
Ridges in fingernails, also known as onychorrhexis, can be caused by a variety of factors, ranging from ageing to underlying health conditions. Beau's lines, or deep horizontal ridges, may indicate a more serious condition, whereas vertical ridges are usually harmless and are common in older adults. In some cases, fingernail ridges may be a sign of nutrient or vitamin deficiencies, or even more serious conditions such as diabetes or peripheral artery disease.
| Characteristics | Values |
|---|---|
| Cause | Injury to a specific fingernail, such as crushing or bending back the nail |
| Ageing | |
| Nutritional deficiencies | |
| Skin conditions like eczema | |
| Kidney disease | |
| Diabetes | |
| Treatment | Moisturizing products for the hand and nails, e.g. vitamin E oil, petroleum jelly, or olive oil |
| Keeping nails trimmed | |
| Consulting a dermatologist |
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Vitamin and mineral deficiencies
Fingernail ridges are often harmless and are a typical sign of aging. Vertical ridges are common in older adults. However, they can sometimes indicate other health problems. Horizontal ridges, also known as Beau's lines, can point to malnutrition, serious nail injury, or diabetes.
Deep horizontal grooves, or "depressions", in the fingernails can be a sign of zinc deficiency. Oysters, beef, and tofu are examples of zinc-rich foods that can help increase your zinc intake. Muehrcke's lines, which are parallel horizontal white lines, can also appear due to low protein levels in the blood.
Spoon-shaped nails, or koilonychia, can indicate an iron deficiency or a lack of vitamin C. Spoon nails could also be caused by a liver problem called hemochromatosis, which results in the body absorbing too much iron from food.
In addition to grooves, other nail abnormalities can indicate vitamin or mineral deficiencies. For example, brittle nails can be a sign of hypothyroidism or iron deficiency. Scattered white spots on the nails can signify a zinc deficiency.
If you notice any persistent or unusual changes in your nails, it is recommended to consult a doctor or dermatologist, as they can examine your nails and advise you on any necessary tests or treatments.
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Ageing
While almost everyone has some ridges on their nails, vertical grooves or ridges are often a sign of ageing. These slight vertical ridges commonly develop in older adults. In some cases, they may be a sign of vitamin or mineral deficiencies. Doctors link poor food and water intake with brittle nails. For example, a deficiency of calcium and vitamin D could result in brittle nails that break very easily. Similarly, vitamin A is also an essential nutrient for normal nail growth.
Horizontal grooves, called Beau's lines, may suggest a more serious condition, such as malnutrition, a serious nail injury, or diabetes. If you experience nail changes, it is important to be evaluated by a doctor. A doctor may order urine and blood tests if they suspect kidney disease, diabetes, or nutritional deficiencies. If the cause of your fingernail ridges is unclear, a dermatologist may take some fingernail clippings to have them analysed in a lab for signs of infection.
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Underlying health conditions
Ridges in your fingernails can be indicative of underlying health conditions. While they are usually due to aging, they can also be a sign of more serious health problems. Vertical ridges, also known as longitudinal striations or bands, can be caused by iron deficiency, resulting in thin, spoon-shaped nails. Iron deficiency can also lead to koilonychia, where nails have a depression in the middle, resembling a scooped-out shape.
Deep horizontal ridges, known as Beau's lines, can indicate a more severe condition and may even halt nail growth until the underlying issue is addressed. Beau's lines have been associated with peripheral vascular disease, diabetes, hypothyroidism, and Raynaud's disease, which can disrupt blood flow to the nail. Additionally, they may be a result of chemotherapy, severe illness with a high fever, such as COVID-19, measles, or pneumonia, or injury to the nail.
Other health conditions that can cause nail ridges include nutritional deficiencies, skin conditions, and kidney disease. Changes in nail colour, such as white, green, yellow, or dark marks, could indicate an infection. For instance, a greenish-black discolouration of the nail can signal a bacterial infection. Moreover, certain conditions can cause nail clubbing or spoon-shaped nails, nail lifting, and nail curvature.
