How Nails Regenerate: Understanding Nail Growth

is my new fingernail growing under my dead nail

Fingernails and toenails can be injured in a variety of ways, including through trauma, fungal infections, or skin conditions. In some cases, the nail may fall off or become separated from the nail bed, a condition known as onycholysis. Onycholysis can be treated by cutting away the separated nail as it grows out, and typically resolves within 4 to 6 months for fingernails and 8 to 12 months for toenails. In this time, a new nail should grow in to replace the old one.

Characteristics Values
Condition Onycholysis (Nail Separation)
Cause Nail injury, fungus, psoriasis, eczema, yeast infection, thyroid disease
Symptoms Hemorrhages underneath the nails, ridges, discoloration, nail lifting away from the nail bed
Treatment Antifungal medications, avoiding nail products, keeping nails trimmed, avoiding nail biting, custom-made insoles, tea tree oil, hair dryer
Regrowth Time Fingernails: 4-6 months; Toenails: 8-18 months
Prevention Proper nail and toenail trimming, avoiding nail biting, wearing properly sized shoes, avoiding cuticle manipulation

nailicy

Nail injuries and treatments

A nail injury refers to any damage to the nail, nail bed (skin underneath the nail), cuticle, or surrounding skin. This can include cuts, tears, bruises, or the nail being torn away from the skin. Severe injuries can cause the nail to fall off, and damage to the nail matrix (the area responsible for nail growth) can interfere with nail growth. In the case of a minor nail matrix injury, the nail's appearance may temporarily change, and it may take several weeks for a new nail to appear.

For mild nail injuries, board-certified dermatologists recommend the following treatment:

  • Treat the wound: If part of the nail is detached, gently trim away the disconnected portion and clean the wound with soap and water. Avoid placing a dry bandage or gauze on a bleeding wound, as it will stick. Instead, use petroleum jelly to keep the wound moist, then cover it.
  • Reduce swelling: Apply a cool, damp washcloth to the wound. Prop the injured arm or leg on pillows so that the nail is higher than the heart.
  • Manage pain: Take prescription pain relievers, ibuprofen, or acetaminophen to manage pain and reduce swelling.
  • Protect the nail: Keep a light dressing on the nail, such as an adhesive bandage or gauze, to provide padding and protection. Ensure your nails are trimmed short to prevent them from catching on objects and causing further injury.

For more severe nail injuries, it is recommended to seek medical attention at an urgent care center or emergency room. Treatment may include:

  • Stopping the bleeding and cleaning the wound.
  • Creating a small hole in the nail to drain blood and fluid, relieving pressure and pain.
  • Removing part or all of the nail if the bone is broken or the bruise is large.
  • Closing cuts in the nail bed with stitches and reattaching the nail with glue or stitches.
  • Prescribing antibiotics to prevent infection.
  • Placing a wire in the finger to keep a broken bone in place.

Onycholysis, or nail separation, is a common condition that can occur due to injury, fungal infection, or psoriasis. Treatment for onycholysis involves cutting away the separated nail as it grows out, taking antifungal medications, and avoiding certain nail products. It is important to keep the nail bed dry and treat any underlying infections or conditions.

nailicy

Nail infections

Fungal infections are another common type of nail infection, often affecting the toenails but can also occur on the fingernails. These infections develop slowly, usually starting at the edge of the nail and causing it to become thick, discoloured, and brittle. Toenail fungus may appear as thick, yellow, cracked, or cloudy nails. In some cases, the whole nail can break off, leading to pain and swelling of the surrounding skin.

Onycholysis, or nail separation, is another nail condition where the nail lifts off its nail bed. It is typically caused by injuries, fungal infections, or psoriasis. While onycholysis is not painful, the underlying cause may be irritating or painful. Treatment for onycholysis focuses on addressing the underlying cause and promoting new nail growth.

To prevent nail infections, it is important to maintain proper nail hygiene and avoid biting your nails. Keeping your nails trimmed and avoiding water or chemicals that can irritate the nails is also recommended. Additionally, wearing shoes that fit properly and avoiding walking barefoot in communal areas can help reduce the risk of fungal nail infections.

In summary, nail infections can range from bacterial to fungal infections, with paronychia and onycholysis being common conditions. Proper nail care and hygiene are crucial for preventing nail infections, and early treatment can help resolve the issue before it becomes more severe.

nailicy

Nail matrix and its role in nail growth

Fingernails and toenails are made of special cells that are constantly being created by the nail matrix, which is located at the base of the nail. The nail matrix is responsible for nail growth and plays a crucial role in maintaining nail health and appearance.

The nail matrix consists of two parts: the germinal matrix and the sterile matrix. The germinal matrix contributes to about 90% of nail growth, while the sterile matrix accounts for the remaining 10% and helps keep the nail attached to the underlying skin. Each nail matrix produces 196 layers of cells that combine to form each fingernail and toenail. The nail matrix is also responsible for creating new skin cells, pushing out old, dead skin cells, and facilitating nail growth.

