Mis-shaped or thickened nails

Involuted or Omega nails 

Involuted nails (often called omega nails) are a condition where the nails curve inward, creating a shape that resembles the Greek letter omega (Ω) or an upside-down "U." This abnormal curvature can happen on the fingers or toes and can cause the nails to press into the surrounding skin, leading to pain, irritation, or even infection.

This condition can be caused by several factors:

  1. Genetics: Some people are born with naturally curved nails.
  2. Improper nail trimming: Cutting nails too short or improperly can contribute to the development of involuted nails.
  3. Trauma: Injury to the nail or nail bed can lead to abnormal growth patterns.
  4. Fungal infections: Certain infections can alter the shape of the nail, causing it to become involuted.
  5. Poor footwear: Wearing shoes that are too tight or improperly fitted can lead to pressure on the nails and cause them to curve inward.

Involuted nails can be painful, especially if the nail digs into the surrounding tissue. In some cases, they may lead to infections or ingrown nails. Treatment typically involves addressing the underlying cause (e.g., correcting footwear, proper nail trimming, or treating infections), and in more severe cases, medical intervention may be required to reshape or remove the nail.

Ramshorn nail

Rams horn nails refer to a type of nail or condition where the nail grows in a curled or spiraled shape, resembling the horns of a ram. This condition is often related to various underlying health issues, such as:

  1. Nail Psoriasis: A condition where the skin cells on the nail bed rapidly multiply, causing the nails to become pitted, discolored, or misshapen.

  2. Aging: As people age, the shape of nails can change, sometimes becoming more curved or spiral-like.

  3. Nail Traumas: Injuries to the nail can cause it to grow in a distorted shape.

Thickened Nails

Thickened nails refer to nails that have become unusually thick, often as a result of an underlying condition. This can happen with both fingernails and toenails. The thickening is typically caused by the accumulation of keratin, the protein that makes up the nail, and can result in a harder, rougher texture.

Some common causes of thickened nails include:

  1. Fungal Infections: A common cause, especially in toenails, where the nail becomes thick, discolored, and brittle.
  2. Psoriasis: A skin condition that can also affect the nails, leading to thickening, pitting, and discoloration.
  3. Aging: As people age, nails often become thicker or grow more slowly.
  4. Trauma: Injury to the nail or repeated pressure (like from ill-fitting shoes) can cause thickening.
  5. Circulatory issues: Poor circulation can lead to changes in nail texture and thickness.

Treatment depends on the cause, and it may involve antifungal medications, topical treatments, or in some cases, surgical intervention. If thickened nails are causing discomfort or concern, it’s a good idea to consult a healthcare provider.

Fungal Nails 

A fungal nail infection, also known as onychomycosis, is a common condition where a fungus infects the nails, typically causing discoloration, thickening, and potential crumbling. It can affect both fingernails and toenails, but toenails are more commonly affected. 

Symptoms:

  • Discoloration: The nail may turn white, yellow, or brown.
  • Thickening: Nails may become thicker and harder to trim.
  • Crumbly Texture: The nail may become brittle and break easily.
  • Deformation: The shape of the nail may become distorted.
  • Odor: In some cases, an unpleasant smell may emanate from the infected nail.
  • Pain: In more severe cases, the infection can cause discomfort or pain, especially if the nail becomes detached from the nail bed.

Causes:

Fungal infections of the nails are usually caused by dermatophytes (a type of fungus), but yeasts and molds can also be responsible. The infection can occur when the fungi enter through small cuts or separations in the nail or surrounding skin. Factors that increase the risk include:

  • Warm, moist environments: Fungi thrive in these conditions.
  • Poor foot hygiene: Not keeping the feet clean and dry.
  • Nail trauma: Any injury to the nail can make it more susceptible to infection.
  • Weakened immune system: People with diabetes or other immune system issues are more at risk.
  • Age: Older adults tend to be more prone due to reduced circulation or slower-growing nails.

If you suspect a fungal nail infection, this is something which we can advise on and treat.