It is important to consult a dermatologist or healthcare provider if you notice new or persistent ridges in your fingernails. They can help determine the underlying cause and provide appropriate treatment or management options to promote smoother and healthier nail growth.
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Injury
If you have a groove in your fingernail, it could be the result of an injury. Deep horizontal grooves, known as Beau's lines, can indicate that something has caused your nail to stop growing for a period of time. This could be due to a fever, injury, chemotherapy, or major stress. If you have redness and swelling around your nail, it may be infected. Ingrown fingernails can often be treated at home, but sometimes require a trip to the doctor.
Grooves in your fingernails can also be a sign of health problems such as vitamin or nutritional deficiencies. For example, a deficiency in calcium and vitamin D could lead to brittle nails that break easily, while a lack of vitamin A can affect nail growth. In some cases, vertical grooves can indicate health conditions such as dermatitis, eczema, anaemia, or nutritional deficiencies.
If you are concerned about changes to your nails, it is recommended that you see a doctor or dermatologist as soon as possible. They may examine your nails and ask about any other symptoms you are experiencing. Blood and urine tests may be ordered if they suspect kidney disease, diabetes, or nutritional deficiencies. If the cause of your fingernail ridges is unclear, a dermatologist may take nail clippings for analysis in a lab to check for signs of infection.
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Treatment
If you have noticed grooves in your fingernails, it is important to determine the underlying cause. Horizontal grooves, or Beau's lines, may indicate a serious medical condition, including anaemia, cardiovascular and thyroid conditions, syphilis, or diabetes. They can also be caused by mechanical damage, such as an injury, or by certain medical treatments, such as chemotherapy. Vertical grooves, on the other hand, are usually a normal sign of aging, although they can sometimes indicate health conditions such as dermatitis, eczema, anaemia, vitamin or nutritional deficiencies.
If you have noticed changes to your nails, it is recommended to consult a dermatologist, who can examine your nails and advise on any necessary treatment. Treatment for nail grooves will depend on the underlying cause. For example, if the grooves are caused by a skin condition such as eczema, treatment may include moisturisers or topical ointments. If they are caused by low levels of vitamins or minerals, you may be advised to alter your diet or take supplements. In some cases, your dermatologist may suggest gently buffing your nails to remove the ridges, although this is not recommended as it may cause further damage. Instead, it is generally advised to stick with moisturising your nails and keeping them trimmed.
If you have developed Beau's lines due to diabetes, successfully managing your blood sugar may help reduce these horizontal nail ridges. Similarly, if your grooves are caused by an iron deficiency, treating this underlying condition may help improve the appearance of your nails. In some cases, nail grooves may be caused by an infection, in which case you may need medical treatment to clear the infection.
It is important to pay attention to any changes in your nails, as they can sometimes be an early sign of a serious medical problem. If you notice any unusual symptoms, such as swelling and redness, nail lifting, or a new or changing dark streak, it is important to consult a doctor or dermatologist as soon as possible. They may order urine and blood tests or perform other examinations to determine the underlying cause and recommend the most appropriate treatment.
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Frequently asked questions
Fingernail grooves, also known as ridges, can be caused by a variety of factors, including vitamin and nutrient deficiencies, ageing, or underlying health conditions such as diabetes, eczema, or kidney disease. If you are concerned about the appearance of grooves in your fingernails, it is recommended to consult a doctor or dermatologist.
Treatment for fingernail grooves depends on the underlying cause. If the grooves are caused by a vitamin or nutrient deficiency, improving your diet or taking supplements may help. For skin conditions like eczema, moisturizers or topical ointments can be prescribed by a dermatologist. In some cases, gently buffing the nails may help to remove ridges, but it is generally recommended to stick to moisturizing and keeping nails trimmed.
While vertical grooves in fingernails are common and typically harmless, horizontal grooves may indicate an underlying health condition. If you notice sudden changes or other symptoms accompanying the grooves, it is recommended to consult a doctor as soon as possible to determine if further evaluation or treatment is necessary.











































