
Toenails can fall off or become loose due to trauma, such as stubbing your toe, dropping something heavy on your toe, or wearing tight shoes. In most cases, toenails will grow back within 12 to 18 months, but it is important to take proper care during the regrowth process to prevent further injury or infection. If the nail matrix, the part of the nail bed where new nails are formed, is severely damaged, the toenail may not grow back. However, severe nail matrix damage is rare, and with proper medical care, healthy nails can usually grow back.
| Characteristics | Values |
|---|---|
| Toenail regrowth time | 6-18 months |
| Toenail falling off causes | Trauma, fungal infections, psoriasis, injuries, infections, medications, peripheral artery disease |
| Toenail falling off treatment | Leave remaining part of the nail in place, trim or file any jagged or uneven edges, bandage the area, antifungal medication, nail trephination, surgery |
| Toenail falling off prevention | Wear well-fitting shoes and socks, keep nails trimmed, short, and smooth, avoid biting nails, be careful when cleaning underneath nails, avoid chemicals or products that can irritate nails |
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What You'll Learn

Toenails grow back within 12 to 18 months
Toenails, like fingernails, are made of a protein called keratin. They grow when new nail pushes out the older nail at the tips. Toenails grow back within 12 to 18 months, but this can vary depending on the severity of the injury and the treatment provided.
If you have injured your toenail, it is important to assess the damage and take the necessary steps to ensure proper healing. In most cases, toenails will grow back, but severe damage to the nail matrix or nail root can impede this process. The nail matrix is the "factory" where your body produces new nails, and injuries or illnesses can affect its function. If you experience bruising, ridges, or discolouration on your toenail, it may indicate a nail matrix injury.
To promote the regrowth of an unevenly cut toenail, you should trim or file any jagged edges to smooth them out. This will help prevent further injury and reduce the risk of catching on socks or footwear. It is important to leave any remaining part of the nail in place, as removing it can increase the risk of infection. Additionally, keeping your toenails well-trimmed and wearing properly fitted shoes and socks can help prevent further injuries.
Certain medical conditions, such as onycholysis (nail separation), fungal infections, or injuries, may require additional medical attention to ensure proper toenail regrowth. Onycholysis can be caused by trauma, chemical exposure, or fungal infections, and treatment may involve cutting away the affected nail, antifungal medications, or discontinuing certain nail products. Fungal infections can be challenging to treat and may require a combination of topical creams and oral antifungal medications. In some cases, surgery may be necessary to remove the nail and stop it from growing back.
Overall, while toenails typically grow back within 12 to 18 months, the regrowth process depends on the specific circumstances and any necessary treatments.
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Preventing toenail injuries
Toenail injuries can be very painful and may have a huge impact on your mobility. They can occur due to stubbing your toe, dropping heavy objects on your feet, or even repetitive friction from ill-fitting shoes. While some toenail injuries can be managed at home, severe cases may require medical attention. Here are some tips for preventing toenail injuries:
Buy well-fitting shoes
Purchase shoes that fit properly and have good support. Go shoe shopping later in the day when your feet are swollen, and fit the shoe to your larger foot. Avoid wearing open-toed shoes, especially if you have diabetes.
Keep toenails trimmed
Maintain properly trimmed toenails to reduce the risk of rubbing or pressure. Trim your toenails straight across to help prevent ingrown toenails. Smooth out any jagged or uneven edges with a nail file.
Control moisture
If you have sweaty feet, spray them with antiperspirant before activities. Controlling moisture can help prevent fungal infections, which are more likely to occur when the skin or nail is broken.
Wear toe caps
If you are prone to toenail trauma, consider purchasing silicone or gel toe caps. Toe caps can help protect your toenails from blisters, rubbing, and irritation and reduce the risk of toenail loss.
Treat infections promptly
Fungal infections can be tricky to treat and may require topical creams, oral antifungal medications, or even surgery in extreme cases. If you suspect an infection, see your doctor right away for appropriate treatment.
Remember that prompt treatment is essential for toenail injuries. If left untreated, even a minor injury can lead to changes in your nail's appearance or, in rare cases, toe amputation.
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Toenail fungal infections
Toenails usually grow back within 18 months, even if they fall off due to an injury or infection. However, if the underlying cause is not treated, it can prevent the nail from growing back properly or at all.
