
Toenails are made of keratin, a substance that is also used by the body to create hair and the top layer of skin. Toenails grow from the nail bed, a small surface that is just below where the nail disappears into the toes. Toenails grow at a slower rate than fingernails, and they don't need to be trimmed as often. Toenails that grow upward, also referred to as vertical nails, are not uncommon and can be hereditary or a sign of other health issues. Ingrown toenails, a common problem, can be caused by improper nail trimming or ill-fitting shoes.
| Characteristics | Values |
|---|---|
| Toenail growth speed | Generally slower than fingernail growth speed |
| Toenail growth rate | Average of 2.5 mm per month |
| Toenail growth factors | Age, hormone levels, overall health, hand dominance, finger length, season, etc. |
| Toenail growth abnormalities | Vertical nails, upward-growing toenails, ingrown toenails, nail deformity, nail injuries, etc. |
| Toenail growth treatments | Trimming, nail cleaning, moisturizing, soaking, surgery, medication, etc. |
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What You'll Learn

Toenails take longer to grow back than fingernails
Toenails and fingernails serve a protective function, safeguarding the skin from injury. However, nails can be lost due to various reasons, including trauma, fungal infections, or other underlying conditions. Fortunately, most nails grow back, although the rate of regrowth can vary across individuals.
On average, toenails grow more slowly than fingernails. Toenails grow at a rate of 1.62 mm per month, taking up to 18 months to completely regrow. In contrast, fingernails grow faster, regenerating in about 4 to 6 months. The reason for this disparity in growth rates between toenails and fingernails is not fully understood. One theory suggests that fingers receive increased blood flow due to their more frequent use, which likely contributes to the faster growth of fingernails.
It's important to note that the regrowth process for toenails can be even slower in certain scenarios. For instance, toenail regrowth after an injury or trauma can take anywhere from 6 months to 2 years. Toenails are also susceptible to fungal infections, which can further delay their growth.
While waiting for toenails to grow back, it's crucial to prioritize proper foot care and overall health. Maintaining good hygiene, such as regularly inspecting and cleaning the toenails, is essential. Additionally, keeping the nails trimmed straight across and slightly rounded at the tips can help prevent ingrown toenails and other issues.
In some cases, individuals may seek temporary solutions to enhance the appearance of their toenails while waiting for regrowth. Podiatric nail restoration systems offer flexible, breathable options that allow the natural nail to grow while providing a natural-looking temporary nail. However, it's important to consult with a podiatrist to determine safe and effective restoration options during the healing process.
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Toenails grow slower than fingernails
Toenails and fingernails are both made of keratin, a protein produced by the body. Nails start growing in the nail root, which is hidden under the cuticle. As new nail cells are formed, they push out the old nail cells, which flatten and harden. The newly formed nail then slides along the nail bed, the flat surface under the nails.
Fingernails grow at a rate of about one-tenth of an inch (approximately 2.5 to 3.5 mm) each month. Toenails, on the other hand, grow at a slower rate of about half that of fingernails, or about 1/16 of an inch (approximately 1.62 mm) per month. This difference in growth rate between fingernails and toenails is not fully understood, but it is believed to be related to nail use and trauma to the nail bed.
The growth rate of nails is influenced by various factors, including age, nutrition, and season. Nails tend to grow faster in the summer months and slower in individuals who are older or malnourished. Additionally, the dominant hand's nails typically grow faster due to more frequent use and trauma.
It is important to maintain proper nail hygiene and grooming. Nails should be trimmed regularly, with toenails cut straight across and left a little longer to prevent them from growing inward. Moisturizing nails and cuticles can also help keep them healthy.
While there is no way to make nails grow faster, certain habits can strengthen them and promote overall nail health. This includes avoiding contact with irritants, minimizing the use of nail gels or acrylics, and taking biotin supplements for individuals with brittle nails.
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Toenails should be cut straight across
Toenails grow slower than fingernails, so they don't need to be trimmed as often. Toenails should be cut straight across to prevent ingrown toenails, a common problem that can be painful and lead to infection. Ingrown toenails occur when the corner of the nail curves downward into the skin. This can be caused by improper nail trimming, cutting nails too short, or wearing shoes that are too small.
To cut toenails properly, it is recommended to make small cuts with the clippers to avoid splintering the nail. Cut the nail to the point where it begins to curve upward, leaving it a little long to prevent it from growing inward. After cutting, use an emery board or nail file to smooth any jagged edges and corners that could snag.
Maintaining good toenail hygiene is important to prevent infections. Inspect your toenails regularly and keep them clean, dry, and shaped. Wash your feet in warm water and dry them thoroughly. Moisturize your feet and nails with a foot cream or lotion to keep them healthy.
