Treatment FAQ

my nails are separated from my chemo treatment what can i do about it

by Mr. Stephon Windler MD Published 3 years ago Updated 2 years ago

To remove, use an acetone-free nail-polish remover as it’s less drying to your nails. In general, treat your nails with extra care throughout the course of your chemotherapy treatments. Being as careful as possible with your nails can help prevent some of the more severe side effects of chemo from being visible.

Full Answer

How do you fix nail separation?

Treatments and home remediesTry glue. One potential home remedy involves reattaching the nail with glue. ... Use a tea bag. Another home remedy involves using a tea bag. ... Try a gel and silk wrap. Another potential remedy is to try a gel and silk wrap to hold the nail in place. ... Use a fake nail. ... Medical treatments.

How do you treat nail plate separation?

What is the treatment for onycholysis?Clip the affected portion of the nail and keep the nail(s) short with frequent trimming.Minimise activities that traumatise the nail and nailbed.Avoid potential irritants such as nail enamel, enamel remover, solvents, and detergents.More items...

How do you prevent severe nail separation?

Prevent onycholysis Choose allergen-free products and paint your nails at home. Artificial tips applied to the nail can also cause trauma to the nail bed, with onycholysis as the result. If you have a fungus or yeast growth causing your onycholysis, you can stop it from spreading by taking proper care of your nails.

Do separated nails grow back?

After a nail separates from the nail bed for whatever reason, it will not reattach. A new nail will have to grow back in its place. Nails grow back slowly. It takes about 6 months for a fingernail and up to 18 months for a toenail to grow back.

How do you heal a lifted nail?

Treatments provided by a podiatrist include:Trimming the nail, filing any sharp edges and keeping the nail smooth. ... Applying a thin layer of petroleum jelly, such as Vaseline, and cover the area with a non-stick bandage.More items...

What vitamin deficiency causes nail separation?

Iron deficiency can also result in brittle nails, onycholysis and onychorrhexis.

What does onycholysis look like?

Nail lifting (onycholysis) is the spontaneous separation (detachment) of the fingernail or toenail from the nail bed at the end of the nail (distal) and/or on the sides of the nail (lateral). The appearance of nail lifting may resemble a half-moon, or the free edge of the nail may rise up like a hood.

Is onycholysis permanent?

Onycholysis is not usually permanent, provided that you treat the underlying cause of the condition. However, if left untreated, the damage that onycholysis does to the nail bed can be permanent. This is why it is so important to treat onycholysis and discover the root cause to prevent further nail damage.

Why is my nail detaching from the nail bed?

Sometimes detached nails are associated with injury or infection. In other cases nail separation is a reaction to a particular drug or consumer product, such as nail hardeners or adhesives. Thyroid disease and psoriasis — a condition characterized by scaly patches on the skin — also can cause nail separation.

Is onycholysis painful?

Onycholysis is normally relatively painless. However, infections that cause onycholysis may cause some pain or irritation. You can also feel some pain if your detached nail becomes snagged on something. This is why it is important to keep infected fingernails short, dry, and protected.

How to remove chemo nails?

To remove, use an acetone-free nail-polish remover as it’s less drying to your nails. In general, treat your nails with extra care throughout the course of your chemotherapy treatments. Being as careful as possible with your nails can help prevent some of the more severe side effects of chemo from being visible.

How long does it take for a nail to regrow after chemo?

The keratin-rich cells that make up your skin and nails can be especially affected by this. Approximately 6 to 12 months after finishing treatment, your natural fingernails and toenails will start to regrow.

Why do my nails rise?

Koilonychia, also known as “spoon nails,” are nails that rise at the ends so that it appears as if your nails were “scooped” out. Spoon nails are caused by: nutrient deficiencies. trauma to your nails. the chemical reaction of chemotherapy in your body.

How to get your nails to grow back?

brittle or weak nails. Treating your nails with care and keeping them clean and trimmed will help your nails grow back stronger and more quickly, and reduce your risk of infection. If you notice symptoms of secondary nail infection or fungal nail infection, it’s important to treat it.

How to avoid chemotherapy side effects?

Other self-care treatments that you can try to avoid chemotherapy side effects on your nails include: wearing gloves while cleaning or exposing your hands to the sun. soaking your hands in natural oils or PolyBalm. making sure you wear shoes that fit properly to avoid constricting your toenails.

How to protect a nail bed from a nail that is loose?

You can protect your nail bed by: soaking the area in cold water. applying a lubricant such as petroleum jelly.

What are the side effects of chemo?

