Have you noticed your toenails growing sideways, curving, or thickening? This isn't uncommon, and while it might seem alarming, it usually indicates an underlying issue that can be addressed. Let's explore the potential causes behind this nail growth abnormality and what you can do about it.
What Causes Toenails to Grow Sideways?
Several factors can contribute to toenails growing sideways, medically termed onychogryphosis (for severely thickened and curved nails) or lateral nail growth. These include:
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Ingrown Toenails: This is a common cause. When the nail edge grows into the surrounding skin, it can cause pain, inflammation, and distort the nail's growth pattern, making it appear to grow sideways. Improper nail trimming is often the culprit.
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Trauma or Injury: An injury to the toe, like stubbing it or dropping something heavy on it, can damage the nail matrix (the area where the nail grows from). This damage can affect the nail's growth direction, leading to sideways growth.
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Ill-fitting Shoes: Wearing shoes that are too tight or narrow can put pressure on the toenails, forcing them to grow sideways or become ingrown. This is particularly true for high heels or pointed-toe shoes.
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Fungal Infections: Fungal infections (onychomycosis) can affect the nail plate, causing it to thicken, discolor, and change shape. Sideways growth is one possible consequence of a fungal infection.
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Underlying Medical Conditions: In rare cases, sideways toenail growth can be a symptom of a more serious underlying medical condition, such as psoriasis, peripheral artery disease (PAD), or even certain types of cancer. These are usually accompanied by other symptoms.
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Age: As we age, our nails tend to thicken and become more brittle, potentially contributing to changes in their growth pattern.
How Can I Treat Sideways-Growing Toenails?
Treatment for sideways-growing toenails depends entirely on the underlying cause.
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For Ingrown Toenails: Soaking the toe in warm, soapy water can help soften the skin and nail. Gently lifting the ingrown edge with a cotton swab can provide relief. If the pain is severe or infection is present, consult a podiatrist. They may perform a minor procedure to remove a portion of the nail.
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For Trauma or Injury: The toenail may grow out normally over time, assuming the nail matrix isn't severely damaged. If the damage is significant, a podiatrist might recommend treatments to promote healthy regrowth.
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For Fungal Infections: Antifungal medications, either topical or oral, are typically prescribed by a doctor to treat onychomycosis. Treatment can take several months.
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For Ill-fitting Shoes: Switching to wider, more comfortable shoes is crucial to prevent further nail damage and allow the nail to grow properly.
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For Underlying Medical Conditions: If sideways toenail growth is associated with other symptoms, it is vital to consult a doctor for proper diagnosis and treatment.
What are some home remedies for sideways growing toenails?
While home remedies may offer temporary relief or support treatment, they are not a replacement for professional medical advice. Soaking the affected toe in warm water with Epsom salts can help soften the nail and reduce inflammation. Applying a topical antifungal cream may be helpful if a fungal infection is suspected, but it's crucial to get a proper diagnosis before self-treating. Keeping the nails trimmed straight across is vital to prevent ingrown toenails. Always practice good hygiene to prevent infections.
When should I see a doctor or podiatrist about sideways-growing toenails?
It's time to seek professional help if you experience:
- Severe pain
- Signs of infection (redness, swelling, pus)
- Rapid worsening of the condition
- Other symptoms that could indicate an underlying medical problem
A podiatrist is a specialist in foot and ankle care and is best equipped to diagnose and treat toenail problems.
This information is for educational purposes only and does not constitute medical advice. Always consult with a healthcare professional for diagnosis and treatment of any medical condition.
