
Sideways nail growth, also known as onychogryphosis or ram's horn nail, can be caused by a variety of factors, including chronic trauma, aging, poor nail care, genetic factors, and underlying medical conditions. While it may be annoying and frustrating to deal with, there are several ways to address and fix this issue. The specific cause of the sideways nail growth will determine the appropriate treatment method, which may include conservative care, routine trimming, addressing underlying medical conditions, or in severe cases, surgical intervention.
Characteristics and their corresponding values regarding fixing a nail growing sideways:
| Characteristics | Values |
|---|---|
| Cause | Chronic trauma or repetitive pressure, aging, poor nail care, genetic factors, underlying medical conditions |
| Treatment | Non-surgical interventions (routine trimming, wearing well-fitted shoes, antifungal treatments, moisturizers or medicated creams), surgical interventions |
| Prevention | Address underlying circulatory or skin conditions, proper nail care, wearing well-fitted shoes |
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What You'll Learn

Visit a nail technician for shaping
If you have a nail that is growing sideways and you want to give the illusion that it is straight, consider visiting a nail technician for shaping. While damage to the nail matrix or finger is usually irreversible, a nail technician can work with you to shape your nail to semi-match the shape of your other nails.
Nail technicians are trained professionals who can assess the condition of your nails and provide appropriate care and treatment. They will be able to carefully shape your nail using specialized tools and techniques to give it a more uniform appearance. This may involve filing and buffing the nail to create a smoother surface and a more symmetrical shape.
In addition to shaping, a nail technician may also recommend and apply nail treatments to improve the health and appearance of your nails. This could include the application of nail-strengthening polishes or gels to promote healthy nail growth and prevent further issues. They may also advise you on proper nail care techniques, such as correct trimming and filing methods, to help you maintain healthy and aesthetically pleasing nails between visits.
When choosing a nail technician, it is important to select a reputable and experienced professional. Look for technicians who have experience working with similar nail issues and can provide references or testimonials from satisfied clients. It is also essential to ensure that the nail technician follows proper sanitation and sterilization procedures to minimize the risk of infection or other nail disorders.
By visiting a nail technician for shaping and care, you can achieve more aesthetically pleasing nails and gain expert advice on maintaining and improving the health of your nails.
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Address underlying conditions
Nail abnormalities can be caused by various underlying conditions. Beau's lines, for example, are horizontal ridges or dents in nails that are caused by severe emotional stress, such as divorce, death in the family, or job loss. They can also be caused by anxiety disorders, chronic conditions, or physical trauma to the nail matrix, such as dropping something heavy on the finger or exposure to extreme cold. Severe skin conditions, vitamin or nutrient deficiencies, and illnesses or infections can also cause Beau's lines. Therefore, it is important to maintain a healthy diet and address any underlying emotional or mental health issues to ensure optimal nail health.
Additionally, ingrown nails, which occur when a nail grows into the sides or corners of the skin, can be caused by improper foot care, such as cutting toenails too short or rounding the edges instead of cutting them straight across. They can also be caused by wearing ill-fitting shoes and socks, stubbing the toe, or having sweaty feet. Ingrown nails can lead to permanent nail damage and infection, so it is important to practice proper nail care and address any underlying conditions, such as diabetes, that may increase the risk of complications.
Nail pitting, or small depressions in the nails, can also be indicative of underlying health issues. Peeling nails, for example, can result from trauma to the nail, such as picking off nail polish or applying pressure to the nails. Viral warts and other infections can also cause abnormalities in nail appearance. Therefore, it is important to maintain proper nail hygiene and address any underlying infections or conditions that may be affecting nail health.
In some cases, nail abnormalities may be a symptom of a more serious underlying condition. For example, people with chronic conditions like diabetes, peripheral artery disease, or Raynaud's phenomenon may experience changes in their nails. These changes can include Beau's lines, nail pitting, or discolouration. Therefore, it is important to monitor your nail health and consult a healthcare professional if you notice any significant changes or abnormalities, as they can be indicative of underlying health issues that require medical attention.
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Wear well-fitted shoes
Wearing well-fitted shoes is crucial to maintaining proper foot health and preventing issues such as ingrown toenails. Ingrown toenails occur when the edge of the toenail, usually the big toe, grows into the skin next to it, causing pain, swelling, and sometimes infection.
To prevent and address this issue, it is important to choose shoes that provide ample room for your toes to move and breathe. Shoes that are too narrow, pointed, or tight can increase the pressure on your toes, encouraging the nail to grow sideways. Opt for shoes with a wider toe box that allows your toes to lie flat and does not constrict their movement.