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Toenails can grow upward
Causes of Toenails Growing Upward
The growth of toenails is influenced by the nail matrix, a small pocket under the skin where new cells are generated. These new cells push out the old ones, causing the nail to lengthen. While nails typically curl under as they grow, certain factors can cause them to grow upward.
Upward-growing toenails can be attributed to various factors, ranging from simple causes to more complex medical issues. Here are some possible reasons:
- Natural Growth Pattern: Some people naturally have toenails that grow upward. This can be hereditary, and it may simply be the way your nails are structured to grow.
- Ill-fitting Shoes: Tight or improperly fitting shoes can exert pressure on the tips of your toenails, causing them to grow upward.
- Foot Sweating: Profuse foot sweating can create a moist environment that affects the growth direction of your toenails.
- Medical Conditions: Upward-growing toenails can sometimes indicate underlying medical conditions such as onychogryphosis, NPS (nail-patella syndrome), or koilonychia. Onychogryphosis is a thickening of the nails, often affecting the big toes, causing them to curve and resemble a ram's horn or claw. NPS is associated with skeletal abnormalities and an increased risk of kidney disease. Koilonychia is characterized by thin, fragile nails that appear concave or "scooped out", and it can be hereditary or linked to iron deficiency anemia, malnutrition, or certain diseases.
Treatment and Prevention
If you notice that your toenails are growing upward, there are several steps you can take to manage and prevent further issues:
- Trim Your Toenails Regularly: Use strong, sharp nail clippers to cut your toenails straight across, leaving them a little long to prevent inward growth. Cut to the point where the nail begins to curve upward.
- Maintain Good Foot Hygiene: Keep your feet and toenails clean and dry. Wash your feet regularly, dry them thoroughly, and moisturize with foot cream.
- Inspect Your Toenails: Check your toenails at least once a week for any signs of ripping or infection.
- Consider Seeking Medical Advice: If you suspect an underlying medical condition or if your upward-growing toenails are causing discomfort or other issues, schedule an appointment with your doctor. They can provide guidance and help address any related health concerns.
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Toenails can become ingrown
One of the most common causes of ingrown toenails is improper nail trimming. Cutting toenails too short, rounding the corners, or tapering the edges can lead to the nail growing into the skin. This happens because the skin on the sides may cover the corners of the nail, causing the nail to grow back into the skin. Ripping or tearing toenails instead of cutting them cleanly can also lead to ingrown toenails as the new nail may not have a clear corner and can get stuck under the skin as it grows.
Tight-fitting shoes are another common cause of ingrown toenails. Shoes that are too tight or too short can push the skin on the sides of the nail up and over the nail, forcing it to grow into the flesh. Toe injuries, such as losing a nail, can also lead to ingrown toenails as the new nail may grow back without a clear corner. Additionally, repeated activities, such as kicking a soccer ball, can also contribute to the development of ingrown toenails.
Certain underlying conditions can increase the risk of ingrown toenails and their associated complications. For example, people with diabetes may experience poor blood flow and nerve damage in the feet, making it difficult for minor injuries, like ingrown toenails, to heal properly and increasing the risk of infection. Other conditions that affect blood flow to the feet can also lead to similar issues.
To prevent and treat ingrown toenails, it is important to practice proper nail care and foot hygiene. Toenails should be trimmed straight across, leaving a moderate length so that the corners do not tuck into the skin. It is also crucial to wear properly fitting shoes to avoid putting pressure on the toes or pinching the skin. If an ingrown toenail is caught early, it can often be treated at home by soaking the foot in warm saltwater and placing a small piece of cotton or dental floss under the corner of the nail to lift it slightly and prevent it from growing further into the skin. However, if pain or signs of infection, such as discharge, warmth, or a bad smell, develop, it is important to seek medical attention to prevent further complications.
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Frequently asked questions
On average, it can take up to 18 months for a toenail to completely regrow, whereas a fingernail would take about 4 to 6 months. Toenails grow slower than fingernails as they are subjected to less trauma and have less blood flow due to reduced usage.
Toenail growth can be impacted by various factors, including age, sex, season, exercise level, diet, and hereditary factors. Toenails tend to grow faster during the warmer months and in children, as they are generally more active and have higher metabolic rates.
While there are no scientifically proven methods to increase toenail growth, maintaining good nail hygiene and taking care of your overall health can help strengthen nails and prevent breakage. Ensuring adequate nutrition, including vitamins and nutrients such as biotin, can also promote nail health and growth.











































