Podiatrist Blog

Posts for tag: psoriasis

By Joseph Stuto, DPM
July 19, 2018
Category: toenail conditions
Tags: psoriasis   podiatrist   fungus   foot   pain   sports  

One of the worst feelings in the world is when you are peeling off a pair of socks and one of your toenails comes along with it. A toenail that detaches from the nail bed is a common occurrence. Typically, it happens because of an underlying condition or trauma. In less typical situations, chemicals, illness and medications can also cause the nail to become detached. If you lose a toenail, it is important to take the proper precautions while it heals and grows back. It is also important to figure out why it detached in the first place.

First Things First

After your toenail falls off you may be in a bit of a panic. What should I do with my newly-bare nail bed? Here are some tips on how to react before your appointment with your podiatrist:

  • If only part of your toenail has fallen off, don’t try to remove the rest of it – let it be.
  • If part of the detached nail is still barely hanging onto your toe and the rest of the attached part of the nail, get out a pair of sterile nail clippers. Carefully trim off the hanging piece so it does not catch and make the nail worse. If you are uncomfortable doing this, wait to see your podiatrist.
  • Smooth out any jagged edges with a nail file.
  • Clean your toe so there is no debris.
  • Apply antibiotic ointment to the site where the toenails fell off.
  • Cover the area with a bandage.
  • If your toenail has fallen off and will not stop bleeding, seek immediate medical care.

Why Did It Fall Off?

Injury

One reason your toenail could have fallen off is because of an injury. Car accidents, blunt force trauma, and sports can all damage your toenails.

If you received an injury to the foot and notice that your toenail is black or purple underneath, it could indicate that the nail will fall off. This discoloring is often due to the buildup of blood underneath the nail from an injury. Over time, as pressure increases, the nail may separate from the bed and fall off. If this nail is causing you pain, you should see a podiatrist immediately so that they can relieve the buildup of blood inside the nail.

Fungus

Fungus can grow underneath the toenail. This can cause separation of the nail from the bed. Over time, as it progresses, the nail can fall off. The best way to prevent this from occurring is to treat the fungus before it progresses too far. A podiatrist can help prescribe the right antibiotic to kill the fungus before it leaves you with one fewer toenail.

Psoriasis

Psoriasis can also cause you to lose a toenail. This is because, as the skin cells on the nail bed build up, they cause the nail to detach and eventually it will fall off. If you have symptoms such as pitting, thickening, or discoloration of the toenail, then you may have psoriasis. A foot doctor can determine whether or not you are suffering from this condition.

Losing a toenail is never fun, but a podiatrist can help you heal from the incident. Call Joseph Stuto, DPM of Brooklyn, New York. There Dr. Joseph A. Stuto and Joseph C. Stuto can help you treat your detached toenail. Call 718-624-7537and make an appointment today.

By Joseph Stuto, DPM
January 24, 2018
Category: foot conditions
  1. Tiny, red lines under the toenail

Tiny red lines under the toenail can be a sign of a heart infection. Red lines under the toenail could be broken blood vessels known as splinter hemorrhages. These occur when small blood clots damage the tiny capillaries under the nails. They can signal endocarditis, an infection of the heart’s inner lining. People who have an existing heart condition, have received a pacemaker, or who have chronically suppressed immune systems are at higher risk of developing endocarditis. The infection can result in heart failure if left untreated. If you notice red lines under the toenails it is important to see a podiatrist right away for further testing. 

  1. Clubbing

Clubbing of the feet can be a sign of lung cancer or heart disease. A symptom that appears in both toes and fingers, clubbing is often associated with lung cancer, chronic lung infection, heart disease, or intestinal disease. Lung cancer and heart disease decrease vascular resistance, which means blood flow to the small arteries in the toenails and fingertips will increase. Tissues swell, resulting in the clubbed looked.

  1. Pitted toenails

Pitted toenails can be a sign of psoriasis. If you find tiny holes, grooves, or ridges in your toenails, you may have nail psoriasis. Though most people who experience nail psoriasis also have skin psoriasis, it is not a guarantee.

  1. Spooned nails

Spooned nails can be a sign of anemia or lupus. Do you have a depression in the toenail deep enough to hold a water droplet? Also known as koilonychia, spoon-shaped toenails or fingernails can indicate iron deficiency, as well as the overproduction of iron, Raynaud’s Disease and sometimes lupus. Spooned nails occasionally appear in infants, but normalize in the first few years of life.

  1. A straight line under your toenails

A straight line under your toenails can be a sign of skin cancer. A dark, vertical line underneath a toenail could be acral lentiginous melanoma, or hidden melanoma—a form of skin cancer.

If you have any symptom listed above on your feet, it is important to see a podiatrist right away. Many of these underlying conditions can be very severe if not treated properly. Call Joseph Stuto, DPM of Brooklyn, New York. There Dr. Joseph A. Stuto and Joseph C. Stuto will examine your feet and test for any underlying conditions that may be causing your foot and ankle issues. Call 718-624-7537and make an appointment today. Act before a small problem becomes a big one.