Treatment FAQ

medical treatment when you lose a toenail

by Randy Stoltenberg Published 3 years ago Updated 2 years ago
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What to do if you lose a toenail?

Coat the area with antibiotic ointment and top with a nonstick bandage. Change the bandage every day and whenever it gets wet. (If any part gets stuck, soak it …

How to help a toenail grow back quickly?

If the toenail separation was due to a fungal infection, topical or oral medications may be recommended, although the effectiveness of these medications is challenged by some medical professionals. A really promising brand-new treatment uses a laser that particularly targets the fungus beneath the toenail.

What is the treatment for losing a toenail?

Nov 19, 2021 · How Do You Treat a Loose Nail? For fungal infections, your doctor may cut away loose portions of the nail, and possibly prescribe anti-fungal... For nail trauma, you may need to visit an urgent care clinic to drain the blood, cut the nail, or remove the nail. 6... For nail psoriasis, your doctor may ...

What happens when you lose a toenail?

Jun 14, 2019 · When treatment is necessary, it usually involves a topical medication or antifungal medications. Oral antifungal medications taken for about six months are the most effective. These drugs help a new nail grow free of infection, slowly replacing the infected part.

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What happens if your toenail falls off?

However, in the first instance, they may start treatment on the toenail by: If the underlying cause is not treated, it can prevent the nail from growing back properly , or at all. An infection may require medication.

What happens if you remove a nail?

If a person removes a nail, they are at greater risk of damaging the skin of the nail bed and of developing an infection. Signs of infection can include: pus. bleeding.

What are the signs of psoriasis under the toenail?

Symptoms of psoriasis under the toenail include: yellow or brown coloration. thick nails. abnormal nail shape. chalky buildup under the nail. pitting of the nail. Many of the symptoms of psoriasis and fungal infections are similar. A person with psoriasis should speak to his or her doctor to rule out a fungal infection.

How to treat psoriasis?

A person with psoriasis should speak to his or her doctor to rule out a fungal infection. A person can start to treat psoriasis by soaking the nail in warm water. A doctor will likely prescribe additional medicated creams to help alleviate the symptoms. Phototherapy (light therapy) may also be an option.

What is it called when your toenail is purple?

stubbing the toe on a hard surface. When injured, the toenail will often appear black or purple as blood collects under the nail, which is called subungual hematoma. The blood puts pressure on the nail, which may fall off after several weeks.

How long does it take for a toenail to grow back?

clipping away jagged edges of the nail. Depending on which toe is affected, and how much of the nail is damaged, it can take up to 18 months for a toenail to grow back completely. It is important to wear well-fitting shoes and socks and keep the nail well-trimmed to prevent further injury.

Why do my nails fall off?

There are several common causes of a nail falling off. These include fungal infections, injuries, and psoriasis. There are some less common causes, such as medication side effects and other illnesses, which do not affect many people. Possible causes of a nail falling off include:

What causes discoloration under the toenail?

Discharge from under the toenail. Toenail becomes loose. If you have neuropathy, diabetes, peripheral arterial disease , or any condition that affects healing or circulation. Discoloration appears as a linear streak or a stripe going with the length of the nail.

What are the conditions that can cause a toenail to be red?

Blunt trauma to the toenail, such as a heavy object dropped on the toe, which may need to have a fracture or wound treated. Severe swelling, pain, or redness of the toe. Discharge from under the toenail.

What causes a black toenail?

It is often called black toenail for that reason. A subungual hematoma is usually caused by blunt trauma from a heavy object or chronic friction ...

Why do my nails get thicker?

Nail thickening : This is caused by damage to the nail's growth center, called the nail matrix. It responds by producing a thicker nail. Nail dystrophy : You may see permanent nail changes such as splitting or a decrease in size.

Can a toenail regrow?

Permanent nail loss : This can happen due to damage to the nail matrix. The toenail may not regrow. 4 .

Can you reattach a nail that is loose?

If it is loose, the nail may be trimmed or even reattached to protect the nail bed while the nail is regrowing. 1 . You should avoid removing or drilling the injured nail at home. Doing so could lead to infection and slow the healing process.

Can a subungual hematoma come loose?

A subungual hematoma can range from a small spot under the nail to a large area of discoloration. Depending on the amount of blood beneath the nail, the nail may come loose. But often the nail does stay intact, and the blood fades as the nail grows out.

How to prevent toenails from getting broken?

Prevent Broken Toenails. A long toenail or a rough edge can catch on the corner of a door or thick carpet, so keep nails trimmed straight across. Constant pressure, like a hammertoe that rubs against the inside of your shoe, can lead to a detached toenail. See a podiatrist regularly if you have any foot problems.

