, the distal phalanx shows a dorsal osteophyte, which may be rongeured. Jellinek then performs a partial matrixectomy that addresses the widening nail growth center, and depending on how affected the nail bed is, lateral nail folds may also need to be repaired. Using 90 percent phenol in three cycles of 60 seconds each, Dr. Jellinek removes both sides if the pincer is bilateral, or one side if it is unilateral. The approach involves using a local anesthetic and distal wing block and then taking off one sixth of the plate with a nail splitter in order to isolate the affected side. Causes of dystrophic nails include: Infections from nail trauma or ingrown nails. What causes dystrophic nails Dystrophic nails happen when an infection or injury damages your nail or nailbed. #MISSHAPEN TOENAILS SKIN#Jellinek recommends the surgical approach of narrowing the nail matrix. Pulling away from or coming off your skin under your nail. However, since surgery on the lateral bone can carry the risk of injuring a lateral ligament, Dr. If the cause is a fungal infection, an antifungal medication should be used if it is psoriasis, psoriasis medication should be used and if it is a tumor, the tumor should be addressed.įor the biomechanical or arthritic causes, surgical treatment offers an effective and permanent resolution. Instead, the underlying problems should be treated. ![]()
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