Discovering your toenail is lifted but still attached can be alarming and uncomfortable. You might be wondering what caused it and what you should do. This article will help explain the common causes, how to treat the condition at home, and ways to prevent it from happening again.
The medical term for a nail that’s lifting away from the nail bed is onycholysis. While onycholysis can affect fingernails, it’s also commonly seen in toenails. So, if you’re dealing with a partially detached toenail, you’re not alone.
Understanding onycholysis
Onycholysis, one of many nail disorders, is the medical term for when your toenail separates from the nail bed. It can happen at the tip of the nail, or it can happen where the nail grows out from your toe.
If you have onycholysis, your nail may look white or yellowish. This is because air gets trapped under the lifted part of the nail.
Symptoms of nail lifting
The main symptom is that you can see the nail separating from the nail bed. You may also have symptoms like:
- Changes in nail color (white, yellow, or even green) could be a sign of infection, a hematoma, melanoma, or fungus.
- Thickening of the nail
- Nail that crumbles or breaks easily
Why is my toenail lifting?
When a toenail starts to lift up but is still attached, it’s often a sign that something’s irritating or injuring your nail. The most common causes are:
Trauma
Trauma to the toe can be either repetitive or sudden.
- Repetitive trauma can happen when you wear shoes that don’t fit properly. Shoes that are too tight, especially at the toe, cause pressure and friction that can damage the toenail over time. Running, hiking, and other activities that put a lot of stress on your feet can also cause this type of injury.
- Acute trauma is when you stub your toe or drop something heavy on your foot.
Fungal infections
Onychomycosis, or toenail fungus, is a common infection that can weaken the nail and cause it to lift away from the nail bed.
Other contributing factors
Less common causes of a lifted toenail include:
- Skin conditions like psoriasis or lichen planus
- Systemic diseases like thyroid disorders or diabetes
- Certain medications, including some antibiotics, chemotherapy drugs, and NSAIDs
- Exposure to harsh chemicals, such as the ones in some nail polish removers or acrylic nails
Treatment Options if your toenail is lifted but still attached
If your toenail is lifted but still attached, here are some things you can do to help it heal.
Find the cause
If you have an infection, such as a fungus under your toenail, treating the infection will help the nail heal. Similarly, if you have a systemic disease, such as diabetes or a thyroid condition, managing those conditions will support your toenail health. Sometimes, medications can cause toenails to lift. If you think a medication might be causing the problem, talk with your doctor.
Nail care
Keep the nail clean and dry to avoid infection. Carefully trim away the lifted portion of the nail. You can also use a topical antiseptic to further prevent infection.
When to see a podiatrist
It’s important to see a podiatrist for an evaluation if you don’t know what’s causing the problem or if your toenail doesn’t improve with home care. Also, be sure to see a podiatrist if you have signs of an infection, such as redness, pus, or pain.
Prevention Strategies
The best way to deal with a lifted toenail is to avoid getting one in the first place. Here are some ways to prevent toenail injuries and infections:
- Proper Footwear: Make sure your shoes fit well and give your toes plenty of room. Avoid shoes that are too tight, as these can put extra pressure on your toenails.
- Foot Hygiene: Keep your feet clean and dry, and always trim your toenails straight across. Also, don’t share nail clippers or files with others.
- Protect Your Feet: Wear shower shoes or flip-flops in public places like swimming pools and locker rooms to avoid catching a fungal infection.
- Avoid Harsh Chemicals: Try not to expose your toenails to harsh chemicals, like nail polish remover.
Frequently Asked Questions
When would a podiatrist remove a toenail?
A podiatrist might remove a toenail if it’s severely damaged, infected, causing significant pain, or if conservative treatments for conditions like onychomycosis (fungal infection) haven’t been successful. They’ll also consider removal if the nail is chronically ingrown or causing recurrent problems.
What happens if onycholysis is left untreated?
Onycholysis, the separation of the nail from the nail bed, can lead to further complications if left untreated. The gap between the nail and nail bed creates a perfect environment for bacteria and fungi to thrive, potentially leading to an infection and further damage that may require you to fix a damaged toenail bed. Also, the detached nail is more vulnerable to injury.
Should you soak a lifted toenail?
Soaking a lifted toenail is generally discouraged, especially if there’s any sign of infection. The moisture can further encourage bacterial or fungal growth. Keeping the area clean and dry is usually the best approach. If you do soak it, ensure you thoroughly dry it afterwards.
What do you do if your toenail is lifted but still attached?
If your toenail is lifted but still attached, gently clean the area with mild soap and water. Apply an antiseptic ointment and cover it with a bandage to protect it from further injury. Avoid picking at it. Monitor for signs of infection (redness, swelling, pus) and see a podiatrist if you’re concerned.
What does a lifted toenail look like?
A lifted toenail typically appears partially detached from the nail bed. You’ll notice a separation, often starting at the tip or sides of the nail. The detached portion may look white or yellowish, and there might be a gap underneath the nail where debris can accumulate.
In Summary
It’s important to figure out why your toenail lifted. Onycholysis can be a symptom of a bigger problem you might not know about.
Treating a lifted toenail starts with keeping your feet clean and dry. It’s also important to wear shoes that fit well and protect your toes.
If your toenail doesn’t heal, or if you think you have an infection, see a podiatrist right away. The sooner you get help, the less likely you are to have problems.