
Toenails can thicken due to fungal infections, which can eventually cause the nail to fall off. This is known as onychomycosis or mycotic nails. Once the nail falls off, it cannot reattach and continue growing. A new nail will grow in its place, but this can take anywhere from six months to two years. In the meantime, you can take medication to treat the fungal infection.
| Characteristics | Values |
|---|---|
| Toenail thickening | Caused by a fungal infection, injury to the nail bed, or underlying medical conditions like psoriasis, diabetes, or chronic illnesses |
| Treatment | Prescription antifungal medications, oral or topical |
| Prevention | Keep feet clean and dry, wear shoes in communal spaces, practice good foot hygiene |
| Regrowth | Toenails grow slowly, regrowth can take 6 months to 2 years |
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What You'll Learn
- Thick toenails are often a sign of a fungal infection
- Thickened nails can be caused by injury to the nail bed
- Thick toenails can be a symptom of an underlying condition
- Toenails may thicken after falling off due to nail matrix damage
- Treatment options are available to help thickened toenails grow thinner

Thick toenails are often a sign of a fungal infection
Thick toenails can be a sign of an underlying condition, such as a fungal infection. Fungi can grow between the nail bed and the toenail, causing the toenail to thicken and eventually fall off. This condition is known as onychomycosis or mycotic nails, and it can lead to other symptoms such as discolouration, brittleness, and deformation.
Mycotic nails are caused by an infection with a fungus or yeast, which grows under the nail bed in moist environments. The nail may separate from the nail bed, becoming thick and fragile, and may change colour. While anyone can get mycotic nails, certain conditions can increase the risk, including a weakened immune system, athlete's foot, and diabetes. Older adults may also experience complications such as cellulitis and foot ulcers.
Fungal infections are contagious and can be passed from person to person. Preventative measures include keeping feet clean and dry, wearing shoes in communal spaces, and avoiding sharing shower stalls without cleaning them first. Treatment for mycotic nails typically involves oral or topical antifungal medications, and it is important to see a healthcare provider for a proper diagnosis and treatment plan.
In addition to fungal infections, thick toenails can also be caused by other conditions such as psoriasis, congenital disorders, or chronic illnesses. Prompt treatment is key to resolving thick toenails and preventing further complications. It is always advisable to consult a healthcare professional for a proper diagnosis and treatment plan.
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Thickened nails can be caused by injury to the nail bed
Toenails can thicken due to various reasons, one of which is injury to the nail bed. The nail bed is the part of the nail that is attached to the underlying skin. When the nail matrix, or the root of the nail, is damaged, the new nail may grow back abnormally or may not grow back at all. Minor damage to the nail matrix can cause temporary changes in the nail's appearance, while severe damage can cause the nail to fall off. In cases of severe nail matrix damage, some or all of the nail may not grow back.
Injuries to the nail matrix can be caused by pinching or crushing the finger or dropping something heavy on the toe. This can cause bruising, ridges, or discolouration of the nail. Blood may also collect under the injured nail, known as a subungual hematoma, which can cause the nail to separate from the nail bed and eventually fall off.
Toenails can also thicken due to fungal infections, which can occur when fungi grow between the nail bed and the toenail. This can cause the nail to become thick, discoloured, brittle, and deformed. Fungal infections can be treated with oral or topical antifungal medications, and home remedies such as Vicks VapoRub and tea tree oil can also be used to kill the nail fungus. However, it is important to see a healthcare provider for an accurate diagnosis and treatment plan.
Additionally, underlying medical conditions such as psoriasis or congenital disorders can cause toenails to thicken. Left untreated, thick toenails can become painful and may require prompt treatment. It is important to maintain proper foot hygiene, keep the feet dry, and wear shoes or sandals in communal spaces to prevent fungal infections and reduce the risk of thick toenails.
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Thick toenails can be a symptom of an underlying condition
Thick toenails can result from several factors, including injuries, fungal infections, and underlying medical conditions. Here are some possible causes:
Injuries and Trauma
Toenails may thicken due to sudden or repeated trauma or injuries, especially among individuals involved in sports, exercise, or those wearing ill-fitting shoes. Minor injuries, such as dropping something heavy on the toe or stubbing it, can cause blood to pool beneath the nail (subungual hematoma), leading to nail detachment and potentially thicker regrowth.
Fungal Infections
Fungal infections, such as onychomycosis, are a common cause of thick toenails. Fungi thrive in warm, moist environments, making toenails susceptible to infection. Diabetes also increases the risk of fungal infections due to poor circulation in the feet. Left untreated, fungal infections can be challenging to cure and may require months of treatment.
