Sunday, 7 October 2012

Nail Conditions



Nail conditions include any development in the nail or nail bed that adversely affects the health of the toe. While there are a multitude of nail conditions that can be listed the most common afflictions will be listed in this article:

Ingrown Toenails

This is by far one of the most common conditions seen by doctors and podiatrists. It is most often causes by incorrect nail trimming techniques (nails being cut too short or in an unorthodox fashion), trauma to the toe, wearing tight shoes, and in some cases, nails that naturally curve sharply into the skin and can cause severe foot pain. The level of treatment depends on the level of injury and whether or not infection has developed. The ingrown nail is usually lifted out of the skin using various methods although nails are sometimes completely removed. This nail condition can be prevented by trimming toenails straight across and wearing comfortable shoes that fit well.

Fungal infections

Fungal infections are usually indicated by the presence of a discoloration or thickening of the nails that also causes them to separate from the nail bed. Nails may turn white, yellow, or green and a foul odour and/or discharge may be present as well. If nail fungus isn’t treated the nail bed itself may become infected, which tends to be more painful and more difficult to treat. Antifungal creams or pills are usually the first line of treatment and professional treatment of the nails is often recommended as well. Keeping feet and socks clean and dry is usually sufficient enough to reduce the risk of developing a fungal infection on the foot.

Deformed Nails

Deformed nails can occur for a variety of reasons but barring an underlying illness it is usually caused by a high-impact toe-stubbing or dropping a markedly heavy object onto the foot. Generally speaking, accidental trauma is one of the major causes of deformed nails, which may become thickened or develop ridges. There is little to be done in this instance except protect the injured toe/foot and try to be more careful in the future.

Black or Blue Nails

Unless the nails are a light blue color (which may indicate respiratory or circulatory issues) black or blue nails are usually the result of an acute or chronic injury to the toe and signal that blood vessels have broken. The biggest culprits are sports activities that involve sudden stops and a high volume of lateral motion, such as basketball and tennis. Black and blue nails are also often caused by a heavy objects being dropped on the foot. Regardless of the reason for the discoloration the toe often becomes quite sore due to the build up of blood, and a hole may be drilled in the nail to allow for drainage, which reduces pressure and pain. The nail will often fall off during healing and a new nail will grow to replace it.

Most conditions can be prevented by keeping the feet clean and dry, by wearing clean and dry socks, and by investing in shoes that provide proper cushioning and support. Orthotic devices may also help to keep the foot stable and well supported. Trimming the nails properly is absolutely essential, and diabetics should take extra steps, as nail conditions can become bigger health issues if not properly treated. 

Suzy Pickhall, who has been a foot care expert over the past thirty years has written a viable guide on how to combat Insoles for Plantar Fascitis, and a guide on Orthotics for Over Pronation.