July 4, 2024
A toenail falling off can be uncomfortable and cause concern about damage to the toenail. The goal is to preserve the toenail's state to prevent further damage.
Fortunately, if you take a few proactive steps, you can reduce the discomfort and promote healing. Here are our six tips for managing a toenail on the verge of falling off.
1. Keep the toenail area clean and dry
Wash the toenail gently and often. We recommend using mild soap and water to keep it clean. Next, pat dry so as not to snag the toenail with a towel.
2. Cut the nail carefully and slowly
Use clean, sterilized nail clippers to remove any dangling or loose portions of the toenail. Cut straight across without digging into the surrounding skin. The goal here is to prevent further snagging or tearing down the road. Improperly cutting your nail may also increase your risk of an ingrown toenail.
In addition to trimming the toenail straight across, you should trim the toenail slowly. Don't over-cut it. Be patient with toenail growth. (It may take months to a year for a nail to fully grow out.) If in doubt, let our toenail specialists in Toronto trim your toenails for you as part of a medical pedicure.
3. Use a non-stick bandage to protect the area
We recommend applying a bandage or non-sticky wrap to your toe. (Adhesive can attach itself to the toenail and be difficult to peel off without grabbing onto it.) A protective layer keeps an otherwise exposed nail bed safe. Replace the bandage regularly and keep the area dry to promote healing.
4. Antiseptic ointment is your friend
Use an antiseptic ointment or petroleum jelly on the exposed nail bed to keep it moisturized and prevent infection. This may help soothe any discomfort from the loose toenail.
5. Choose comfortable and roomier footwear
You'll want to reduce pressure as much as possible to prevent a loose toenail from falling off. Given that we wear footwear so often, finding shoes with ample fit can help prevent further damage to the toenails.
6. Avoid intense activity
Reduce your activity level if it puts excessive pressure or strain on the affected toenail. For instance, running or high-impact sports like soccer could increase the risk of the toenail getting snagged or torn off. Give your toe some rest, and return to physical activity gradually.
June 20, 2024
At first glance, our toenails look like a single nail, and that's about it. However, beneath the surface is a more complex structure that makes up the nail and the bed below it. This is our toenail anatomy.
Toenails and fingernails are made of Keratin. Keratin is a type of protein that gives the nail strength and protection. (There are many types of Keratin. It also comprises hair and your epidermis.) Toenails differ from fingernails in a few ways, namely their thickness and growth rate, as the external forces on your toenails are greater than those on your hands.
Today, we explore toenail anatomy and how each component affects foot health.
Layers of the toenail
Nail plate
The nail plate is the easiest part of the toenail anatomy to recognize. It's the nail itself. The colour and texture of the nail plate can vary based on factors like health, genetics, and lifestyle habits.
Nail bed
Next, we go a bit deeper. The nail bed is beneath the nail plate. Just like sheets and blankets are the nail plate, imagine the nail bed is the mattress or bed frame below. The nail bed is a layer of skin that nourishes the nail as it contains blood vessels and nerves. It is also the growth engine behind the nail plate.
If you damage the nail bed, you'll notice nail plate abnormalities or reduced growth rates. Sometimes, a damaged nail bed will cause you to lose a toenail or experience a discoloured toenail. A subungual hematoma occurs within the nail bed and can cause a black toenail.
Lunula
The lunula, or "half-moon," is the pale, crescent-shaped area visible at the base of the nail. It represents the edge of the nail matrix, where new nail cells are generated. Eventually, nail growth from the lunula extends out to the outer edges of the nail, at which point you'd trim them.
Nail matrix
The nail matrix is the tissue beneath the cuticle at the base of the nail. It produces new nail cells, pushing older cells forward and resulting in nail growth. Damage to the nail matrix can affect the quality and growth rate of the toenail. Each nail matrix produces 196 layers of cells that combine to make your toenails.
November 16, 2023
When it comes to self-care and pampering, we often focus on treating ourselves to facials, massages, or spa days while neglecting one of our body's hardest working and overlooked parts: our feet.
Enter the world of medical pedicures, a rejuvenating and therapeutic experience that goes beyond the typical nail salon visit. In this blog post, we look at medical pedicures and uncover the many benefits they offer for the health of your feet.
Whether seeking relief from foot-related ailments or well-deserved self-care, a medical pedicure might be the secret to the happy and healthy feet you've been waiting for.
What's a medical pedicure?
A medical pedicure, also known as a medi-pedi, is a specialized foot treatment performed by a trained medical professional, typically a podiatrist or chiropodist.
Unlike a cosmetic pedicure you might receive at a spa or nail salon, a medical pedicure focuses on the medical aspects of foot care - there is no nail polish or foot soaking. It ususally involves the following:
Examination and consultation. Before the procedure, a chiropodist assesses your feet, discusses any concerns or foot-related issues you may have, and creates a treatment plan tailored to your needs.
Nail and callus care. A chiropodist trims and shapes your toenails, carefully avoiding ingrown toenails. They will also remove calluses and corns to relieve discomfort and prevent further complications.