During chemotherapy, your body may experience side effects. Some of the more well-known side effects of the treatment, include: hair loss. nausea. a loss of energy. But some other side effects, like how the treatment affects your fingernails and toenails, might come as a surprise. If you’re going through chemo and noticing changes ...

How to care for toenails during chemo?

Basic Toenail Care During Chemo. Clip toenails straight across, keeping them short. This helps prevent breakage and splitting, as well as ingrown toenails. Try soaking your toes in warm water for a short period of time before clipping your nails, as this will soften them and may prevent splitting or cracking.

How to prevent infection during chemotherapy?

If you do choose to have a pedicure or do your own, sterilize your tools in bleach and water beforehand to prevent infections.

What is the most common problem during chemotherapy?

on September 23, 2020. Toenail disorders are fairly common during chemotherapy, especially with certain drugs. The most common problem is onycholysis, or damage to the tissue that keeps toenails and fingernails in place.

What can I use to strengthen my toenails?

Fragile nails may be strengthened with biotin, a water-soluble B-complex vitamin at 5 mg per day, but talk to your oncologist first. Some vitamin supplements may interfere with chemotherapy. 2  Tea tree oil has been used for fungal infections in toenails, but an anti-fungal medication may be needed. Clear polish may also help protect toenails during treatment. (If you will be having surgery, you should avoid colored nail polish.)

What to do if you have a fever after chemo?

If you develop redness, discharge or drainage around your nails, or a fever, see your doctor. She may prescribe topical (or sometimes oral) antibiotics or antifungal creams.

Why are open toe shoes good?

That said, open-toed and/or wide toed shoes improve circulation and provide protection for loos or fragile toenails. Even small cuts on your toes or feet (especially if you also have diabetes) can lead to infection. At home, many people have a "no shoes" policy, and for good reason.

Can chemotherapy cause toenails to fall off?

The most common toenail problem related to chemotherapy is onycholysis, damage to the tissue that keeps the toenails from falling off, and when this occurs, they commonly do. The process itself is usually painless, but when combined with other nail changes and a low white blood cell count, can lead to discomfort and risk of infection.

How to take off nail polish?

To take off polish, use a remover that doesn’t contain acetone, ethylacetate, or other harsh solvents. There are gentle removers specifically for water-based nail polish. Try vitamins for hair, skin, and nails. (Please note, you should always talk to your doctor before starting any supplements/ vitamins)

What does it mean when your nails turn yellow?

Nails – both on the fingers and toes – may darken, turn yellow, become brittle, and crack easily. Beau’s lines (dark or light lines) may develop across the width of some of your nails. The area around the nail bed may become dry, and your cuticles may fray.

How to get rid of Beau's lines?

Use cuticle remover cream or gels and push your nails back gently rather than cutting them. Massage cuticle cream into the cuticle area daily to prevent dryness, splitting, and hangnails. As Beau’s lines grow beyond the nail bed, cut them off. Increase iron in your diet.

Can you use ice water for chemo nails?

Preventing chemo nails. Unfortunately, there is no way to completely avoid chemo-related nail problems. Though, some nurse may bring you a dish of ice water for your hands. Research suggests that using ice or cryotherapy, such as frozen gloves or slippers, may reduce damage to skin and nails.

Can you wear nail polish while washing?

Wear gloves while doing chores, such as washing up as exposure to water can lead to fungal infections of the nail bed. Experiment with nail polishes in darker shades to cover up discolourisation. If you’d like to wear nail polish, consider using a water-based polish.

Can chemotherapy make your nails turn blue?

Infections under your nails are also possible and there are cases where your nails will fall off completely. The nails can look bruised and can turn black, brown, green or blue in colour during chemotherapy. People who have darker complexions usually have more obvious nail colour change.

What to do if you have a swollen nail?

Wear tight-fitting gloves, socks, pantyhose, or shoes. Do anything that would cause friction or pressure on your nails, such as walking or running long distances or wearing tight-fitting shoes.

How to get rid of a nail that is lifting?

If you notice your nails are lifting from the nailbed underneath, try soaking your fingers, toes, or both in a mixture of equal amounts white vinegar and tap water for 15 minutes every night. Call your healthcare provider if you have any signs or symptoms of infection. Back to top.

What changes in nail color?

You may have any of the following nail changes in some or all of your nails: Changes in the color of your nails (dark or light) Nails that break more easily, are more brittle or split. Changes in nail shape or texture, such as grooves or ridges. Nail separation from the skin below. This may or may not be painful.

How long does it take for a fingernail to regrow?