Underlying Medical Conditions
Thick toenails can be a symptom of underlying medical conditions such as psoriasis, an autoimmune disorder that causes skin cell buildup. While it typically affects the skin, it can also impact the toenails, leading to nail thickening and, in some cases, nail detachment due to the pressure of skin cell buildup.
Additionally, congenital disorders, chronic illnesses, and certain cancer treatments can also cause toenail thickening.
Ageing
As people age, their nails, including toenails, may naturally thicken due to changes in blood circulation or long-term UV exposure. While this is a normal part of ageing, buffing can be done to slightly smooth the appearance of thickened nails for aesthetic purposes.
If you notice thickened toenails, it is essential to consult a doctor or healthcare professional. They can help determine the underlying cause and provide appropriate treatment or management options.
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Toenails may thicken after falling off due to nail matrix damage
Toenails are made of a protein-rich tissue called keratin. As new cells grow in your toes, old ones are pushed forward, harden, and become nails. Toenails can thicken due to several reasons, including fungal infections, psoriasis, congenital disorders, or chronic illnesses.
Injuries, such as dropping something heavy on the toe or crushing the finger, can damage the nail matrix. This can lead to bruising, ridges, or discolouration of the nail. Additionally, certain medications and illnesses can also affect the nail matrix. For example, chemotherapy can cause Beau's lines (horizontal ridges) or slow nail growth. Serious health events like a heart attack, COVID-19, or pneumonia can also interrupt nail growth and cause Beau's lines.
It is important to note that not all nail changes are indicative of nail matrix damage. Some problems may affect the nail bed, nail plate, or nail folds instead. Consulting a healthcare provider is essential to determine the underlying cause and receive appropriate treatment. They may recommend medication, such as antifungal pills or specific medications for nail psoriasis.
To promote healthy nail growth and prevent future nail loss, it is advisable to maintain good foot hygiene, keep the feet dry, and avoid tight shoes and high-impact activities during the healing process.
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Treatment options are available to help thickened toenails grow thinner
Toenails can thicken due to various reasons, including fungal infections, underlying conditions such as psoriasis, congenital disorders, or chronic illnesses, and sudden or repeated trauma or injury. Treatment options are available to help thickened toenails grow thinner and address the underlying cause. Here are some recommendations:
Consult a Doctor or Healthcare Professional
It is important to consult a doctor or healthcare professional if you notice thickening of your toenails or suspect a fungal infection. They can examine your nails, review your medical history, and determine the underlying cause. If a fungal infection is present, they may swab under the nail or take a clipping to test for fungal growth.
Treat Underlying Conditions
If the thickening of your toenails is due to an underlying condition, such as psoriasis, congenital disorders, or chronic illnesses, your doctor may prescribe appropriate therapies or review your existing treatment plan to address the symptom of nail thickening.
Practice Good Nail Hygiene
Maintaining good nail hygiene is crucial in treating and preventing thickened toenails. Keep your feet and toenails clean by washing them regularly with soap and water. Ensure you dry your feet thoroughly after washing and use a powder, such as Zeasorb powder, to keep them dry. Change your socks frequently and wear cotton socks that absorb moisture. Keep your toenails trimmed and properly groomed, using disinfected tools for trimming.
Apply Topical Treatments
To treat thickened toenails due to fungal infections, you can apply over-the-counter or prescribed topical antifungal treatments. This may include using urea cream (Aluvea, Keralac) to soften your nails, followed by trimming and filing. You can then apply antifungal treatments, such as Vicks VapoRub or tea tree oil, to the affected area daily or as directed.
Take Oral Medications
In more severe cases of fungal infections, your doctor may prescribe oral antifungal medications. It is important to be vigilant about any side effects while taking these medications and to report any unusual symptoms, such as a rash or fever, to your doctor.
Surgery (in rare cases)
In rare instances, surgery may be necessary to permanently remove the affected toenail if other treatments are ineffective.
It is important to note that treating thickened toenails due to fungal infections or underlying conditions may require several months of consistent treatment and adherence to the prescribed regimen. Additionally, even with successful treatment, there is a possibility of recurrence, so maintaining good nail hygiene and preventive measures is crucial.
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Frequently asked questions
Toenails can grow thick due to a fungal infection, also known as onychomycosis. Fungi can grow between your nail bed and toenail, eventually causing the nail to fall off.
Symptoms of a fungal toenail infection include thick, yellow, cracked or cloudy nails. Nails may also become fragile and change colour.
Treatment for a fungal toenail infection can include oral or topical antifungal medications. Home remedies include applying Vicks VapoRub or tea tree oil to the affected area.











































