As we age, it’s common for our toenails to change. Sometimes they get thicker, a condition called onychauxis. Thickened toenails can be uncomfortable and even make it hard to do everyday things.
One way to manage thickened toenails is through a process called debridement. That means filing or thinning the nail to take some of the pressure off and make it look better.
This article will give you an overview of what debriding toenails involves, what the benefits are, and what other options you have to manage thickened toenails.
What are Thickened Toenails (Onychauxis)?
Thickened toenails are also known as onychauxis. This is the medical term that describes an abnormal increase in the thickness of a toenail.
Thickened toenails are often yellowed or discolored, and they may become brittle or difficult to trim.
What causes thickened toenails?
Pressure or trauma to the nail bed can cause thickening. This can happen from stubbing your toe or wearing shoes that don’t fit properly.
But thickening can also result from fungal infections, aging, or medical conditions such as psoriasis.
Debridement: A conservative treatment option
If you have thickened toenails, debridement may be a good option for you. Debridement means filing or grinding down the thickened nail. You can have a podiatrist perform this, or you can do it at home.
You can use emery boards or electric nail files to do debridement yourself. Of course, podiatrists have professional-grade tools they can use if you see them for the procedure.
Benefits of debridement
- Debridement can reduce pressure and pain by thinning the nail and relieving discomfort caused by shoes.
- It can improve the appearance of the nail, making it look more attractive.
- If you have a fungal infection, debridement can make it easier to apply topical medication.
Limitations of debridement
Keep in mind that debridement isn’t a cure. The thickening often returns, and you’ll need to do it regularly to maintain the results.
Other treatment and management options
Professional podiatric care
It’s always a good idea to see a podiatrist for any foot or toenail issues. A podiatrist can properly diagnose your condition and recommend the best treatment. They can also perform professional debridement.
Permanent nail removal
If the nail is causing severe pain or discomfort, you and your doctor might consider total nail removal. This procedure involves a local anesthetic and the application of phenol.
Topical and oral medications
If a fungal infection is present, your doctor may prescribe antifungal medications. These can be topical medications applied directly to the nail or oral medications for more severe infections.
Frequently Asked Questions
How often does Medicare pay for nail debridement?
Medicare coverage for nail debridement varies, but generally, it’s covered when medically necessary and performed by a qualified professional. The frequency depends on the severity of the condition and your individual needs, as determined by your doctor. It’s best to check with Medicare or your provider for specific coverage details.
How do you get rid of buildup under your toenails?
Regular cleaning is key. Soak your feet in warm, soapy water, then gently use a soft brush or a specialized nail cleaner to remove debris from under the nails. Be careful not to dig too deep, as this can cause injury or infection.
Does hydrogen peroxide get rid of toenail fungus?
Hydrogen peroxide may have some antifungal properties, but it’s not generally considered an effective treatment for toenail fungus on its own. It might help to clean and disinfect the area, but it’s best to consult a doctor for appropriate antifungal treatments.
How to do debridement at home?
While some basic nail care can be done at home, debridement, especially for thickened or fungal nails, is best left to a professional. Attempting to debride your own nails can lead to injury or infection. Simple trimming and filing are fine, but avoid aggressive cutting or scraping.
How do you debride toenails?
Debriding toenails involves removing thickened, damaged, or infected portions of the nail. Professionals use specialized tools to carefully trim, file, and thin the nail plate. This process helps to alleviate pressure, promote healing, and improve the effectiveness of topical treatments. It’s a precise procedure that requires training and experience.
Putting It All Together
Taking care of your toenails is important. You can do this yourself or get regular pedicures from a professional.
To prevent your toenails from getting thick in the first place, make sure you’re wearing shoes that fit well and try to avoid banging or otherwise hurting your toes. Pay attention to how your activities affect your feet, and take breaks when necessary.
If you’ve tried these steps and your toenails are still thick or painful, talk to a podiatrist or other health professional. Early intervention can prevent more serious problems from developing.