Fungal infections are a common cause of toenails falling off. Fungi can grow between the nail and the nail bed, and the infection can cause the nail to become discoloured, thickened, distorted, and easy to break. The infection usually starts at the edge of the nail and then spreads to the rest of it. It can turn the nail white or yellow and cause it to crumble or break.
Fungal infections can develop for many reasons and are more likely to occur when the skin or nail is broken. They can be challenging to treat, and treatment can take a long time. Topical creams, oral antifungal medications, or a combination of both may be required. In extreme cases, surgery may be necessary to remove the nail and prevent it from growing back.
To prevent toenail fungus, it is important to wear well-fitting shoes and socks and keep the nails well-trimmed. Toenails should be cut straight across to help prevent ingrown toenails.
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Onycholysis (nail separation)
An unevenly cut toenail will grow back, but it may take up to 18 months. In the meantime, it's important to leave the remaining part of the nail in place and trim or file any jagged edges to prevent further injury.
Onycholysis is a common nail disorder where the nail separates from the nail bed. It is usually painless, but it can be painful if acute or inflammatory. Onycholysis can be caused by several factors, including:
- Trauma or injury to the nail or nail matrix, such as bumping or hitting your nails, wearing ill-fitting shoes, or keeping your nails in water for too long.
- Fungal infections, which can occur when fungus gets between the nail and nail bed through cracks or cuts.
- Skin diseases, such as psoriasis, which can cause changes to the structure of the nail.
- Nail products and chemicals, such as nail polish, nail gloss, nail hardener, nail polish remover, and fake nails.
- Medications, including chemotherapy, tetracycline, nonsteroidal anti-inflammatory drugs (NSAIDs), psoralens, and oral retinoids (vitamin A derivatives).
- Iron deficiency and hyperthyroidism.
The treatment for onycholysis depends on the underlying cause. In some cases, it may be necessary to cut away the separated nail as it grows out. Antifungal medications may be prescribed if the issue is fungal, or you may need to stop using certain nail products. Keeping your nails trimmed and avoiding activities that may harm them can help support new nail growth.
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Severe nail matrix damage
The nail matrix is the "factory" where your body makes new fingernails and toenails. It is responsible for the growth of strong, healthy nails. It is a delicate structure located just below the nail fold, which protects it from injuries. However, damage to the nail matrix can occur due to mechanical injuries or improperly performed nail care procedures.
If you suspect severe nail matrix damage, it is important to consult a specialist as soon as possible. Time is crucial, as starting matrix repair within 24 hours of the injury increases the chances of restoring the nail's proper appearance. The specialist will assess the severity of the damage and determine the appropriate treatment method, which may include antiseptic agents, nail reconstruction, or surgical intervention.
The process of nail matrix regeneration requires time, patience, and adherence to care recommendations. It usually takes at least two months, but in more serious cases, it can take up to a year or more for the nail to grow back completely. During this time, it is important to protect the injured nail and matrix with special dressings or protective gels and maintain strict hygiene.
While it is rare for the nail matrix to be permanently damaged, preventing further injury is crucial during the regeneration process. This includes wearing well-fitting shoes and socks, keeping nails trimmed, and avoiding activities that could cause nail impacts or mechanical damage. With proper care and treatment, healthy nails can often grow back after severe nail matrix damage.
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Frequently asked questions
An ingrown toenail is a common condition where the corner of your toenail grows into your skin, causing tenderness, redness, and even bleeding. This usually happens when you cut your toenails too short or with rounded edges.
To prevent ingrown toenails, cut your nails straight across, leaving them long enough so that the corners lie loosely against the skin at the sides. Soaking your nails in warm water before cutting them can also help.
If you have an ingrown toenail, try to relieve the pressure by placing a small piece of cotton or dental floss between the nail and your skin. Change this daily and apply an antibiotic cream to prevent infection. If symptoms do not improve, see a healthcare provider.
In most cases, toenails will grow back within 18 months. However, severe damage to the nail matrix may prevent the nail from growing back. Proper medical care can help ensure the toenail grows back properly.











