What to do if you have a broken toe?

You might need an X-ray. If you've broken a bone in the toe, they may tape it to the next toe for support while it heals. What Not to Do. If your nail is partly detached, don't pull off the rest. See a doctor.

What to do if your toe is crooked?

The toe is crooked or mangled. You see blood pooling under 1/4 or more of the remaining nail. A doctor can numb the area, stop any bleeding, and treat the nail. That could include cleaning, trimming, and putting the nail back in place if it's detached but in good condition.

How to get rid of a nail bed?

Protect any exposed part of the nail bed for 7 to 10 days until this skin hardens and isn't sensitive anymore. Coat the area with antibiotic ointment and top with a nonstick bandage. Change the bandage every day and whenever it gets wet. (If any part gets stuck, soak it under warm running water until it slips off.)

What does it mean when your toenail is ripped off?

The base or sides of the nail are pulling away or already detached from the nail bed or nail folds. The toenail has ripped off. (The nail bed may look pearly, as though the nail is still there, even though it's completely off.) Bring the nail with you. You have a deep cut that might need stitches.

Why is my toenail breaking off?

A fungal infection, an allergy to a nail product ingredient, psoriasis, and diseases that cause poor circulation, such as Raynaud's, can lead to your toenail breaking off or crumbling. Follow your doctor's instructions to manage these issues and lower the odds of related problems.

How long does it take for a nail to grow back?

It may take a year or more for a new nail to fully grow back, and it may be deformed. A long toenail or a rough edge can catch on the corner of a door or thick carpet, so keep nails trimmed straight across. Constant pressure, like a hammertoe that rubs against the inside of your shoe, can lead to a detached toenail.

How to treat a toenail that has been partially torn?

Completely dry your feet after they have come into contact with water. At the first sign of breakage, bandage your toe or seek medical attention. Never rip or tear at a nail that has partially torn. If your toenail is partially detached, hold down the remaining nail with a loose bandage.

Why do I lose my toenails?

As previously noted, there are two primary reasons for toenail loss: infection and injury. The most common cause of toenail loss is a contagious fungal infection cause by various types of dermatophytes, which are fungi that feed upon the keratin found in the skin and nails.

How long does it take for a toenail to grow back?

The important thing to remember is that the nail will grow back in most cases within three to six months. If the toenail separation was due to a fungal infection, topical or oral medications may be prescribed, although the effectiveness of these medications is disputed by some doctors.

What happens if you separate your nail from the nail bed?

Separation of the nail from the nail bed can result in symptoms ranging from bleeding and discomfort to infection and possible disfigurement. In some cases the nail may appear to fall off for no apparent reason, but there is usually an underlying cause.

What is the procedure to remove fungus under the toenail?

In a worst-case scenario, if the nail is deformed and painful, excision of the nail and its root, a procedure known as a matrixectomy, is possible. This will prevent the nail from regrowing and thereby relieve the pain.

Why do my nails get discolored?

This phenomenon is usually a result of a fungal infection or a traumatic injury. The nail tends to appear discolored initially, indicating a separation of the nail from the bed. This is followed by loosening of the nail, which can be quite painful, and may require first aid attention until medical treatment can be obtained.

What Causes a Toenail to Fall Off?

As previously noted, there are two main reasons for toenail loss: infection and injury. The most typical reason for toenail loss is a contagious fungal infection trigger by numerous kinds of dermatophytes, which are fungi that feed on the keratin found in the skin and nails.

What to do if i lose a toenail?

If the toenail separation was due to a fungal infection, topical or oral medications may be recommended, although the effectiveness of these medications is challenged by some medical professionals.

When will my toenail grow back?

The essential thing to remember is that the nail will grow back in most cases within three to six months.

What is the cause of a loose toenail?

The most common cause of a loose toenail is onychomycosis and treatment may entail debriding, or cutting away loose portions of the nail, and possibly anti-fungal medications. 1 .

What is the infection of the toenail called?

Fungal Infection. Nail infections are most often caused by a nail fungus and are known as onychomycosis. Onychomycosis is a common toenail infection but can also occur in fingernails, especially in people who work in occupations where their hands are overly exposed to water. 1 .

Why is my toenail black?

Another common scenario that causes a toenail to come loose is repeated trauma from shoewear. This is often associated with running, extended periods of walking or hiking, or any endurance sport and is sometimes referred to as black toenail. In any case of trauma to a nail, the blood that builds up beneath the nail causes a red, purple, ...

What is the nail plate?