Hygiene. A medical pedicure places a strong emphasis on hygiene. The instruments used are sterilized (or disposable) to prevent the risk of infection.
Skin and cuticle care. Your provider will moisturize and care for the skin on your feet, paying particular attention to dry or cracked areas. They will also address overgrown or problematic cuticles.
Why should I get a medical pedicure?
Only you can decide whether you need a medical pedicure, but we want to lay out the benefits to help you make an informed decision. There are several reasons why you may need one:
Treatment of Specific Foot Conditions
Medical pedicures are not just about pampering but about addressing specific foot conditions. Whether you're dealing with fungal infections, plantar warts, ingrown toenails, or thickened and discoloured nails, your healthcare specialist can offer treatments and recommendations for future care.
Proper Nail Care
While traditional pedicures focus primarily on nail aesthetics, medical pedicures focus on nail health. Sure, they will properly trim and file your toenails, but they'll also go the extra mile in preventing ingrown toenails and addressing any nail conditions like toenail fungus.
Healthy Skin
The skincare aspect of a medical pedicure involves moisturizing and nurturing the skin on your feet. Dry, cracked, or rough skin patches will be taken care of. Plus, we can provide product recommendations to help you maintain healthy, soft feet between appointments.
Education and Guidance
A significant part of a medical pedicure is education. You'll receive valuable guidance on proper foot care practices. In addition, with conditions like recurring calluses or ingrown toenails, the chiropodist can determine whether there could be any biomechanical factors at play. These insights empower you to take better care of your feet daily, reducing the likelihood of future issues.
October 12, 2023
Generally speaking, you don’t have to worry about a black spot on the toenail. Incidents like . In many cases, you can let your toenail heal naturally, but if you have a fungal infection or severe pain, you should schedule an appointment with your chiropodist. Often, incidents like stubbing your toe can cause a black toenail, but they can also be a symptom of an underlying health condition you are already aware you have.
Source: istock
Causes of Black Toenail
If you see a full black toenail or a black spot on your toenail, it is likely for one of the following three reasons:
Trauma (injury)
Natural pigmentation changes
Fungal toenail
In some (rarer) cases, a serious illness like heart disease, diabetes or melanoma can cause a black toenail.
Trauma (Injury)
Sometimes our foot health takes a turn for the worse when we injure ourselves. Dropping a heavy object on your toe or stubbing your toe on a piece of furniture can cause a subungual hematoma, or bleeding and bruising under the nail. This gives it a black appearance and it is usually tender to the touch.
There are certain medical procedures (like drainage and decompression) that treat black toenails caused by injury, but for minor cases, resting and using ice while elevating your injury is sufficient.
Source: istock
Natural Pigmentation Changes
For people with darker skin tones, black patches can sometimes appear underneath the toenails over time. Medical News Today notes that this will usually happen to matching toes on each foot. So if your black spot is happening on corresponding toes, this may be the reason.
Fungal Toenail
Fungal toenail infections usually cause yellow or brown discolouration and thickening of the nail. But when debris builds under the nail bed, it can appear black.
There are topical and oral antifungal medications you can take to treat fungal toenail. In some cases, you can even have your nail removed. But prevention is just as important when it comes to contagious foot conditions. Proper toenail care like keeping your nails (and the rest of your feet) clean can ward off infections, and for extra peace of mind, you can enjoy regular medical pedicures with your chiropodist.
Source: istock. While Fungal Toenail usually looks thick and yellowish brown, there can aslo be black spots caused by debris build up.
July 17, 2023
Black toenails can be an unsightly but under-discussed topic for some individuals. The condition can stem from an injury, an underlying health issue, or ill-fitting shoes. A black toenail is likely a bruise under the nail, called a subungual hematoma.
Seeing a black toenail at first glance can be alarming and uncomfortable, especially for first-timers. Fortunately, the discolouration and potential pain associated with blackened toenails are generally not a cause for concern.
While the condition may not always be serious, understanding its possible causes, prevention methods, and treatment options is crucial for maintaining overall foot health and finding relief. Today, we'll focus on black toenails.
In this article, you'll learn more about the common causes, treatment options, and prevention tips for black toenails:
Causes of black toenails
Causes of black toenails typically fall under three categories: injury, footwear, or an underlying health issue like a fungal infection. Below we dive into the three most likely culprits in more depth.
Trauma or injury
Stubbing the toe, dropping something heavy on your foot, or repetitive pressure from running or soccer can lead to a black toenail. Repeated pressure or friction to the nail bed can damage the blood vessels under the nail, ultimately creating a black toenail. For instance, marathon runners often get black toenails after running long distances.
Ill-fitting footwear
Shoes that are too tight or do not provide adequate toe room can cause repeated pressure and friction on the toenail. Whether on the job or wearing the wrong shoes for your partaking activity, ill-fitting footwear can be the culprit for black toenails.
Fungal infection
Sometimes, a black toenail can result from a fungal infection that affects the nail bed.