The parts of your nail. These changes may prevent you from doing your usual activities. It may be hard to pick up small things such as a pen or a fork. You may have trouble buttoning your clothes. Some people have trouble walking. It takes about 6 months to regrow a fingernail and up to 1.5 years to regrow a toenail.

What is a slow growth nail?

Slowed nail growth. Nails that grow into your skin. Growth on the side of your nails or opened skin around the nail. These nail changes can involve your nail plate, nail bed, the area around or under your nail, or all these areas (see Figure 1). Figure 1.

How long should you keep cold packs on after chemo?

If you can, start using them 15 minutes before each chemotherapy infusion starts and keep them on until 15 minutes after the infusion is finished.

Is nail treatment high risk?

Nail Changes. For some treatments, the risk of developing these types of changes are high. For others, the risk is much lower. Your healthcare provider will talk with you about the treatments you’re taking and your risk for developing nail changes.

How to protect your nails from splitting?

Protect splitting, ridges, and delicate nails by using a water-soluble nail lacquer, or a prescription nail polish (that your doctor can provide) to protect your nails. Biotin (a dietary supplement) may be prescribed to strengthen your nails. Ask your doctor if it is safe for you to take biotin.

How to protect ridges on nails?

Use a water-soluble nail lacquer on nails that have ridges, are delicate, or are splitting, to strengthen and protect them. Let your health care team know as soon as you see nail changes. Keep your nails trimmed short. Short nails are less likely to break or get caught. Keep your nails clean to avoid infections.

How to prevent nail lifting from taxane?

Avoid pressure to your nail beds (both fingers and toes) If you are taking a taxane drug (especially docetaxel), consider applying cold packs to nails for 15 minutes before the infusion of the drug, during the infusion, and for 15 minutes after the infusion. This may prevent nail lifting.

What does it mean when your nails are dark?

Dark areas near the cuticle of the nail (subungual lesions): These look like bruises under the nails, and are usually along the bottom edge of the nail, near the cuticle. These kinds of color changes can be seen in nail cancer (called melanoma) and can also be a side effect of some types of drugs used to treat cancer.

How to treat paronychia?

Nail inflammation (paronychia): Treatment recommended by your doctor might include using a steroid ointment, and white vinegar and water soaks (1 part vinegar to 1 part water), disinfecting soaks, or oral anti-inflammatory medications, or antibiotics.

What are the changes in the nail?

Some common nail changes include: Changes in the color of the nails or nailbeds (either discolored areas or over-pigmented, darker than usual areas) Ridges, markings, pits, spots, splitting and other unusual or irregular marks in the nails. Slower nail growth than usual , or temporary lack of growth .

Why is it important to tell your health care team about lifting your nails?

It’s important to tell your health care team as soon as you notice any expected or unexpected changes to your nails. Prevention and avoiding injuries to your nails is an important part of keeping your nails as healthy as possible.

What is the treatment for cancer on your nails?

Chemotherapy or radiation treatment for cancer takes a toll on your hair, nails, and skin. Now that treatment is behind you, it’s time to focus on recovering from its effects. Try these tips for skin, hair, and nail care after chemotherapy and radiation.

What to do after chemo?

Tending Your Skin After Chemo. Chemotherapy and radiation can dry out your skin, leaving it cracked and red. Continue the moisturizing regimen you started during treatment; if you didn’t have one, now is a good time to start. For extremely dry skin, opt for a cream or body butter instead of a lotion.

Common Toenail Problems During Chemotherapy

Prevention

  • It may not be possible to completely prevent toenail changes from occurring while getting chemotherapy. Practicing good nail care is the best bet. However, a 2018 study looked at the use of natural polyphenolic-rich herbal oil (PolyBalm) which is applied to the nails during chemotherapy. The double-blinded randomized trial found that the balm "prof...
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Complications

  • Even when practicing prevention, other problems such as fungal or bacterial infections may occur. This can be especially concerning when getting chemotherapy medications that can reduce infection-fighting white blood cells. Examine nails daily to look for any changes.1 If you develop a fever and redness, discharge, or drainage around your nails, notify your healthcare provider. You …
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Toenail Care Tips

  • Toenails grow only half as fast as fingernails, or about 0.5 centimeters every three months. Like fingernails, toenails can develop other disorders, lines, ridges, and discolorations, and even come loose during chemotherapy. To keep your toenails healthy during treatment and recovery, try these tips.
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Summary

  • Toenail problems may seem minor relative to the other potential side effects of chemotherapy, but can reduce your quality of life and potentially raise your risk of an infection. Try to prevent nail changes by using ice packs during infusions, trimming nails carefully, and avoiding injuries. Speak with your healthcare team if you're experiencing any nail changes to see if there are other treatm…
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