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Why Do Big Toenails Lift?

Published in Foot Health 3 mins read

Big toenails lift, a condition called onycholysis, due to various reasons, including trauma, infections, underlying health conditions, or improper nail care. The separation of the nail plate from the nail bed is often a gradual process.

Here's a breakdown of the common causes:

Common Causes of Lifting Toenails

  • Trauma and Injury:

    • Stubbing your toe, dropping something on it, or repetitive pressure from ill-fitting shoes can cause the nail to separate.
    • Even minor, repeated trauma can contribute to onycholysis.
  • Footwear:

    • Shoes that are too tight or too short can press against the toenails, leading to lifting.
    • Activities like running or hiking in improper footwear can exacerbate the problem.
  • Nail Length:

    • Toenails that are too long are more susceptible to getting caught and pulled, increasing the risk of lifting.
  • Fungal Infections:

    • Onychomycosis (fungal nail infection) is a common cause. The fungus can grow beneath the nail, causing it to thicken, discolor, and eventually lift.
    • You might notice yellowing or white spots on the nail, along with a crumbly texture.
  • Certain Health Conditions:

    • Some systemic diseases, such as thyroid problems, psoriasis, and iron deficiency anemia, can contribute to onycholysis.
  • Chemical Exposure:

    • Frequent exposure to harsh chemicals like nail polish remover or cleaning agents can dry out the nail and cause it to lift.

What To Do If Your Toenail Lifts

  1. Keep the Area Clean and Dry: Wash your feet daily with soap and water.
  2. Trim the Loose Nail: Carefully trim away the detached portion of the nail to prevent it from catching on things and causing further injury.
  3. Avoid Irritants: Limit exposure to harsh chemicals and wear comfortable, well-fitting shoes.
  4. Seek Medical Attention: If you suspect a fungal infection or underlying medical condition, consult a doctor or podiatrist. They may prescribe antifungal medication or recommend other treatments.

Preventing Toenail Lifting

  • Wear Properly Fitting Shoes: Ensure your shoes have enough room for your toes to move comfortably.
  • Trim Toenails Properly: Cut your toenails straight across and avoid cutting them too short.
  • Maintain Good Foot Hygiene: Keep your feet clean and dry, and wear breathable socks.
  • Protect Your Feet: Wear shoes in public places like locker rooms and swimming pools to prevent fungal infections.

In summary, lifting toenails can stem from a variety of factors. Identifying the cause is crucial for effective treatment and prevention.

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