What Causes Keratin Buildup Under Toenails?

At the Foot & Ankle Associates of Southern NH in Derry, New Hampshire, we often encounter patients experiencing keratin buildup under the toenails. This condition can be both uncomfortable and unsightly, leading many individuals to seek answers and solutions. Understanding the causes of this buildup is essential in managing and preventing further complications.

What is Keratin Buildup?

Keratin is a protein that naturally forms part of your nails. When present in excess, it can lead to keratin buildup, resulting in thickened nails or subungual hyperkeratosis, where keratin accumulates beneath the toenail. This condition typically arises from various underlying factors, which we will explore below.

What Causes Keratin Buildup Under Toenails?

• Fungal Infections: One of the most common causes of keratin buildup is a fungal toenail infection (onychomycosis). This infection leads to changes in the nail structure and can cause the nail to thicken and accumulate keratin.
• Trauma to the Nail: Physical trauma can damage the toenails, causing an increase in keratin production as the body attempts to repair itself. This can result from repeated pressure or injury, often seen in athletes or individuals active in sports.
• Misaligned Toenails: Conditions such as ingrown toenails can contribute to irregular growth patterns and lead to keratin buildup. When the nail edge grows improperly against the skin, it may thicken as a response.
• Poor Hygiene & Footwear Choices: Inadequate foot hygiene and wearing shoes that do not fit properly can create an environment conducive to fungal infections and keratin accumulation. Closed-toe shoes that cause excessive sweating can exacerbate these issues.
• Genetics: Some people may be genetically predisposed to thicker nails, which may lead to keratin buildup over time due to their natural nail growth patterns.
• Underlying Medical Conditions: Health issues such as psoriasis, eczema, or other skin conditions can result in abnormal nail growth and keratin production. Conditions affecting circulation may also lead to changes in nail health.

How Can I Treat Keratin Buildup Under Toenails?

Treating keratin buildup effectively depends on the underlying cause. Here are several treatment options available at Foot & Ankle Associates of Southern NH:

• Antifungal Medications: If a fungal infection is diagnosed, your podiatrist may prescribe topical or oral antifungal medications to address the issue.
• Nail Debridement: Professional debridement, performed by a podiatrist, can help remove excess keratin and restore a more normal nail appearance. This procedure involves carefully trimming or filing away the buildup.
• Proper Foot Hygiene: Establishing a routine of good foot hygiene can prevent further accumulation. Keep your feet clean and dry, and make sure to regularly trim your nails straight across.
• Footwear Choices: Opt for well-fitting shoes that provide adequate support and allow your feet to breathe. Avoid tight or constricting footwear that may lead to trauma or fungal issues.
• Treating Underlying Conditions: Managing any underlying skin or health issues with the help of your healthcare provider can also improve nail conditions and reduce keratin buildup.

When Should I See a Podiatrist?

If you notice persistent keratin buildup under your toenails, or if you experience pain, discoloration, or other changes in your nails, it is crucial to seek professional evaluation. Early intervention can prevent complications and ensure healthy nail growth. At Foot & Ankle Associates of Southern NH, we recommend scheduling an appointment to receive a thorough examination and personalized treatment plan.

FAQ Section

• What are the symptoms of keratin buildup under toenails? Symptoms include thickened toenails, discoloration, and pain when pressure is applied to the nail.
• Can I treat keratin buildup at home? While home remedies may provide temporary relief, it is advisable to consult a podiatrist for effective treatment options.
• Is keratin buildup contagious? Generally, keratin buildup itself is not contagious, but the underlying fungal infections contributing to it can be.
• How long does it take to treat keratin buildup? Treatment duration varies based on the underlying cause, but consistent care can show improvements within weeks to months.
• Can keratin buildup lead to other foot problems? Yes, untreated keratin buildup can lead to pain, nail infections, and mobility issues.

Contact Us Today

If you are facing issues with keratin buildup under your toenails or other foot-related concerns, trust the experts at Foot & Ankle Associates of Southern NH. Schedule your appointment today by visiting our online booking link. Our dedicated team is here to provide you with the care and attention you deserve!