Understanding Common Nail Problems

A Comprehensive Guide to Nail Health and Disorders

Dermatology

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Last updated: Mar 24, 2025

Overview

Nail problems can affect both fingernails and toenails, potentially indicating underlying health conditions or resulting from injury or infection.

Common Nail Conditions

1. Fungal Infections (Onychomycosis)

  • Yellow or brown discoloration
  • Thickened nails
  • Brittle or crumbly texture
  • Can affect one or multiple nails

2. Bacterial Infections (Paronychia)

  • Redness around nail
  • Swelling and tenderness
  • Possible pus accumulation
  • Often results from injury or frequent water exposure

3. Ingrown Nails

  • Pain and swelling at nail edges
  • Most common in toenails
  • Can lead to infection if untreated

Warning Signs

Seek medical attention if you notice:

  • Severe pain or redness
  • Spreading infection
  • Changes in nail color or shape
  • Separation from nail bed

Prevention Tips

  1. Keep nails clean and dry
  2. Trim nails straight across
  3. Wear properly fitting shoes
  4. Avoid sharing nail tools
  5. Use protective gloves when needed

Treatment Options

Conservative Measures

  • Regular nail care
  • Proper hygiene
  • Protective footwear

Medical Treatments

  • Topical antifungal medications
  • Oral antibiotics when needed
  • Professional nail care

When to See a Doctor

Consult a healthcare provider if:

  • Symptoms persist over 2 weeks
  • Pain interferes with daily activities
  • Signs of infection develop
  • You have diabetes or circulation problems

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