Additionally, consider the overall fit of the shoe. Ill-fitting shoes that are too loose can also cause issues. When your foot slides forward in a shoe that is too large, your toes may repeatedly hit the end, leading to nail damage and potentially encouraging sideways growth. Ensure that your shoes provide a secure and comfortable fit by using lacing techniques such as the ankle lock lacing pattern, which secures the foot in the appropriate position.
By investing in well-fitted shoes, you can help prevent nail issues and promote overall foot health. This simple step can make a significant difference in your comfort and well-being, reducing the risk of ingrown toenails and other problems associated with poorly fitted footwear.
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Keep feet clean and dry
Keeping your feet clean and dry is essential for maintaining good foot health and preventing nail issues such as onychogryphosis, also known as ram's horn nail. This condition can be caused by various factors, including chronic trauma, aging, poor nail care, genetic factors, and underlying medical conditions.
Maintaining clean and dry feet is a simple yet effective way to minimize the risk of infection and promote healthy nails. Here are some detailed instructions to help you achieve this:
- Wash your feet regularly: Use mild soap and warm water to cleanse your feet thoroughly. Pay attention to the areas between your toes, as dirt and bacteria can easily accumulate there. Ensure you dry your feet completely after washing, especially the areas between your toes.
- Keep your feet dry throughout the day: Change your socks if they become damp, as moisture can create a breeding ground for bacteria and fungi. Choose shoes made of breathable materials, and avoid wearing the same shoes every day to allow them to air out between wears.
- Practice good hygiene in shared spaces: When using public showers or locker rooms, always wear shower shoes or sandals to protect your feet from bacteria and fungi that may be present on the floors.
- Disinfect your nail tools: If you trim your nails, ensure your clippers and scissors are clean and disinfected before each use. This will prevent the spread of bacteria and fungi from one nail to another.
- Avoid sharing nail tools: Do not share nail clippers, files, or scissors with others to minimize the risk of transferring bacteria, fungi, or viruses.
- Seek professional care: If you notice any signs of infection, such as redness, swelling, or discharge, consult a podiatrist or dermatologist for proper treatment. They may recommend antifungal treatments or medicated creams to address the issue.
By following these instructions, you can effectively keep your feet clean and dry, reducing the risk of infection and promoting healthy nail growth. Remember to pay attention to any changes in your nails and seek professional advice if you have any concerns.
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Consult a podiatrist
If you are experiencing issues with sideways nail growth, consulting a podiatrist is a recommended course of action. Podiatrists are medical professionals specialising in foot and nail care, and they can provide expert advice and treatment options for nail disorders.
During your appointment, the podiatrist will examine your nails and assess the underlying causes of the sideways growth. They may recommend conservative care or surgical solutions, depending on the severity of the condition. For instance, routine nail trimming by a podiatrist can help prevent further nail thickening and alleviate discomfort. Podiatrists use specialised tools to carefully thin and reshape the nail, ensuring a semi-straight shape that matches the appearance of your other nails.
In some cases, a nail biopsy may be necessary to rule out infections or other nail disorders. This involves taking a small sample of the nail for laboratory analysis. If a fungal infection is detected, antifungal treatments, moisturisers, or medicated creams may be prescribed to soften the nail and surrounding skin.
Additionally, podiatrists can address any underlying circulatory or skin conditions that could be contributing to abnormal nail growth. They can provide guidance on wearing well-fitted shoes to reduce pressure on the nails and prevent further damage to the nail bed. By keeping your feet clean and dry, you can also minimise the risk of infection.
If conservative measures are ineffective, severe cases of nail disorders may require surgical intervention. Podiatrists who specialise in foot and nail surgery can offer advanced treatment options to restore nail health and comfort.
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Frequently asked questions
You should address any underlying conditions that could be causing abnormal nail growth, such as circulatory or skin conditions. You can also visit a podiatrist for routine trimming to prevent further thickening and discomfort.
There are several factors that can cause nails to grow sideways. These include chronic trauma or repetitive pressure, ageing, poor nail care, genetic factors, and underlying medical conditions such as circulatory issues, psoriasis, fungal infections, or diabetes.
To prevent your nails from growing sideways, you should avoid ill-fitting shoes, wear well-fitted shoes to reduce pressure on the nails, keep your nails clean and dry to minimize infection risk, and practice proper nail trimming and cutting techniques.










































