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Onychomadesis is the separation and falling off of a nail from the nail bed. Common causes include localized infection, minor injury to the matrix bed, or severe systemic illness. It is sometimes a side effect of chemotherapy or x-ray treatments for cancer. A new nail plate will form once the cause of the disease is removed.
Toenails which protrude unevenly may concentrate force on the toenail; properly-cut nails are therefore also important. [4] Some susceptible runners may also have Morton's toe. In this variant of human foot anatomy, the second toe extends further out than the great toe. This can make it harder to find shoes with adequate space around the toes.
However, in certain cases, the cause remains unknown. Athletes, especially runners, may be more likely to experience toenail involvement. [10] A portion of patients have onychomadesis recurrently without an obvious cause. [11] One of the most frequent causes of single-digit onychomadesis is local damage to the nail bed. [12]
A common misconception is that the cause of an ingrown toenail is the nail growing into the paronychium, but it can also be caused by overgrown toe skin. [2] The condition is caused by a microbial inflammation of the paronychium causing a granuloma within which the nail is buried. [ 3 ]
Ingrown toe nail is a disorder where the nail starts to grow into the soft fleshy area of the toe. It causes intense redness, pain and swelling. Ingrown toe nails often affect the big toe. The best treatment for ingrown toe nails is to get the nail partially or completely removed. [6]
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A case of fungal infection of the big toe Advanced fungal infection of the big toe. The most common symptom of a fungal nail infection is the nail becoming thickened and discoloured: white, black, yellow or green. As the infection progresses the nail can become brittle, with pieces breaking off or coming away from the toe or finger completely.
Following injection of a local anaesthetic at the base of the toenail and perhaps application of a tourniquet, the surgeon will remove the edge of the nail growing into the flesh and destroy the matrix area with phenol to permanently and selectively ablate the matrix that is producing the ingrown portion of the nail (i.e., the nail margin).
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