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Why are my big toenails not smooth?

Published in Nail Health 3 mins read

Your big toenails might not be smooth due to a variety of reasons, often signaling an underlying issue rather than just a cosmetic concern. These reasons can range from injury and fungal infections to nutrient deficiencies and systemic illnesses.

Possible Causes of Unsmooth Toenails

Several factors can contribute to uneven or ridged toenails:

  • Injury: Trauma to the nail bed, such as stubbing your toe or wearing ill-fitting shoes, can disrupt nail growth, leading to ridges or an uneven texture.
  • Fungal Infections: Onychomycosis, a fungal infection of the nail, is a common cause of changes in nail texture and appearance, often resulting in thickening, discoloration, and roughness.
  • Nutrient Deficiencies: A lack of certain nutrients, such as iron, zinc, or vitamins, can impact nail health and growth, causing ridges and unevenness.
  • Underlying Illnesses: In some cases, ridges or changes in nail texture can indicate an underlying medical condition, like psoriasis, eczema, thyroid problems, or even kidney disease. According to the provided reference, "Ridges in your fingernails or toenails can be a sign of a current or past illness."
  • Age: As you age, your nails may naturally become thicker and develop ridges.
  • Repetitive Trauma: Activities that put repeated pressure on your toes, like running or dancing, can also contribute to nail irregularities.

Types of Nail Ridges

Understanding the type of ridges you observe can help narrow down the potential cause:

  • Vertical Ridges (Longitudinal Striations): These are the most common type of nail ridge and often become more prominent with age. They may also indicate nutrient deficiencies or impaired nutrient absorption.
  • Horizontal Ridges (Beau's Lines): These ridges run across the nail and can be a sign of a more serious underlying condition, such as a previous illness, injury, or chemotherapy treatment. They indicate a temporary disruption in nail growth.

What to Do About Unsmooth Toenails

  1. Examine Your Nails Closely: Note the type of ridges, any discoloration, thickness changes, or other symptoms.
  2. Consider Recent Injuries: Think about any recent trauma to your toes or feet.
  3. Review Your Diet: Ensure you are consuming a balanced diet with sufficient vitamins and minerals.
  4. Improve Footwear: Wear properly fitting shoes to avoid pressure and trauma to your toes.
  5. Consult a Healthcare Provider: If you are concerned about the appearance of your toenails or suspect an underlying medical condition, consult a doctor or podiatrist. They can help determine the cause of your nail irregularities and recommend appropriate treatment. A provider "can help you determine why you have ridges in your nails."

Treatment Options

Treatment will depend on the underlying cause.

  • Fungal Infections: Antifungal medications (topical or oral) prescribed by a doctor.
  • Nutrient Deficiencies: Dietary changes or supplements to address deficiencies.
  • Underlying Illnesses: Treatment of the underlying medical condition.
  • Injury: Allowing the nail to grow out naturally.

In most cases, addressing the underlying cause will help improve the smoothness and appearance of your toenails.

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