
Ridges in fingernails are common and usually harmless, but they can sometimes indicate an underlying health problem. Vertical ridges are typically a normal sign of aging, while horizontal ridges, known as Beau's lines, can point to more serious issues such as malnutrition, serious nail injury, or even conditions like diabetes or kidney disease. If you notice sudden changes or other symptoms, it is important to consult a doctor or dermatologist for a thorough diagnosis and treatment plan. Treatment often focuses on addressing the underlying cause, which may include managing conditions like eczema or vitamin deficiencies. While ridges cannot be completely removed, there are ways to minimize their appearance, such as keeping nails moisturized and avoiding certain behaviours that can damage nails.
| Characteristics | Values |
|---|---|
| Cause | Ageing, vitamin or mineral deficiency, diabetes, eczema, psoriasis, lichen planus, inflammatory skin conditions, dehydration, malnutrition, nail injury, chemotherapy, mumps, syphilis, peripheral vascular disease, hypothyroidism, Raynaud's disease, Crohn's disease, celiac disease, ulcerative colitis |
| Appearance | Vertical or horizontal ridges, discolouration, bruising |
| Treatment | Moisturise nails and cuticles, use clear nail hardeners, gentle buffing, dietary changes, treat underlying conditions |
What You'll Learn

Horizontal nail ridges may indicate an underlying condition
Horizontal nail ridges, also known as Beau's lines, may indicate an underlying condition. These lines are often a sign that you had an illness or nail damage a few weeks or months ago. Chronic conditions that need treatment can cause them, so they should not be ignored.
The appearance of Beau's lines can be caused by various factors, including chemotherapy, damage from using artificial nails or gel manicures, or injury to the nail, such as dropping a heavy object on your finger. They can also be a sign of peripheral vascular disease, severe illness with a high fever (such as COVID-19, measles, or pneumonia), or certain nutritional deficiencies like zinc or iron deficiency.
If you notice Beau's lines and are unsure of the cause, it is recommended to consult a healthcare provider to rule out any possible health conditions. Your healthcare provider can examine your nails and take a health history to determine the underlying cause. It is important to pay attention to fingernail ridges and other nail changes as they might be the first signs of a serious medical problem.
Treating the underlying cause of the ridges is crucial. For example, if Beau's lines are caused by diabetes, successfully managing blood sugar levels may help reduce these horizontal nail ridges. Similarly, addressing skin conditions like eczema through moisturizers or topical ointments can improve nail health. If the cause is nutritional deficiencies, altering your diet or taking supplements can help boost your nutrient levels and promote smoother nail growth.
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Vertical nail ridges are usually a normal sign of aging
While vertical nail ridges are typically harmless, they can occasionally indicate an underlying medical issue such as vitamin or nutrient deficiencies. For example, iron, folic acid (vitamin B9), or protein deficiencies may lead to vertical ridges. Additionally, certain health conditions, such as inflammatory skin diseases like psoriasis or lichen planus, can also contribute to the visibility of vertical nail ridges.
It is worth noting that horizontal nail ridges are more likely to be associated with health issues. Deep horizontal ridges, known as Beau's lines, can indicate serious conditions, including acute kidney disease, diabetes, or malnutrition. Horizontal ridges are often caused by trauma to the nail or disruptions in nail growth. Therefore, it is important to pay attention to any nail changes and consult a doctor or dermatologist if needed.
Although age-related vertical nail ridges cannot be eliminated, there are ways to manage their appearance. Using a nail buffer can help smooth the ridges, but excessive buffing (more than once a month) can weaken the nails. Maintaining nail health through proper care is essential. This includes moisturizing the nails and cuticles, keeping nails trimmed, and protecting them when handling harsh products. Consulting a dermatologist is recommended for specific advice and to address any underlying health concerns.
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Ridges may be caused by vitamin or mineral deficiencies
Ridges in your fingernails can be harmless and are usually caused by the natural ageing process. However, they can sometimes indicate vitamin or mineral deficiencies. Vertical ridges, which run from the tip of the fingernail to the cuticle, are generally nothing to worry about unless accompanied by other symptoms such as colour changes. On the other hand, horizontal ridges, also known as Beau's lines, may be a sign of a more serious underlying condition, such as malnutrition, serious nail injury, or kidney disease.
