If your nail suddenly starts to turn green, you may be experiencing green nail syndrome, also known as chloronychia. It’s caused by a common bacterium called Pseudomonas aeruginosa that can thrive in moist environments.
So, is green nail syndrome dangerous? Fortunately, it’s usually not a life-threatening condition. However, it’s not something you should ignore. It’s important to address it and manage it properly to prevent it from getting worse or spreading.
In this article, we’ll explore the causes of green nail syndrome, what symptoms to look for, how it’s treated, and most importantly, how to prevent it. We’ll also discuss potential complications if it’s left untreated.
What is Green Nail Syndrome?
Green nail syndrome, also called chloronychia, is a bacterial infection that causes a nail to turn green. It’s not pretty, but is green nail syndrome dangerous?
The color can vary. You might see greenish-black or even yellowish-brown. It’s important to know that the color isn’t always the same shade of green.
The Culprit: Pseudomonas Aeruginosa
The most common cause of green nail syndrome is a bacterium called Pseudomonas aeruginosa. This germ loves moist places, so it’s often found in sinks, tubs, and even under fingernails.
The green color comes from pyocyanin, a blue-green pigment that the bacteria makes. It’s this pigment that stains the nail and gives the infection its distinctive look.
What causes green nail syndrome?
Green nail syndrome is usually caused by a bacterial infection. The bacteria Pseudomonas aeruginosa thrives in damp environments. Here’s a closer look at the causes and risk factors for green nail syndrome.
Moisture and Maceration
One of the biggest risk factors for green nail syndrome is being exposed to moisture for long periods of time. This is because moisture creates an environment that’s ideal for bacteria to grow.
When your skin or nails are exposed to moisture for too long, they can start to soften and break down. This process is called maceration. It makes it easier for bacteria to get a foothold.
Nail Trauma and Separation (Onycholysis)
If your nail separates from the nail bed, it creates a space where bacteria can settle in and multiply. This separation is called onycholysis, and it can happen if you injure your nail.
Other nail conditions, like compulsive nail picking (onychotillomania) or ingrown nails (onychocryptosis), can also raise your risk of green nail syndrome.
Other Risk Factors
Some additional risk factors include:
- Chronic paronychia, which is inflammation of the skin folds around your nails
- Regular contact with harsh chemicals and detergents
- Existing nail disorders
- Dip powder manicures, especially if the nail isn’t prepped correctly
What are the symptoms of green nail syndrome?
Often, the first sign of green nail syndrome is a green spot on one or more nails.
Other things you might notice are:
- Greenish discoloration of the nail plate. The color can be pale or dark.
- The nail separating from the nail bed (called onycholysis).
- Skin around the nail inflamed or swollen (called paronychia).
How is green nail syndrome diagnosed?
Usually, healthcare professionals can diagnose green nail syndrome just by seeing the green color on your nail.
Sometimes, they may take a sample from under your nail to test it and be sure Pseudomonas aeruginosa is present and that nothing else is going on.
Treatment options for green nail syndrome
There are several ways to treat green nail syndrome. Remember to consult with a healthcare professional before starting any new treatment.
Topical treatments
Topical treatments, such as using Dr. Hauschka Neem Nail & Cuticle Oil, involve applying medication directly to the affected nail.
- Antiseptics: Chlorhexidine, sodium hypochlorite, acetic acid (vinegar), and octenidine can help kill bacteria on the nail surface.
- Topical antibiotics: A doctor may prescribe these in mild cases. It’s very important to use the medication exactly as directed.
- Dr. G’s Clear Nail or similar products: These products, including options like the Dr. Hauschka Neem Nail & Cuticle Pen, may help keep the nail healthy and kill the bacteria.
Oral medications
Oral medications are taken by mouth and circulate throughout the body.
- Systemic antibiotics: Quinolones, aminoglycosides, cephalosporins, carbapenems, and some penicillins are typically used for severe cases or when topical treatments don’t work. You must complete the full course of antibiotics, even if your symptoms improve.