Rare causes
If none of the above apply to you, you shouldn't necessarily rule out rarer causes. In this case, consult a medical professional for a proper diagnosis.
Rare causes of black toenails include:
Malignant melanoma
Chronic ingrown nail
Other health problems
Treatment for a black toenail
Generally, black toenails aren't severe and are more of a sight for sore eyes. If you have a black toenail, you can do the following:
Observation and self-care: If the black toenail is painless and there are no signs of infection, you can let the nail heal independently. It will typically take several weeks for the discoloured nail to grow naturally. The discolouration could take 6-8 months to disappear as the nail grows and you trim away the culprit.
Rest and elevation: Resting and elevating the foot above heart level can help reduce swelling and promote healing.
Ice: Applying ice packs wrapped in a cloth to the affected area can help reduce pain, inflammation, and swelling.
Pain relief: Over-the-counter pain medications, such as acetaminophen or ibuprofen, can alleviate pain if necessary.
Protective padding: You can use cushioned bandages or moleskin padding to protect the affected toe to prevent further irritation.
Professional treatment: Sometimes, a foot specialist may need to drain the blood from under the nail to relieve pressure and facilitate healing.
Paint your nails: If aesthetics are a primary concern, you can cover the nail with nail polish to hide the visible signs of a black toenail. Just first make sure you don't have any exposed skin or abrasions, as this can then lead to infection.
Prevention tips for black toenails
Prevention for black toenails hones in on proper nail care and hygiene and investing in the proper footwear:
Invest in your footwear: Ensure that your shoes fit well and provide enough room for your toes to move freely. Avoid tight or narrow shoes that can cause pressure on the toenails. Investing in the proper footwear also means having specific footwear for each purpose - for instance, at work, casually, or while playing a sport.
Protect your feet: If you engage in activities that pose a higher risk of a toe injury, such as sports or heavy lifting, consider wearing protective footwear or toe guards.
Trim your toenails: Trim your toenails straight and avoid cutting them too short to prevent trauma or ingrown nails. For more tips on how to cut your toenails, read our nail trimming guide. Further, use toenail clippers for your toenails, not fingernail clippers.
Maintain good foot hygiene and habits: Keep your feet clean and dry to minimize the risk of fungal infections affecting the nails.
Regular inspections: Regularly examine your feet and nails for any signs of damage or discolouration. Promptly address any issues to prevent further complications.
If the black toenail is accompanied by severe pain, signs of infection (such as redness, swelling, or discharge), or if it doesn't improve within a few weeks, it's advisable to consult a healthcare professional. They can assess the condition, provide appropriate treatment, and ensure no underlying issues require further attention.
June 19, 2023
Toenails serve a critical role in the health of our feet. They are are sensory organs that act like a shield, providing a critical layer of protection. The various parts of the toenail comprise toenail anatomy. These parts work together to protect the underlying tissues of the toe and aid in walking and other activities.
Toenails may look like a singular unit, they're actually pretty complex. In this blog post, we'll dive into the structure and functions of the different parts of our toenail anatomy, providing a deeper understanding of this often-overlooked aspect of foot health.
Nail plate
The nail plate is the hard part of the nail and is comprised of a tough protective protein called alpha-keratin. Keratin adds strength and durability to the nail. The nail plate grows out from the nail matrix. It is translucent, and its colour can vary from white to yellowish-brown, depending on the thickness and the presence of underlying tissues. The end of the nail plate is part of the nail you trim away when clipping your toenails.
Nail bed
The nail bed is the skin under the nail. It nourishes and supports the nail. The nail bed is composed of blood vessels, nerves, and cells called melanocytes, all of which combine to produce the pigment that gives the nail its colour. When the nail bed is damaged, you may notice your toenail appears to change colour. For instance, your nail bed may produce a purple/darkish colour known as a black toenail, which occurs when the nail bed is damaged and pools blood.
Nail matrix
Did you know it takes roughly 18 months for a toenail to grow its entire length? This is thanks to the nail matrix, which helps dictate toenail growth. The nail matrix is the part of the nail bed that produces new nail cells. It is at the base of the nail plate, just beneath the cuticle. The nail matrix contains specialized cells called keratinocytes, which produce the protein that forms the nail plate.
Lunula
The lunula is the crescent-shaped white area at the base of the nail plate. It's the actively-growing component of the nail. The lunula is sometimes called the "half-moon" of the nail due to its curvature and half-ringed shape.
Cuticle
The cuticle is the thin skin layer covering the nail plate's base. It protects new nails from bacteria when they grow from the root, and also helps to keep the nail plate hydrated.
Nail folds
The nail folds are the skin folds surrounding the sides and base of the nail plate. They help to anchor the nail plate in place and provide support and protection to the surrounding tissues. Nail folds direct the nail growth in the correct direction and shape. When the nail folds are damaged, you may experience horizontal grooves across the nail, known as Beau's lines.
Nail groove
The nail groove separates the nail plate and the nail fold. It helps to direct water and debris away from the nail bed.