The nail, also called the nail plate, is tightly bound to the underlying nail bed, which is the skin-colored area under the nail plate. The white half-moon shape at the base of the nail is known as the lunula. The lunula marks the area where the nail's matrix begins.

Why is my nail white?

The area where the nail comes loose will often have a white appearance where it has separated from the underlying nail bed. Some fungal and bacterial nail infections produce a dark brown or greenish discoloration and may also cause nail loosening. Fungal Nail Infection Treatment.

What is the lunula in a nail?

The lunula marks the area where the nail's matrix begins. The nail matrix is where the growth of the nail occurs. Any damage to the nail matrix, whether it's trauma or infection, can cause a nail to separate from the nail bed and become loose.

How long does it take for a nail to grow back?

The exposed nail bed will heal within a few weeks. The nail itself will grow back. However, it is a lengthy process that can take 12 to 18 months. 3 .

What is the purpose of nail?

The nail helps to increase the sensory perception in the pulp and helps in picking up small objects. Nail loss or deformity is not only unaesthetic in appearance but can be functionally incapacitating.

How many growth periods does a nail need?

A nail requires three or four growth periods to improve its shape, volume and appearance. Trauma. Trauma may cause scarring in various directions in the nail bed – longitudinal, oblique or transverse. If the scar is very narrow adherence may not be a problem but if it is wide it results in non-adherence.

What is the nail fold?

The nail fold consists of the germinal matrix and eponychium. Below the distal attachment of the nail with the pulp skin is the plug of keratinous mass called hyponychium, which is rich in polymorphs and lymphocytes which act as a barrier to infection.

How long does it take for a nail to grow?

The wound heals in a period of 2 weeks and till that time it is covered with non-adherent dressings. The new nail will grow completely at around three months. Till a period of three weeks a protective splinting for the finger is advised either by a volar slab or a finger splint.

Why is my nail bed so fast?

It is also faster in the fingers than in the toes. CAUSES OF INJURIES. The most common cause of acute and chronic nail bed deformity is trauma. The aetiological factor may be industrial as in crush injuries due to machines, road traffic accidents or sometimes even in the sports where it gets hurt by a ball or a weight.

What causes ridges in nails?

To correct this, the matrix or deeper ridge must be excised surgically. Transverse ridges can be caused by regrowth after trauma or hypoxia.

When do nails form?

Nail forms at approximately 10 weeks of intrauterine life from sole plate appearing on dorsum of each finger.[1] . At birth a well-grown nail indicates maturity of the foetus. The perionychium refers to the nail and surrounding structures including the hyponychium, nail bed and nail fold.

What to do if you have a broken toe?

If you have severe bleeding or pain accompanying your nail-less toe, seek medical attention as you might have a broken toe or more serious issue. Also if you notice redness, warming of the toe or any sign of infection, see your doctor.

How to get rid of a toe infection?

Wash the toe with some mild soap and warm water, then apply some antiseptic to help disinfect any germs and prevent future infection. Apply a cream antiseptic to the area and don’t rub it in all the way. Apply a small, clean piece of gauze atop your toe, then wrap the toe with some cloth medical tape.

How to tape a toe?

Learn More. Apply a small, clean piece of gauze atop your toe, then wrap the toe with some cloth medical tape. Wrap tape around the nail-less toe and around the toe next to it. Anchoring the afflicted toe to another toe can keep it from wiggling around too much and possibly stubbing or hitting it on something.

Why is it important to protect your toes?

Losing a toenail can be very painful, and protecting that sensitive toe is important in easing pain and preventing infection. Learning how to protect a nail-less toe can help make healing go a little smoother and faster.

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Symptoms of Bleeding Beneath The Nail

When to See A Doctor

  • If a subungual hematoma is large and causing pain, medical treatment may be needed to drain the blood and relieve pressure under the nail. If left untreated, the condition could damage the nail matrix, the area from which the nail grows, causing it to grow incorrectly or not at all. If the nail is raised or cut, it could also increase the risk of a...
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Changes in Nail Structure

  • Nail damage may also lead to changes in the nail's structure. These changes may occur after an injury from a heavy object, chronic rubbing against the shoe, or in response to irritation from infections. Some of the most common changes in nail structure are: 1. Nail thickening: This is caused by damage to the nail's growth center. It responds by producing a thicker nail. 2. Nail loo…
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Summary

  • Bleeding beneath the nail can happen after an injury, such as a heavy object landing on the toe, or from chronic rubbing within your shoes. If it covers a large area of the toe or is painful, medical treatment may be needed to relieve pressure and help prevent permanent nail changes. Sometimes bleeding under the nail can change the structure of the toenail for a period of time a…
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