Understanding Toenail Thickening in Older Adults

At Foot & Ankle Associates of Southern NH in Derry, New Hampshire, one of the common concerns we hear from our patients is about toenail thickening as they age. This condition, while often considered a cosmetic issue, can lead to discomfort and may signal underlying health problems. In this blog post, we will explore why toenails thicken with age, the associated foot conditions, and how to manage this common issue.

What Causes Toenails to Thicken with Age?

As we age, various physiological changes occur in our bodies, including our toenails. Here are some primary factors that contribute to toenail thickening:

• Decreased Circulation: Reduced blood flow to the extremities can lead to slower nail growth and thicker nails.
• Fungal Infections: Onychomycosis, a common fungal infection, often leads to discoloration and thickening of the toenails.
• Trauma: Repeated trauma to the toenails, whether from ill-fitting shoes or injuries, can cause the nails to grow thicker.
• Medical Conditions: Conditions such as psoriasis and eczema can affect nail structure and texture, leading to thickening.
• Nutritional Deficiencies: A lack of essential vitamins and minerals can impair nail health and growth.

Is Thickened Toenails a Sign of a Serious Condition?

While thickened toenails are common and often benign, they can sometimes indicate more serious health issues. Here are conditions to watch out for:

• Diabetes: Individuals with diabetes may experience changes in their toenails as a result of poor circulation and nerve damage.
• Poor Foot Hygiene: Neglecting foot care can lead to fungal infections and other complications.
• Peripheral Artery Disease (PAD): This condition can cause changes in nail growth and thickness due to insufficient blood flow.

How Can I Treat Thickened Toenails?

Fortunately, there are several methods for treating thickened toenails. Here are some effective treatment options:

• Topical Antifungals: If a fungal infection is the cause, over-the-counter antifungal treatments may help. In severe cases, prescription medication might be necessary.
• Proper Footwear: Wearing well-fitting shoes can help prevent trauma and allow your toenails to grow comfortably.
• Nail Trimming: Regularly trimming and filing the toenails can help manage thickness and prevent discomfort.
• Moisturizing: Keep your feet hydrated with proper moisturizers to prevent brittle nails.
• Consulting with a Podiatrist: For persistent thickening, it is advisable to seek professional medical advice. At Foot & Ankle Associates of Southern NH, we offer comprehensive assessments and treatments tailored to your needs.

Preventing Toenail Thickening

Prevention is always better than cure. Here are some tips to help maintain healthy toenails as you age:

• Practice Good Hygiene: Keep your feet clean and dry to prevent infections.
• Wear Breathable Footwear: Choose shoes made from materials that allow air circulation to keep your feet dry.
• Maintain a Balanced Diet: Ensure your diet is rich in vitamins, especially vitamins A, C, D, and B-complex vitamins.
• Regular Check-ups: Schedule regular foot examinations with a podiatrist to monitor changes and discuss any concerns.

When Should I See a Doctor?

If you notice significant changes in your toenails accompanied by pain, discoloration, or a foul odor, it is essential to consult a healthcare provider. Early detection and treatment can prevent complications and ensure your toenails remain healthy.

FAQ

• Q: Why do my toenails look yellow and thick?
  A: Yellowing and thickening of toenails can often indicate a fungal infection or other underlying conditions. It is important to consult a podiatrist for an accurate diagnosis.
• Q: Can toenail thickening be reversed?
  A: Yes, with appropriate treatment and care, many cases of thickened toenails can be managed effectively.
• Q: Is toenail thickening painful?
  A: Thick toenails can sometimes be painful, particularly if they cause pressure in shoes or become ingrown.
• Q: How often should I have my toenails checked?
  A: For individuals with diabetes or other risk factors, it is recommended to have a foot exam at least once a year, or more frequently if problems arise.
• Q: What should I do if I have a fungal infection?
  A: Seek treatment from a podiatrist at Foot & Ankle Associates of Southern NH. We can provide a thorough examination and recommend an effective treatment plan.

Conclusion

Understanding the causes and management options for thickened toenails is crucial for maintaining your foot health as you age. At Foot & Ankle Associates of Southern NH in Derry, New Hampshire, we are here to assist you with any foot and ankle concerns, including toenail issues. Don’t let toenail problems affect your quality of life. Schedule an appointment today to discuss your concerns and explore treatment options.