Thickened toenails are a common complaint among older adults. Beyond just being unsightly, they can lead to discomfort and even limit mobility. Taking care of your feet becomes even more crucial as you age, and that includes properly managing thick toenails.
This guide will walk you through everything you need to know about cutting thick toenails in the elderly. We’ll cover the common causes, how to recognize the symptoms, the best and safest trimming techniques, and, most importantly, when it’s time to call in the professionals.
What causes thick toenails, and what are the symptoms?
Thick toenails are often a sign of an underlying condition. Here are some possible causes:
Underlying causes
- Toenail fungus (onychomycosis): This is a common fungal infection that causes toenails to thicken and become discolored. It can also cause pain. Fungal infections can be hard to treat and may require treatment over an extended period.
- Aging and reduced circulation: As we get older, our nails tend to grow more slowly and thicken. Poor circulation can also affect nail health.
- Other factors: Psoriasis, injuries, and wearing shoes that are too tight can also lead to thickened toenails.
Recognizing the symptoms
Here are the symptoms of thick toenails:
- Thickened nails that are difficult to cut
- Discoloration (yellowish, whitish, or brownish)
- Pain or pressure, especially when wearing shoes
- Brittleness or crumbling of the nail
Preparing to trim thick toenails
Before you get started, it’s important to take a few steps to prep the nails for trimming. Here’s how:
- Gather your supplies: You’ll want nail nippers designed for thick nails, an emery board or nail file, antiseptic solution, and a clean towel.
- Soften the toenails: Soak the feet in warm water for 5-10 minutes to soften the nails, or consider using a toenail softening cream. This makes trimming easier and helps prevent injury.
- Set up a comfortable environment: Make sure you have good lighting and a stable place to sit. A magnifying glass can also help you see better.
Step-by-Step Guide to Trimming Thick Toenails
Here’s a step-by-step guide for safely trimming thick toenails at home. If you have diabetes or poor circulation, it’s best to see a podiatrist instead of attempting to do this yourself.
- Disinfect your tools and feet. Use an antiseptic solution to thoroughly clean your nail nippers. Then, wash and dry your feet.
- Trim carefully. Starting from one corner, trim your toenails straight across in small sections. It is important to avoid rounding the edges, which can cause ingrown toenails. Cutting small sections at a time minimizes the risk of cracking or splitting the nail.
- File and smooth. Use an emery board to file down any sharp edges. To prevent weakening the nail, file in one direction.
- Take care of your feet afterward. Apply a moisturizing lotion to your feet. After that, watch for any signs of infection, such as redness, swelling, or pain.
When to seek professional help
Sometimes, taking care of your toenails at home isn’t the right choice, and debriding toenails might be necessary. It’s time to see a podiatrist if:
- You can’t safely trim your toenails because they’re too thick, or you have physical limitations.
- You notice signs of an infection, like redness, swelling, pus, or increased pain around the toenail.
- You have diabetes or poor circulation. People with these conditions should always seek professional foot care.
- Your thickened toenails don’t improve, even after trying home care.
Preventing Thick Toenails
While treating thick toenails can be tricky, prevention is key! Here are some tips to keep your toenails healthy and prevent them from thickening:
- Foot Hygiene: Wash and dry your feet thoroughly, especially between your toes. Use foot powder to keep moisture at bay.
- Proper Footwear: Wear shoes that fit well and give your toes plenty of room. Avoid pointy or tight shoes.
- Preventative Measures: Wear flip-flops in public locker rooms and gyms to avoid fungal infections. Disinfect your nail trimming tools regularly.
- Address Underlying Conditions: If you have diabetes or psoriasis, managing those conditions can help prevent nail problems.
Frequently Asked Questions
How to cut old people’s thick toenails
Cutting thick toenails on elderly individuals requires patience and care. Soak feet in warm water to soften nails, use specialized toenail clippers (like nippers), cut straight across to avoid ingrown toenails, and file down sharp edges. If you’re uncomfortable doing this, seek professional help from a podiatrist.
How long does it take for Vicks VapoRub to work on toenails?
Vicks VapoRub is sometimes used as a home remedy for toenail fungus, but its effectiveness varies. If it works, you might see improvement over several months (6-12). It’s not a guaranteed solution and professional medical treatment is often more effective.
Can seniors get their toenails cut for free?
Some senior centers or community organizations offer free or low-cost toenail trimming services. Contact your local Area Agency on Aging or senior services to inquire about available programs in your area.
Does hydrogen peroxide get rid of toenail fungus?
Hydrogen peroxide has antiseptic properties and may help kill some surface-level fungus, but it’s unlikely to completely eliminate a toenail fungus infection. It’s usually not a recommended treatment option.
How often will Medicare pay for a podiatrist to cut toenails?
Medicare typically doesn’t cover routine toenail trimming unless you have a specific medical condition (like diabetes, peripheral artery disease, or fungal infection) that makes it medically necessary. Check with your doctor and Medicare plan to confirm coverage guidelines.
In Conclusion
Proper toenail care is important for older adults. Taking care of your toenails helps keep you comfortable and mobile, and it improves your overall quality of life.
Check your feet and toenails regularly, and take care of them properly. If you do, you can avoid complications like ingrown toenails and infections.
If you have ongoing problems with your toenails, don’t hesitate to see a podiatrist or other medical provider for help. They can assess your situation and help you find the best way to care for your feet.