Other interventions
In some cases, other interventions may be necessary.
- Nail trimming: Trimming the affected part of the nail can help remove the infected area.
- Partial or complete nail removal: In severe cases, a doctor may recommend removing part or all of the nail.
- Debridement: Filing or buffing off the green discoloration can also help.
Preventing green nail syndrome
The most effective way to deal with green nail syndrome is to prevent it from happening in the first place.
Proper hand hygiene
It’s always a good idea to wash your hands regularly with soap, but for those prone to green nail syndrome, proper handwashing is essential.
Be sure to teach children the importance of washing their hands, especially after being in places where they could have come into contact with bacteria.
Be sure your nails are completely dry after washing.
Avoiding moisture
Too much exposure to water can create an environment that’s friendly to bacteria. Wear gloves when you’re washing dishes, gardening, or working with chemicals. Cotton-lined latex gloves are a good choice.
Nail care practices
Keep your nails short and well-trimmed to help prevent bacteria from taking hold.
Avoid injuring your nails. Trauma can make it easier for infection to start.
If you like artificial nails or dip powder, be sure to prepare your nails properly before you apply them. When applying dip powder, use a scooper rather than dipping your finger directly into the powder. This will help prevent contamination.
Be sure to discard any excess dip powder. If your artificial nails start to lift, take care of the problem quickly.
Disinfection
If you do your own manicures and pedicures, be sure to disinfect your nail tools regularly. Rubbing alcohol or a diluted bleach solution are good choices.
Green Nail Syndrome and Dip Powder Manicures
If you love dip powder manicures, you need to know this. The dip powder itself doesn’t cause green nail syndrome, but it can create a breeding ground for the bacteria if you’re not careful.
Here’s how it happens: When moisture gets trapped under the dip powder, it can lead to bacterial growth. That’s why proper nail preparation is key.
Before you even think about dipping, make sure your nails are squeaky clean and bone dry. Remove those invisible cuticles, too! And if you notice any lifting, address it ASAP to prevent moisture from sneaking in.
Frequently Asked Questions
What happens if greenies go untreated?
“Greenies,” or Green Nail Syndrome, can lead to further nail damage if left untreated. The infection can spread and potentially cause the nail to thicken, become deformed, or even detach from the nail bed in severe cases. Prolonged neglect may also increase the risk of secondary infections.
What happens if you don’t treat green nail?
Ignoring Green Nail Syndrome allows the bacterial infection to persist and worsen. You might experience increasing discoloration, brittleness of the nail, and discomfort. In rare cases, the infection could spread to surrounding tissues. So, best to nip it in the bud!
Can I still get my nails done with a greenie?
Absolutely not! Getting your nails done with a Green Nail Syndrome infection is a big no-no. It can spread the infection to other nails and potentially contaminate the tools used, putting others at risk. It’s best to wait until the infection is completely cleared before any nail enhancements.
How do you get rid of green nails ASAP?
To tackle Green Nail Syndrome quickly, keep the affected area dry and clean. Over-the-counter antifungal treatments can help, but it’s often wise to consult a doctor for prescription-strength options or advice, especially if the infection is severe. Removing artificial nails or enhancements is crucial for treatment.
How long does it take for green nail fungus to go away?
The time it takes for Green Nail Syndrome to clear up varies depending on the severity of the infection and the treatment method used. It can take anywhere from a few weeks to several months for the nail to fully recover and the discoloration to disappear. Patience and consistency with treatment are key!
Final Thoughts
Green nail syndrome isn’t usually life-threatening, but it’s not something you should ignore. Getting treatment right away is important to keep the infection from getting worse.
The best way to deal with green nails is to practice good hygiene, keep your hands and feet dry, and see a doctor if you notice any changes to your nails.
If you think you might have green nail syndrome, talk to your doctor about diagnosis and treatment options.