Losing a toenail can happen to anyone, but it’s especially common among athletes, hikers, and people who are very active. It can happen for many reasons, from a minor stubbing injury to a more serious traumatic event.
For centuries, people have used Epsom salts to help ease sore muscles and speed up the healing process. But can an Epsom salt soak help if you’re dealing with a toenail falling off?
This article will give you a better understanding of why toenails fall off, how Epsom salts might help, and when it’s time to see a doctor.
Causes of toenail trauma
Toenails fall off when they’ve been injured. How do toenails get injured?
Common causes of toenail trauma
- Repetitive trauma. Activities like running, hiking, and even just walking can cause small injuries to the toenails over time. “Runner’s toe” is a common result of the repeated impact of a toe hitting the end of a running shoe.
- Acute injuries. Stubbing your toe, dropping something on your foot, or other sudden injuries can cause a lot of damage to the nail.
- Improper footwear. Shoes that don’t fit well can cause problems. Shoes that are too tight cause pressure and friction, while shoes that are too loose cause your foot to slide forward and hit the front of the shoe.
Types of toenail injuries
- Subungual hematoma. This is blood that pools under the nail.
- Toenail avulsion. This is when the toenail separates from the nail bed, either partially or completely.
- Lacerations. Cuts to the nail bed and the skin around the nail. These can be serious and usually need medical attention.
Epsom Salt Soaks: Benefits and How to Soak
Epsom salt soaks are a traditional remedy that can help with a variety of foot issues, including a toenail that’s falling off, or you can consider other natural remedies like a Long Creek Herbs nail fungus soak.
Benefits of Epsom Salt Soaks
- Reducing inflammation: Epsom salts are magnesium sulfate, and magnesium is known to have anti-inflammatory benefits.
- Soothing pain: Warm water is known to relax muscles and ease pain, and soaking sore feet in warm water with Epsom salts can be especially soothing.
- Softening skin: Epsom salts can also soften the skin, making it easier to trim and clean around the affected toenail.
How to Perform an Epsom Salt Soak
- Preparation: Fill a tub or basin with warm water (not too hot!). Add Epsom salts. Aim for about 1 to 2 cups of Epsom salts per gallon of water.
- Soaking duration: Soak your foot for 15 to 20 minutes. You can repeat this 2 to 3 times per day.
- Post-soak care: When you’re done soaking, gently pat your foot dry with a clean towel. If needed, apply a clean bandage to protect the area.
What to do when a toenail is loose or falling off
If you’re dealing with a loose or detached toenail, here’s how to manage it at home:
Initial care
- Clean the area. Gently wash the affected area with mild soap and water. Keeping the area clean helps prevent infection.
- Trim loose nail. Carefully trim away any loose or detached portions of the toenail.
- Apply antibiotic ointment. Put a topical antibiotic ointment on the area to prevent infection, or research the potential benefits of Manuka oil for toenail fungus. You might also consider an antifungal cream or explore other DIY treatments, such as lemon juice for nail fungus.
Protecting the area
- Bandage. Use bandages to protect the area from further injury and contamination.
- Choose footwear carefully. Wear comfortable, well-ventilated shoes that don’t put pressure on the toe. Shoes with plenty of room in the toe box are best.
- Avoid activities that aggravate the injury. It’s a good idea to avoid activities that put stress on the toe until it has healed.
Monitor for infection
Keep an eye out for signs of infection, such as redness, swelling, pus, or increased pain.
It’s important to seek medical attention if you notice any of these signs.
If you’re experiencing pain, redness, or other signs of infection, it’s best to see a doctor for evaluation and treatment.
When to seek professional medical attention
While you can often manage a partially detached toenail at home, it’s important to know when to see a doctor. You should seek professional medical attention in the following situations:
- Severe pain: If the pain is intense and doesn’t get better with over-the-counter pain relievers, see a doctor.
- Signs of infection: Redness, swelling, pus, or fever are all signs of infection and require immediate medical attention.
- Significant bleeding: It’s normal to have some blood, but if more than half of the nail area is bleeding and it’s difficult to stop, you should see a doctor.
- Complete avulsion: If the toenail has completely detached, it’s best to have a professional examine it.
- Underlying health conditions: People with diabetes or other health problems that affect healing should seek medical attention for any toenail injury, even if it seems minor.
Preventing toenail loss
It’s no fun to lose a toenail. Fortunately, there are several things you can do to help prevent it from happening.
Proper footwear
Make sure your shoes fit correctly, with plenty of room in the toe box. The front of your shoe should be at least a thumb’s width from the end of your longest toe.
Choose socks that are the right thickness to prevent too much friction and pressure on your toes. When you’re trying on new hiking boots, wear the same socks you plan to wear on the trail. That will give you a more accurate idea of how the boots will feel.
Nail care
Trim your toenails regularly, cutting them straight across. Don’t cut them too short or round the corners, as this can lead to ingrown toenails.
Try to avoid stubbing your toes or dropping heavy objects on your feet. I know, easier said than done! But being mindful of your feet can prevent a lot of trauma.
Specific prevention for hikers
If you’re a hiker, use lacing techniques like the heel lock or surgeon’s knot to keep your foot from sliding forward in your shoe. These techniques can help create a more secure fit and reduce pressure on your toes.
Before you hit the trail, take care of your feet by trimming your nails and applying a foot balm to prevent blisters. Pack a first-aid kit with blister treatment, antiseptic wipes, and bandages, just in case.
Frequently Asked Questions
How do you save a toenail from lifting?
If your toenail is lifting but still attached, gently clean the area with soap and water. You can try to keep it in place with a bandage and consider applying an antiseptic ointment. Avoid activities that put pressure on the nail. If it’s severely detached or painful, see a doctor.
How do you know if your nail bed is permanently damaged?
Signs of permanent nail bed damage include significant scarring, irregular nail growth (thickening, ridges, or discoloration), or complete lack of nail regrowth after a prolonged period. A podiatrist can assess the extent of the damage and discuss treatment options.
Who should not soak in Epsom salt?
People with diabetes, open wounds, skin infections, or severe circulatory problems should avoid Epsom salt soaks. If you have kidney problems or are pregnant, consult your doctor before using Epsom salt.
What happens if you don’t rinse off after an Epsom salt bath?
Leaving Epsom salt residue on your skin can cause dryness or irritation. It’s best to rinse off with clean water after soaking and gently pat your skin dry. You can then apply a moisturizer if desired.
What to do after a toenail falls off?
Keep the area clean and dry. Wash gently with soap and water daily and apply an antiseptic ointment. Cover with a bandage to protect it from infection and further injury. Avoid wearing tight shoes. If you notice signs of infection (increased pain, redness, swelling, or pus), consult a doctor promptly.
Key Takeaways
Toenails can fall off due to injury, infection, or other medical conditions. Epsom salt soaks can ease the pain and swelling while you’re waiting for it to heal. Proper foot care and early intervention can prevent future problems, but if you’re concerned about the cause of the problem or the condition of your toe, it’s best to see a doctor.