
Changes in nail shape can indicate underlying health issues, especially when accompanied by other symptoms. Curved nails, also known as spoon nails, can be a natural trait, but they may also signify nutritional deficiencies, respiratory problems, or other health issues. It is important to consult a healthcare professional if you notice significant nail curling or other abnormalities, as they can provide advice and identify any potential causes for concern.
| Characteristics | Values |
|---|---|
| Cause | Can be a natural trait or a sign of nail health issues |
| Health issues | Fungal infections, psoriasis, iron deficiency, thyroid disorders, lung diseases, liver issues, asthma, chronic bronchitis, low oxygen levels |
| Prevention | Keep nails well-moisturised, regular trimming, improve diet |
| Treatment | Removing part or all of the nail, suppressing the immune system with medications, supplements |
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What You'll Learn

Curved nails can be a natural trait
It is quite common for people to notice that their nails start to curve downward as they get longer. This condition is known as spoon nails or koilonychia and can be a cosmetic concern. However, it is important to note that curved nails can be a natural trait for some individuals.
The shape of your nails is determined by the shape of your nail matrix, which is the area behind your cuticle where new nail cells are formed. While the shape of your nail matrix cannot be changed, you can alter the appearance of your nails through cosmetic means. For example, some people file the sides of their nails to reduce the tension of the curl and achieve a more flattened look. Additionally, maintaining proper nail care, such as regular trimming and moisturization, can help prevent excessive curling.
In some cases, curved nails can be an indication of underlying health issues. Iron deficiency, or anaemia, is a common cause of nail curvature and is the world's most prevalent nutritional deficiency disease. It often affects children and women of childbearing age. Other nutritional deficiencies, such as low levels of vitamin B12, zinc, or biotin, can also contribute to nail curvature. Additionally, curved nails can be a sign of respiratory problems, such as asthma or chronic bronchitis, as these conditions can impact the oxygen levels in the blood, affecting nail growth.
Several medical conditions have also been linked to curved nails, including thyroid disorders, lung diseases, liver issues, and psoriasis. Furthermore, fungal infections can result in thick, brittle nails that curl downward, along with potential discolouration and distortion of the nail shape. It is always advisable to consult a healthcare professional if you notice significant changes in your nail shape or if the curvature is accompanied by other symptoms. They can advise on the necessary treatments or dietary changes to address the underlying cause.
While curved nails can sometimes indicate a health issue, it is important to remember that they can also be a natural trait for some individuals. Understanding the underlying causes of nail curvature can help determine whether any action is required for your health and overall well-being.
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They can also indicate underlying health issues
When nails grow and curl, it could be a sign of an underlying health issue that requires attention. While there are various reasons nails may curl, including genetic factors and environmental influences, it is important to consider any potential health concerns.
Nail clubbing, where the nails soften and curve around the fingertips, can indicate low oxygen levels in the blood and potential lung issues. Clubbed nails are often accompanied by swelling and a shine to the nail itself. This could be a sign of lung disease, heart disease, or inflammatory bowel disease, and it is important to seek medical advice if you notice these changes.
Another potential issue is nail pitting, characterized by small depressions or pits in the nail. This can be a symptom of conditions such as psoriasis or alopecia areata, and it may indicate an underlying immune system problem. Nail pitting can also be a sign of connective tissue disorders or deficiencies in certain nutrients, such as zinc or vitamin D.
In some cases, curled nails can indicate thyroid problems. An overactive thyroid can cause nails to become soft and curved, and they may also separate from the nail bed. This is known as onycholysis, and it can be a sign of thyroid disease or a vitamin B12 deficiency.
Additionally, pay attention to any changes in nail color, as this could provide further clues to potential health issues. For example, pale nails may indicate anemia or congestive heart failure, while a yellow tint could be a sign of a fungal infection or psoriasis.
While curled nails may be a unique quirk of your nail growth, it is always best to consult a healthcare professional if you notice any persistent changes or abnormalities in your nails, as it may help detect and treat underlying health issues early on.
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Iron deficiency is a common cause
Changes in nail shape, such as curling, can result from an underlying health issue requiring treatment. However, these changes are not always a cause for concern. If curling occurs with other symptoms, it is recommended to seek medical treatment.
Iron deficiency, also known as anaemia, is a common cause of nail curling. This condition is characterised by a lack of red blood cells, which can result in nail changes. In the case of nail curling, iron deficiency leads to a softening of the nails, causing them to curve and take on a spoon-like shape. This condition is known as koilonychia, derived from the Greek word "koilos", meaning hollow. Koilonychia is often a sign of iron-deficiency anaemia, where the tissue underneath the nail thickens, causing the fingertips to become rounded and the nails to curve over them.
Iron is essential for maintaining healthy cells, skin, hair, and nails. A deficiency in iron can lead to weak, curled nails. This is because iron is a crucial component in the structure of nails, and a shortage can cause them to become soft and curved. Additionally, iron deficiency can cause vertical nail ridges, which are visible lines or dents that run up and down the nail. These ridges can further contribute to the curved appearance of the nails.
