“Toenail problems?”
My toenail is crack from the base and seems lifted it’s all white there’s no pain just does not look good at all.. what could of caused this?
Female | 32 years old
Complaint duration: Noticed a week ago
Medications: None
Conditions: None
24 Answers
Hello, Thank you for your question. We you have to evaluate you and take foot x-rays if needed. Please call our office 973-817-9577 or on our portal drtotten.com for an appointment.
Thank you
Thank you
Going by your picture it looks like the trauma occurred, and now there is a superficial fungus or yeast infection. I would ask that you get a consult with a podiatrist for treatment options.
From the picture, it appears you have a fungus in that section of the toenail. It weakened the toenail and caused the crack and part of the toenail to come off.
It's best to be evaluated by a specialist
Based on the photo it is possible that you sustained an injury to the toenail several months previously which caused a small hematoma at the base of the nail. The toenail continues to grow forward and the damaged area will grow forward for the next 4-6 months.
Fungal infection, psoriasis, trauma and poorly fitting shoes are the most common causes. A podiatrist can help you determine which one is the cause for your nail.
I would recommend nail biopsy to evaluate the disease within the nail itself. And also seek professional care
This looks like a classic case of a fungus nail. The nail looks like it may have been traumatized in some way or possibly a result of a constrictive shoe, which could affect the nail and cause the fungus to grow from that area. Your podiatrist could culture a piece of the nail to confirm the fungus and then treat the fungus or remove the nail and start with a topical or oral antifungal. Just remember, it is a skin condition and is mainly limited to the toenail area, which is mostly a benign condition, but there are cases of malignancy, which is rare, but it is good to see your podiatrist so he can evaluate the situation.
It looks like you traumatized the nail plate and it may have turned dark after the injury secondary to bleeding under the nail, which may have caused it to lift off the nail bed. It will grow out, but it will take between 7-9 months for the entire damaged part to grow out distally. Having such a contusion and a compromise in the nail plate can allow fungus into the nail, so keep a close eye on the nail for thickening and color changes over the next year or so. You can preemptively use topical anti-fungals to treat nail fungus to try to avoid getting a fungal toenail.
That seems like a severe case of toenail fungus. Usually over-the-counter products are ineffective. Best course to treat is nail biopsy and see which medicines are most accurate to treat.
Although the only thing you know for sure is that the nail is lifted away from the skin, this looks like there was a traumatic event that most likely occurred. Depending on the amount of force which appears significant this could grow out normal or it may permanently deform the nail to some extent. Other less likely causes could be poor circulation, or any of the diseases that effect the skin could have this appearance in the nail, however looking at the rest of the foot circulation looks good and without any other rash or skin changes or history of skin disease like psoriasis, fungus or Lichen Planus other causes of this nail dystrophy seem unlikely.
Jan David Tepper, DPM,FACFAS
Jan David Tepper, DPM,FACFAS
Not sure but usually some type of trauma is the most common cause
Looks like that was caused by trauma. Nothing to do except let it continue to grow out. It may take 4 to 6 months to grow out completely. If it is sharp use a nail file to file the top.
This appears as if the nail was injured. I recommend you make an appointment with a foot and ankle surgeon (podiatrist) for evaluation and treatment options
I would keep it clean and apply antibiotic ointment to it for a week and watch for any signs of infection. If there’s an issue, see a podiatrist
It appears to be a yeast or fungus infection. Can also be a combination of yeast and fungus.
This looks like a fungal infection. This should be treated before it spreads and worsens
Looks like trauma to the nail. Should grow out.
Possible fungal or bacterial infection under the nail. Go see a podiatrist.
You need to see a physician for biopsy of your nail
Onychomadesis is the proximal separation of the nail plate from the nail matrix due to a temporary cessation of nail growth. Diagnosis is made clinically through palpation and inspection of the nail plate. Conditions that can cause onychomadesis include trauma, periungual dermatitis, chemotherapy, fever, drug ingestion, and infection. There is no specific treatment, but a conservative approach to management is recommended with treatment of any underlying causes and supportive care. Spontaneous nail regrowth usually occurs within 12 weeks.
Hi,
Thank. for visiting our website. We do have a few options available to treat toenail fungus. We do offer laser treatment. The laser treatment usually takes 20 to 30 minutes. The laser is not a painful treatment. Patient may resume full activity after the laser treatment.
Shawn Rabbani
Thank. for visiting our website. We do have a few options available to treat toenail fungus. We do offer laser treatment. The laser treatment usually takes 20 to 30 minutes. The laser is not a painful treatment. Patient may resume full activity after the laser treatment.
Shawn Rabbani
Hello,
From the appearance of the toe. Possible causes are:
Trauma
Underlying bone problem
Infection
System issue
I recommend medical evaluation by a foot and ankle specialist.
Best regards
Dr Disabato
From the appearance of the toe. Possible causes are:
Trauma
Underlying bone problem
Infection
System issue
I recommend medical evaluation by a foot and ankle specialist.
Best regards
Dr Disabato
Just by my clinical observation, it looks like you may have a fungus.
