What is Onychauxis, and How Do You Know if You Have it?

Onychauxis refers to a condition characterised by excessive thickening and overgrowth of the toenails. The nails become abnormally long and may curve or curl.

This condition is often accompanied by changes in the nail’s texture, such as roughness or ridges. It’s these distinguishing characteristics help differentiate onychauxis from other nail conditions.

It is important to recognise these features to seek appropriate treatment and prevent potential complications associated with untreated onychauxia.

What are the common causes of onychauxia in toenails?

The common causes of onychauxia in toenails can vary.

Trauma or injury either acutely by stubbing the toe or dropping something on it, or gradual trauma from tight or poor fitting shoes, can contribute to onychauxia.

Additionally, certain medical conditions such as fungal infections, psoriasis, or circulatory disorders may result in the thickening and overgrowth of the nails. Understanding the underlying cause of onychauxia is crucial in developing an effective treatment plan that addresses the specific factors contributing to the condition.

How does onychauxis differ from other nail conditions, such as onychomycosis or onycholysis?

Onychauxis is a distinct condition from other nail conditions such as onychomycosis (fungal nail infection) or onycholysis (separation of the nail from the nail bed).

While onychauxia involves excessive thickening and overgrowth of the toenails, onychomycosis is characterised by a fungal infection that can cause discolouration, brittleness, and changes in nail texture. These colour and texture changes are normally absent in onycauxia. Although because a nail is opaque(not see through) the thicker a nail becomes the more it looks like it has changed colour. This can give the appearance of fungus or other condition but our podiatrists can help you distinguish between these conditions

What are the potential complications associated with untreated onychauxia?

Untreated onychauxia can lead to potential complications.

The excessive thickness and overgrowth of the nails can make them more prone to trauma and injury.

The nails may become difficult to trim properly, increasing the risk of ingrown toenails or skin irritation.

Additionally, the abnormally long and curved nails can cause discomfort or pain while wearing shoes, leading to discomfort or altered gait.

If left untreated, the condition can negatively impact daily activities and quality of life. It is important to seek professional help from a podiatrist to address onychauxis promptly and prevent potential complications associated with the condition.

How is onychauxis diagnosed by a podiatrist?

Diagnosing onychauxia involves a thorough examination by a podiatrist. The podiatrist will visually assess the toenails, noting the thickness, length, and curvature.

We will also evaluate the texture and any associated symptoms or signs, such as discolouration or pain.

In some cases, a sample of the nail may be taken for laboratory testing to rule out underlying fungal infections or other nail abnormalities.

A podiatrist will also consider the patient’s medical history, including any relevant health conditions or medications, to help identify potential contributing factors to onychauxia.

This comprehensive evaluation enables the podiatrist to make an accurate diagnosis and develop a personalised treatment plan tailored to the individual’s needs.

What treatment options are available for managing onychauxia?

The treatment options for onychauxia aim to address the underlying causes and alleviate the symptoms.

Depending on the severity and underlying factors, the podiatrist may recommend various interventions. These can include cutting and thinning the nail using a podiatry ”drill”. This will not likely resolve the condition but with regular thinning of the nail there is often no real obvious visual or functional difference between a nail with onychauxia or a normal nail making this a very easy painless effective treatment option.

In cases where an underlying fungal infection is present, antifungal medications or topical treatments may be prescribed. Treating any associated medical conditions, such as psoriasis or circulatory disorders, is also important to manage onychauxia effectively.

Additionally, the podiatrist may provide guidance on proper nail care techniques and recommend appropriate footwear to minimise trauma to the nails.

Overall, the treatment approach will be tailored to the individual’s specific situation, addressing the underlying causes while providing symptom relief.

Are there any self-care measures that can help alleviate the symptoms of onychauxia?

While onychauxia requires professional intervention for effective management, there are self-care measures that can help alleviate symptoms and support healthy nail growth.

Keeping the nails clean and properly trimmed can reduce the risk of further complications. Soaking the feet in warm water can soften the nails, making them easier to trim. It is important to trim the nails straight across and avoid cutting them too short, as this can exacerbate the curvature.

Wearing comfortable shoes that provide adequate space for the toes can help prevent pressure on the nails.

Maintaining good foot hygiene and avoiding trauma or injury to the toenails are additional self-care measures that can promote overall nail health.

However, it is advisable to consult with a podiatrist for a proper diagnosis and personalised treatment plan.

Can onychauxia be prevented, and what preventive measures can be taken?

While onychauxia cannot always be prevented, there are preventive measures that can minimise the risk of its development. Here are some things you can do:

• Proper nail care practices, such as regular trimming and shaping of the nails, can help maintain their health and prevent excessive growth.
• Avoiding trauma to the nails, such as stubbing or injuring them, is essential.
• Wearing shoes that fit properly and provide adequate room for the toes can reduce pressure and minimise the risk of nail deformities.
• Maintaining good foot hygiene, including keeping the nails clean and dry, can also contribute to overall nail health.
• Regular visits to a podiatrist for routine foot care can help identify any early signs of onychauxia and address them promptly.

By adopting these preventive measures, you can reduce the likelihood of developing onychauxia and promote healthy toenails.

When should I seek professional help for onychauxia, and what can I expect during a podiatry appointment?

It is recommended to seek professional help from a podiatrist when experiencing symptoms of onychauxia.

When it comes to addressing onychauxia, seeking professional care from a trusted podiatry practice like Hurst Podiatry is essential.

Our experienced team at Hurst Podiatry understands the complexities of onychauxia and offers comprehensive diagnostic and treatment services. We can also accurately diagnose the condition, identify the underlying causes, and develop an individualised treatment plan tailored to your specific needs.

Whether it involves professional nail trimming, addressing underlying medical conditions, or providing guidance on self-care measures, we’re committed to delivering personalised and effective care.

By entrusting your foot health to Hurst Podiatry, you can take proactive steps towards managing onychauxia and promoting overall nail health.

Book your appointment today!