Let’s face it: nobody wants ugly toenails. Many people feel self-conscious about showing their feet because they’re embarrassed by the appearance of their toenails.
What many people may not realize is that “ugly” toenails can be the result of a number of different issues. Fungal infections are a common culprit, but trauma to the nail or other underlying health conditions can also change the way your toenails look.
If you’re concerned about the appearance of your toenails, it’s important to get a proper diagnosis and start treatment as soon as possible. Addressing the problem early can save you time, money, and a whole lot of frustration. Here’s how to fix ugly toenails.
What causes ugly toenails?
There are many reasons your toenails may not look their best. Here are some of the most common:
Fungal Infections (Onychomycosis)
Fungal infections are a very common cause of toenail problems. Onychomycosis, a fungal infection of the toenails, affects an estimated 35 million people in the United States.
Fungi are opportunists that thrive in warm, moist environments. They can enter your toenails through small cuts or abrasions.
Here are some common symptoms of fungal infections:
- Yellowing
- Thickening
- Crumbling
- Splitting of the nails
Toenail Trauma
Trauma can also damage toenails. Microtrauma, especially repetitive pressure, can contribute to toenail problems and allow fungus to penetrate. For example, runners often experience toenail issues due to the repetitive trauma of their sport.
Ill-fitting shoes can also cause trauma and increase the risk of infection. Shoes that are too tight can cause trauma to the nail bed and surrounding tissue.
Other Potential Causes
Nail dystrophy and psoriasis are alternative conditions to consider if a biopsy rules out fungus. Talk to your doctor to learn more.
Risk factors and how fungal infections spread
Unfortunately, some of us are more prone to developing fungal toenail infections than others. Risk factors include:
- Older age
- Regular use of public pools
- Sharing nail clippers or files
- Wearing tight-fitting shoes
- Sweaty feet
- Smoking
- Getting pedicures
- Having athlete’s foot
- Previous nail injuries
- Certain chronic conditions like psoriasis, diabetes, or poor circulation
Fungi love warm, moist environments and can sneak in through tiny cuts or abrasions on your toes or feet. Nail salons can also be a breeding ground for infection if they don’t maintain strict hygiene practices.
That’s why good hygiene, smart footwear choices, and preventive measures are super important for keeping your toenails healthy and fungus-free!
Diagnosing the problem: Is it really fungus?
Before you start any treatment, it’s really important to know what’s causing your ugly toenails. Not all discolored or misshapen nails are due to fungus!
The best way to get a diagnosis is to see a doctor. Your doctor, ideally a podiatrist, will examine your toenails. They may also take a nail biopsy to confirm whether you have a fungal infection or if something else is going on.
Don’t try to diagnose yourself! It’s easy to misdiagnose the problem and waste time and money on the wrong treatment.
Treatment options for toenail fungus
If your toenails are thick, discolored, or otherwise unsightly due to a fungal infection, you might be wondering how to get rid of it.
Here are some of the options your podiatrist may discuss with you:
Topical treatments
You can treat a fungal infection with topical antifungal medications like Tolcylen. However, these treatments take a long time to work. You’ll probably need to apply the medication every day for 12 to 18 months.
Oral medications
Oral antifungal medications like Lamisil clear up fungal infections more quickly than topical treatments. You’ll likely need to take the medication for 6 to 12 weeks.
Keep in mind that oral medications can have side effects. Your doctor will likely want to run blood tests to check your liver function before prescribing an oral antifungal. Also, fungal infections tend to come back, even after you’ve taken oral medications.
Laser treatment
Laser treatment is a painless, FDA-approved way to treat fungal infections. With laser treatment, you’ll likely see new, clear nail growth pretty quickly, and there are typically few side effects.
Nail removal
In severe cases, you may need to have the entire nail removed.
Prevention and foot care tips
The best way to fix ugly toenails is to avoid getting them in the first place. Here’s how to implement a toenail prevention program:
- Practice good foot hygiene.
- Inspect your feet and toes regularly.
- Wear shower shoes in public places.
- Clip your toenails straight across.
- Use a quality foot powder.
- Avoid shoes and socks that are too tight.
- Disinfect your pedicure tools at home.
- Don’t apply polish to infected nails.
Frequently Asked Questions
What do unhealthy toenails look like?
Unhealthy toenails can manifest in various ways. Keep an eye out for discoloration (yellowing, browning, or white spots), thickening, brittleness, ridges, or changes in shape. You might also notice the nail separating from the nail bed, or even an unpleasant odor. These symptoms could indicate fungal infections, injuries, or other underlying health issues.
How can I reshape my toenails?
You can gently reshape your toenails using nail clippers and a file. Clip them straight across to prevent ingrown toenails. Use a file to smooth any rough edges and round the corners slightly. Avoid cutting too short, as this can increase the risk of infection. If you’re unsure, consult a podiatrist for guidance.
What does vinegar do to toenails?
Vinegar, particularly white vinegar or apple cider vinegar, is sometimes used as a home remedy for toenail fungus due to its antifungal properties, but there are other foot soak solutions that actually help. Soaking your feet in a vinegar solution might help inhibit fungal growth. However, it’s not a proven cure and results can vary. Always dilute vinegar with water to avoid skin irritation.
Why do my toenails look so ugly?
There are several reasons why your toenails might not look their best. Fungal infections are a common culprit, causing discoloration and thickening. Trauma to the nail, poor hygiene, and underlying health conditions can also contribute. Identifying the cause is key to finding the right solution.
How to make ugly toenails look better?
Even if you’re dealing with less-than-perfect toenails, there are ways to improve their appearance. Keep them clean and trimmed, address any underlying fungal infections, and consider using nail polish to conceal discoloration (but allow the nail to breathe occasionally). Proper foot hygiene and addressing any medical conditions are crucial for long-term improvement.
Final Thoughts
If your toenails look unhealthy, it’s important to get professional medical advice to diagnose the problem and get the right treatment. Treating nail problems early can help limit damage and save you money in the long run.
Taking care of your feet and practicing good hygiene can help keep your toenails healthy. Don’t share personal items like nail clippers or files. Taking responsibility for your foot health is an important part of overall wellness.