If you notice vertical ridges on your nails, this could be a sign of vitamin or mineral deficiency. Health conditions that can cause vertical ridges include vitamin B9 (folic acid) or protein deficiency, as well as inflammatory skin conditions such as psoriasis and lichen planus. Repeated manicures and pedicures or exposure to chemicals in nail polish removers and cuticle softeners can also make vertical ridges more visible.
Horizontal ridges on your nails, on the other hand, are less common and may indicate a more serious health issue. These include malnutrition, serious nail injury, or underlying conditions such as acute kidney disease or diabetes. Horizontal ridges can also be caused by peripheral vascular disease, hypothyroidism, or Raynaud's disease, which interfere with blood flow to the nail.
If you suspect that your nail ridges are caused by vitamin or mineral deficiencies, it is important to consult a doctor or dermatologist. They may advise you to alter your diet or take supplements to boost your nutrient levels. Treating or managing the underlying medical condition or nutrient deficiency will usually allow smoother and healthier nails to grow in. This may take several months, as fingernails and toenails grow slowly.
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Eczema and other skin conditions can cause ridges
Ridges in your fingernails can indicate underlying health issues. While they are usually harmless, it is important to determine if there is a medical cause that requires treatment. If you have noticed ridges in your fingernails, it is recommended that you see a doctor or dermatologist for an evaluation.
Nail eczema can appear at any age, but it is important to treat it to avoid worsening of the condition. Treatment for eczema may include moisturizers for your hands or topical ointments to reduce symptoms. In some cases, medication and lifestyle changes may be necessary. Allergy testing or tests of nail clippings may be done to rule out a fungal infection.
If you have eczema or notice ridges in your fingernails, it is important to see a dermatologist for a proper diagnosis and treatment plan. They may recommend avoiding triggers, using topical steroids, or taking medication to manage the condition.
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See a doctor if the ridges are accompanied by other symptoms
Ridges in your fingernails can be a sign of a current or past illness. They can also be a result of nutrient deficiencies, such as a lack of iron, folic acid, or protein, or a deficiency in vitamins A, B, C, D, E, zinc, or selenium. In some cases, they are harmless and may be caused by aging, especially if they are slight vertical ridges.
However, if the ridges are accompanied by other symptoms, it is important to see a doctor as soon as possible. This is because fingernail ridges are often a sign of an underlying condition, and a doctor can help determine the cause and advise on treatment.
If the ridges are accompanied by a dark streak, redness, swelling, or pitting, it is recommended to speak with a dermatologist. A dermatologist may take nail clippings to be analyzed in a lab for signs of infection. They may also suggest a treatment plan for skin conditions, such as eczema, that may be causing the ridges.
If you have horizontal nail ridges, known as Beau's lines, it is important to see a doctor for a diagnosis as soon as possible. Beau's lines can be caused by serious conditions such as acute kidney disease, chemotherapy, peripheral vascular disease, severe illness with a high fever, or certain nutritional deficiencies. They can also be caused by trauma to the nails, resulting in red or brown spots underneath. If you notice color changes under your nails without any trauma, it may be a symptom of a more serious condition, such as endocarditis or melanoma.
In addition to Beau's lines, there are other nail changes that may indicate a serious medical problem. Changes in the shape of your nails, such as clubbing or spoon-shaped nails, can be a cause for concern. Color changes, including white, green, yellow, or dark marks, may also indicate an underlying issue. If you experience nail changes outside of an injury, it is recommended to seek medical evaluation to determine the cause and rule out any health conditions.
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Frequently asked questions
Vertical nail ridges are raised lines that run from the cuticle to the tip of the fingernail. Horizontal nail ridges, or Beau's lines, run from side to side.
Vertical ridges are usually a harmless sign of aging. They can also be caused by vitamin or mineral deficiencies, or skin conditions like eczema. Horizontal ridges often indicate an underlying condition, such as malnutrition, serious nail injury, or an illness like diabetes or kidney disease.
Treating fingernail ridges focuses on addressing the underlying cause. For example, if ridges are caused by a vitamin deficiency, taking supplements can help. Horizontal ridges caused by an illness should grow out over time as the condition is treated. While they won't remove ridges, keeping your nails trimmed and moisturized can minimize their appearance.
If you notice sudden changes or other symptoms, you should see a doctor as soon as possible. Horizontal ridges, in particular, may indicate a serious condition and should be evaluated by a medical professional.