Treating iron deficiency can help improve the appearance of nails. This can be achieved through dietary changes or supplements. Iron-rich foods include meat, seafood, beans, lentils, dark chocolate, fortified foods such as bread and breakfast cereal, iron-rich fruits like dates and raisins, leafy greens such as spinach and kale, and nuts and seeds. In some cases, a doctor may recommend high-dose supplements or intravenous supplementation for individuals unable to absorb iron through their gastrointestinal tract.
It is important to consult a healthcare professional if you notice significant nail curling or if it occurs alongside other symptoms. They can help determine the underlying cause and advise on the best course of treatment.
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Other nutrient deficiencies can also cause nails to curl
While there are several reasons why nails curl as they grow, nutrient deficiencies are a common cause. Known as koilonychia or spoon nails, this condition is often a sign of iron deficiency. It can also indicate a vitamin B12 deficiency, with symptoms including changes in nail texture and structure.
Other nutrient deficiencies that can cause nail curling include zinc and biotin deficiencies. Nails that are soft and thin can be a sign of malnutrition, specifically a severe protein deficiency with a relative carbohydrate excess, known as kwashiorkor. Nails can also be affected by marasmus, a wasting syndrome resulting from prolonged starvation, causing a reduction in body weight and impaired nail growth.
Nails that are rough, splitting, and cracking easily may indicate brittle nails, which can be caused by hypothyroidism or iron deficiency. In addition, weak nails might be associated with a range of nutritional deficiencies, including overexposure to moisture or chemicals.
To address nail curling due to nutrient deficiencies, it is recommended to improve your diet by including iron-rich foods, such as beef, pork, lamb, liver, broccoli, kale, beans, lentils, and dark chocolate. Taking iron supplements or multivitamins may also help, but it is advised to consult a healthcare professional before starting any supplementation.
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Treatments are available to correct the issue
Curved nails can indicate underlying health issues, such as nutritional deficiencies, fungal infections, skin conditions, or chronic problems like psoriasis. In some cases, curved nails can also be caused by improper trimming or wearing shoes that are too tight.
If you are concerned about your curved nails, it is recommended to consult a healthcare professional, especially if you observe changes in colour or strength, as this may indicate a more serious health issue. Your healthcare provider can advise you on the necessary tests to determine the underlying cause and suggest appropriate treatments.
Treating the underlying cause of curved nails is crucial. Here are some treatments to address the issue:
- Dietary Changes: Curved nails, especially those caused by iron deficiency, can often be treated by consuming more iron-rich foods, such as beef, pork, lamb, liver, broccoli, and kale, beans and lentils, dark chocolate, and fortified foods like bread and cereal. Increasing your intake of other essential nutrients, such as vitamin B12, zinc, biotin, folate, protein, and vitamin C, can also improve nail health.
- Supplements: If dietary changes alone are insufficient, your healthcare provider may recommend taking iron supplements to correct and prevent curved nails. It is important to consult a doctor before taking any supplements, as they can advise on the appropriate dosage and type of supplement to ensure effectiveness and avoid potential adverse effects.
- Intravenous Supplementation: In cases where individuals are unable to absorb iron through their gastrointestinal tract, a healthcare professional may suggest intravenous supplementation to increase iron levels directly into the bloodstream.
- Medical Treatment: If the underlying cause of curved nails is not dietary, a doctor may recommend specific medical treatments. For example, in the case of hemochromatosis, which can cause nail curvature, treatment involves regular blood removal to normalise iron levels, along with dietary changes.
- Nail Care: Proper nail care can also help prevent and correct curved nails. This includes keeping nails well-moisturised, regularly trimming and filing them to maintain their shape, and cleaning them with a soft brush. Additionally, wearing properly fitting footwear and using rubber gloves when handling chemical products can help prevent ingrown nails and nail damage.
- Laser Treatment: Laser treatment may be effective for nail fungus, but it usually requires multiple sessions, and health insurance may not cover it.
While these treatments can help address the issue of curved nails, it is important to remember that results may take time, and in some cases, it can take up to 18 months for nails to grow and regain their usual shape.
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Frequently asked questions
Curved nails can be a natural trait and run in families. However, they may also indicate underlying health issues, especially if accompanied by changes in colour or strength. Curved nails can be a sign of nutritional deficiencies, respiratory problems, fungal infections, or skin conditions.
Curved nails can indicate potential respiratory problems, including asthma, chronic bronchitis, or low oxygen levels. They may also be a sign of iron deficiency anaemia, thyroid disorders, lung diseases, liver issues, or circulation problems. In some cases, nail curling can be related to obsessive-compulsive behaviours and underlying anxiety.
To prevent nail curling, it is important to keep your nails well-moisturised and regularly trimmed. Maintaining a healthy diet and addressing any nutritional deficiencies can also help prevent curling. If you notice significant curling or other symptoms, consult a healthcare professional for advice and treatment.
The curve of your fingernail, known as the C-curve, is determined by the shape of your nail matrix and is not changeable. However, you can cosmetically alter the appearance of your nails by filing and shaping them differently. Applying nail polish can also add temporary strength to flat nails, reducing the likelihood of side tears.










































