Keeping your feet clean and dry minimizes your risk for an infection. Some symptoms of a nail infection are also present for other conditions, including psoriasis. Forman recommends coming in for a diagnosis. Once he knows what has caused your toenail to degrade or fall off, he chooses the right treatment for you. If you do have a fungal infection, he may recommend oral or topical antifungal medications.
He may also use FDA-approved laser therapy to kill the fungus and allow your nail to grow back, fungus-free. Over-the-counter antifungal treatments may work temporarily, but the infection usually recurs. The skin condition psoriasis can cause changes to your fingernails and toenails, too. Psoriasis is an autoimmune disorder, which means your body mistakenly attacks healthy tissue, such as skin cells and nail cells. The cells in your finger or toe skin actually produce nails by pushing out and compacting skin cells, until they harden as a protective, keratin-rich protective barrier.
When you have psoriasis, your skin produces new cells before it sheds the old ones. Over time, your skin may develop thick, rashy patches known as plaques that could take on a silvery look due to the layers of old skin cells. File any sharp edges smooth, or trim the nail. This will help prevent catching the nail and tearing it more. Trim off the detached part of a large tear, or leave the nail alone. Cover the nail with tape or an adhesive bandage until the nail has grown out enough to protect the finger or toe.
If you trim off the detached nail, you will have less worry about the nail catching and tearing. If you leave the detached nail in place, it will eventually fall off when the new nail grows in. Use scissors to remove the detached part of the nail if the nail is partly attached. Soak your finger or toe in cold water for 20 minutes after trimming the nail.
Apply a thin layer of petroleum jelly, such as Vaseline, and cover the area with a nonstick bandage. To prevent infection: Soak your foot or hand in a solution of 1 tsp 5 g of salt dissolved in 4 cups 1 L warm water for 20 minutes, 2 or 3 times each day, for the next 3 days.
Reapply petroleum jelly, and cover with a fresh adhesive bandage. Keep the nail bed dry, clean, and covered with petroleum jelly and an adhesive bandage until the nail bed is firm or the nail has grown back. Apply a new adhesive bandage whenever the bandage gets wet.
Watch for signs of infection such as increasing heat, redness, pain, tenderness, swelling, or pus. Remove an artificial nail if it separates from the nail bed. This treatment involves exposing your affected toes to UV rays. In rare cases, you may need to have the rest of your toenail removed. Nail psoriasis and nail fungus can look very similar. However, depending on the cause and the size of the lost toenail, it could take up to two years.
You can reduce your risk of losing a toenail in the future by keeping your feet clean and your toenails smooth and short. Peeling nails can result from trauma to the nail. Picking off nail polish and pressing on your nails can cause them to peel. Normal, healthy nails appear smooth and have consistent coloring. As you age, you may develop vertical ridges, or your nails may be a bit more brittle. If your toenails are discolored, thick, or cracking, you may have toenail fungus.
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After an acute trauma, your nail may turn black and seem like it's barely hanging on. You can cut it down, but let the injury grow out on its own. In some cases, like if the nail bed is infected, the doctor might have to remove the nail by force. This procedure is called a nail evulsion: First, they numb up your finger with a local numbing treatment.
Then the doctor uses special tools to lift the nail on each side and peel the plate away from the nail bed. Kind of sounds like something out of a horror movie , right?
The answer is yes—with a few precautions. Lain recommends first coating the nail with a layer of nail hardener to help protect the nail plate, and Dr. Gohara says nail polish is totally fine if there is just a crack in the nail once the bleeding has stopped and the injury has had some time to heal, of course. That said, you should put a pause on your gel manicure habit. Above all, both derms say to avoid the nail salon.
SELF does not provide medical advice, diagnosis, or treatment. Any information published on this website or by this brand is not intended as a substitute for medical advice, and you should not take any action before consulting with a healthcare professional.
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