As blood builds up under your nail, it may separate from your nail bed. It can take several weeks for your toenail to completely fall off. Contact your doctor if the subungual hematoma covers more than a quarter of your toenail. If you feel throbbing or intense pain near the hematoma, your doctor can use a heated needle or wire to make a small hole in your toenail to relieve the pressure. Depending on which toenail fell off, it can take anywhere from six months to two years for the nail to completely grow back.
Make sure to closely trim the rest of your toenails and wear well-fitting shoes to prevent any future injuries. Symptoms of a fungal toenail infection include:. Diabetes also increases your risk of a fungal infection in your toenail due to poor circulation in your feet. As you age, your nails become dry. This can also make them more likely to crack, allowing fungus to enter your nail bed. Fungal toenail infections can be hard to treat, depending on how severe the infection is.
In mild cases, the infection will usually clear up on its own. Treating fungal toenail infections usually involves oral or topical antifungal medications. Depending on the severity of your infection, your doctor may prescribe both. Oral antifungal drugs are usually much more effective than over-the-counter topical treatments.
They also reduce the risk of your new toenail getting infected as well. You may need to take medication for up to 12 weeks. Oral antifungal medications can produce many side effects, so tell your doctor about any unusual symptoms you have while taking them, such as a rash or fever. You can also try home remedies to treat a fungal toenail infection. In rare cases, you may need surgery to permanently remove the affected toenail. Psoriasis is an autoimmune condition that causes the skin cells to build up.
While it often appears on the skin, it can affect the toenails as well. However, sometimes the buildup of skin cells in your nail bed can cause your toenail to fall off. Try to avoid removing extra skin under your nail with a sharp object, which can make your toenail more likely to detach. Instead, soak your feet in warm water and smooth the edges of your remaining toenail with a file.
As disturbing as it may be to realize your big toenail falling off, it is not entirely uncommon and is easily treated both before and after the big toenail falls off. A New Hampshire podiatrist at Nagy Footcare, we help our patients to preserve and protect their toenails so that they are able to lead healthy and active lives. Our toenails help to protect our toes from heavy impacts and other injuries.
However, toenails are prone to injury themselves and may fall off as a result. The technical medical term for toenail loss is onychoptosis, which translates to a separation of the toenail from the nailbed.
There are two primary causes for toenail loss, fungus, and injury. Toenail fungus , a fungal infection caused by dermatophytes, is the most common reason that a toenail will fall off. Dermatophytes feed on the keratin found in the skin and nails and thrive in warm, moist environments. The development of toenail fungus can make the nails very brittle which makes them more likely to crack or chip. The fungal growth can also grow between the nail and the nailbed leading to a separation of the toenail, leading to eventual loss.
Injury is the second most common cause of toenail loss. Toenails are more commonly affected than fingernails, and symptoms include cracked, yellow, discoloured, streaked, thickened, or spotted nails. Skin conditions, such as psoriasis. Chemicals, such as acetone nail polish removers or some soaps.
Medicines, such as chemotherapy or antimalarial medicines. Severe illnesses. How is it treated? File any sharp edges smooth, or trim the nail. This will help prevent catching the nail and tearing it more. Trim off the detached part of a large tear, or leave the nail alone. Cover the nail with tape or an adhesive bandage until the nail has grown out enough to protect the finger or toe.
If you trim off the detached nail, you will have less worry about the nail catching and tearing. If you leave the detached nail in place, it will eventually fall off when the new nail grows in. Use scissors to remove the detached part of the nail if the nail is partly attached. Soak your finger or toe in cold water for 20 minutes after trimming the nail.
Apply a thin layer of petroleum jelly, such as Vaseline, and cover the area with a non-stick bandage. To prevent infection: Soak your foot or hand in a solution of 5 g 1 tsp of salt dissolved in 1 L 4 cups warm water for 20 minutes, 2 or 3 times each day, for the next 3 days.
Reapply petroleum jelly, and cover with a fresh adhesive bandage. Keep the nail bed dry, clean, and covered with petroleum jelly and an adhesive bandage until the nail bed is firm or the nail has grown back. Apply a new adhesive bandage whenever the bandage gets wet.
Watch for signs of infection such as increasing heat, redness, pain, tenderness, swelling, or pus.
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