Cause of thickened toenails Trauma such as stubbing your toe or ill-fitting footwear may be the cause of thickened nailsPachyonychia congenita (often abbreviated as "PC") is a rare group of autosomal dominant skin disorders that are caused by a mutation in one of five different keratin genes. Pachyonychia congenita is often associated with thickened toenails, plantar keratoderma, and plantar pain.https://en.wikipedia.org › wiki › Pachyonychia_congenita
Several causes result in developing thick toenails. The main cause is onychomycosis or fungal infection of the nails caused by dermatophytes (nail fungus). Physical trauma, Psoriasis,Lichen planus and diabetes may also cause thick nails to develop. Traditionally, oral antifungal treatments were prescribed.
If you have had an injury to your toe and your nail is temporarily thick, it may get better over time. As a new, healthy nail grows out, you can see if it gets better. However, due to the slow growth of toenails, this can take many months.
Soak your toes in warm water for five to 10 minutes. This will help soften the nail and allow you to more easily cut the thick nail.
Surgical Treatment for Thick Toenails
In some cases, the thick toenail can be surgically removed in order to relieve pressure and eliminate the infected tissue underneath. Topical anti-fungal medication is then applied until the nail completely returns.
This overgrowth is called subungual hyperkeratosis. People with hyperkeratosis may notice a white, chalky substance under the nail. When this occurs in the toenails, the pressure of shoes pushing down on the nails might cause pain.
Once your toe is numbed using a local anesthetic, the toenail is removed and an acid (Phenol) is applied to stop the nail cells from ever producing a toenail. This will eliminate the regrowth of the thickened toenail permanently.
“Applying Vicks VapoRub to fungus-infected toenails can clear up the notoriously hard-to-treat condition. Michigan State University clinicians found that applying the product daily to the infected nail cleared the condition in 32 of 85 patients, though it took anywhere from 5 to 16 months…”
Although there are many potential causes of thick nails, a fungal infection is the most likely cause in the toenails. Other conditions, such as psoriasis or diabetes, may also cause thick nails to develop. The exact cause of thick nails will help decide a person's treatment to correct the condition.
The growth rate of nails decreases when people get older. This results in thickening because nail cells pile up. The process of nail cells piling up is referred to as onychocytes. Another reason why fingernails don't thicken as much is their growth rate is smaller than the growth rate of toenails.
Oral antifungal drugs.
These drugs are often the first choice. One option is itraconazole (Sporanox). These drugs help a new nail grow free of infection, slowly replacing the infected part. You typically take this type of drug daily for 6 to 12 weeks.
The fastest way to eliminate the infection is through toenail laser treatment. Laser nail therapy specifically targets the microorganisms under your nail while leaving the keratin intact. In just a few treatments, the infection can be entirely eliminated.
I would always advise to file a thickened nail rather than cut it, this way you can do little harm to the nail and surrounding skin. A 'Diamond deb' nail file usually works best, filing the nail 2-3 times a week will usually keep the thickness reduced.
If your nails are crusted with keratin debris, your podiatrist may remove it to improve the appearance of your nails. In severe toenail fungus cases, toenail surgery may be required to temporarily remove the infected nail so the nail bed can be treated directly.
Your toenails tell a lot about your overall health. A fungal infection often causes thickened yellow toenails. Thick, yellow nails also can be a sign of an underlying disease, including lymphedema (swelling related to the lymphatic system), lung problems, psoriasis, or rheumatoid arthritis.
Vinegar Soak
The best type of vinegar to treat toenail fungus is apple cider vinegar, a very acidic and strong solution that destroys toenail fungus at the source.
With treatment, many people can get rid of nail fungus. Even when the fungus clears, your nail(s) may look unhealthy until the infected nail grows out. A fingernail grows out in 4 to 6 months and a toenail in 12 to 18 months.
For mild forms of this condition, a vinegar soak might work well. The antifungal properties also make vinegar soaks a good idea for people who have toenail fungus. Soak your feet for 10 to 15 minutes daily in a vinegar bath until the infection subsides.
When used topically, tea tree oil is believed to be antibacterial. Tea tree oil is commonly used to treat acne, athlete's foot, lice, nail fungus and insect bites.
Dr. Ioli, who is chief of the podiatry service at Harvard-affiliated Brigham and Women's Hospital, suggested that daily applications of Vicks VapoRub might be at least as effective as most of the topical treatments for toenail fungus that are available by prescription or over the counter.
Baking soda has strong antifungal effects. Soaking your thick yellow toenails in baking soda and water can combat fungal infections. Applying 100% tea tree oil to affected toenails twice daily can help ease symptoms. Olive leaf extract has both antibacterial and antifungal effects.