What should you know about onycholysis toe?

With onycholysis, the toenail plate is no longer firmly attached to part of the nail bed. The gap may collect debris and can make the nail look pale, yellow, or uneven. Toe injuries, running or other repeated pressure, tight shoes, prolonged dampness, Nail Fungus, and Nail Psoriasis are possible contributors. Several causes can look alike without an examination.

Wear shoes that leave space above and around the toes, and choose clean, dry socks. After washing, dry around and beneath the free edge without forcing anything into the gap. Trim only loose nail that catches, keep tools clean, and avoid cutting into the attached area. Do not cover the nail with acrylics or polish while the cause is unclear. A clinician can tailor treatment after checking the nail and skin.

Seek medical advice if the nail continues to lift, becomes thick or crumbly, or separates after an injury without improving. Prompt review is needed for pus, worsening pain, swelling, warmth, spreading redness, fever, or a dark mark that does not grow out. If you have diabetes or circulation problems, arrange advice promptly for any toe wound or nail injury.

Ask whether footwear, trauma, infection, or a skin condition is contributing, whether a nail sample is useful, and how to protect the toe during growth. If the loose portion is extensive or repeatedly painful, ask whether Nail Surgery is an option.