Injuries or trauma to the nail matrix can cause various nail imperfections, such as white spots, ridges, and grooves. These imperfections can weaken the nail plate, making it more prone to breakage or deformation. In some cases, severe trauma to the germinal matrix can result in permanent nail loss. Additionally, certain health conditions, such as fungal infections, illnesses, and skin diseases, can interfere with nail growth and affect the appearance and health of the nail.

Proper care and protection of the nail matrix are essential for maintaining nail health. This includes nail hygiene practices, avoiding excessive pressure or trauma to the matrix area, and ensuring a well-balanced diet to support strong and resilient nails. In the event of nail matrix damage, treatment options are available, such as nail trephination, which provides pain relief and helps the new nail grow correctly.

The nail matrix is a critical structure in nail growth and development, and its health directly impacts the overall health and appearance of the nails. By understanding the role of the nail matrix, individuals can take the necessary steps to protect and care for their nails effectively.

nailicy

Onycholysis (nail separation)

Onycholysis is a common nail disorder in which the nail separates from the nail bed—the skin on which the nail rests. It typically affects only one nail, although it can affect multiple nails in some cases. Onycholysis usually isn't painful, but the underlying cause may be irritating or painful.

Onycholysis can be caused by several factors, including:

  • Injury or trauma: Bumping, hitting, or keeping nails in water for too long can cause onycholysis. Even regularly getting manicures or tapping nails on a hard surface over a long period can cause it.
  • Reaction to chemicals: Certain nail products like nail polish, gloss, hardeners, and fake nails contain chemicals that can irritate the nails and cause onycholysis.
  • Fungal infections: Fungi can get between the nail and the nail bed through cracks or cuts, causing the nails to thicken and turn yellow, with white spots and streaks.
  • Skin conditions: Skin conditions like eczema and psoriasis can affect the nail matrix and cause onycholysis.
  • Medications: Certain medications, including chemotherapy drugs, can interfere with nail growth and cause onycholysis.
  • Iron deficiency: Lack of iron in the diet can lead to onycholysis.
  • Hyperthyroidism: Hyperthyroidism involves the overproduction of hormones and can cause various symptoms, including onycholysis.

Treating onycholysis involves addressing the underlying cause. In some cases, antifungal medications or stopping the use of certain nail products may be necessary. Keeping nails trimmed short can help manage the condition and prevent further issues. It's important to avoid aggressive clipping, as this can damage the nail bed and hinder new nail growth. As the affected nail grows out, the lifted portion can be carefully clipped to promote the growth of the new nail.

Onycholysis usually lasts for several months or over a year, and the recovery depends on appropriate treatment. Fingernails typically take 4 to 6 months to regrow fully, while toenails can take 8 to 18 months.

nailicy

Preventing nail damage

Fingernails grow slowly, and toenails grow even more slowly. It may take up to six to nine months for fingernails to grow completely, and 12 to 18 months for toenails. Therefore, it is important to take good care of your nails to prevent nail damage.

Injuries and certain health conditions can damage your nail matrix and interfere with nail growth. Minor damage to your nail matrix can temporarily change your nail's appearance, while severe damage could cause your nail to fall off. To prevent nail damage, you can follow these tips:

  • Keep your nails trimmed and maintained at a short length. Short nails are less likely to catch on objects and pull off your nail beds. However, avoid aggressive clipping, as this is not recommended.
  • Be careful when cleaning underneath your nails. Tools like cuticle sticks or nail brushes can break the skin underneath your nails and cause infection.
  • Avoid biting your nails.
  • Choose the right shoes. Ill-fitting shoes can cause nail injuries.
  • Wear protective gear when playing sports.
  • Avoid manipulation of the cuticle, either at home or at a nail salon.
  • Avoid chemicals or products that can irritate your nails or the skin around them. These include nail polish, nail gloss, nail hardener, nail polish remover, and fake nails.
  • Manage any health conditions that could affect your nails, such as psoriasis or peripheral artery disease (PAD). See your healthcare provider regularly to manage these conditions.

Frequently asked questions

Onycholysis is a condition in which the nail separates from the skin beneath it, also known as nail lifting. It is often caused by a nail injury, fungus, or psoriasis.

Fingernails typically take 4 to 6 months to fully regrow, while toenails can take 8 to 18 months.

It is important to determine the underlying cause of onycholysis. You should avoid harsh products and chemicals that may be causing nail lifting, such as artificial nails, nail polish, and nail gloss. Keep your nails trimmed and avoid biting them. If a bacterial or fungal infection is present, your healthcare provider may prescribe appropriate treatment.

Written by
Reviewed by

Explore related products

Share this post
Print
Did this article help you?

Leave a comment