What causes thickened or ridged nails and how to treat them?

Symptom Database

Thickened or ridged nails can be a cause for concern, as they are often indicative of underlying nail abnormalities or conditions. Understanding the causes of these nail changes and knowing how to treat them is essential for maintaining optimal nail health. In this article, we will explore the various factors that can lead to thickened or ridged nails and provide valuable insights on effective nail care and treatments.

What Causes Thickened Nails?

Thickened nails, also known as onychauxis, can be caused by several factors:

  • Age: As we age, our nails tend to grow thicker and slower.
  • Fungal Infections: Fungal infections, such as onychomycosis, can cause the nails to thicken and become brittle.
  • Psoriasis: Individuals with psoriasis may experience thickened nails as a result of the skin condition affecting the nail matrix.
  • Peripheral Vascular Disease: Poor blood circulation can lead to thickened nails.
  • Systemic Diseases: Certain systemic diseases, including diabetes and thyroid disorders, can cause nail abnormalities, including thickening.

It is important to identify the underlying cause of thickened nails in order to determine the most appropriate treatment approach.

What Causes Ridged Nails?

Ridged nails, also known as onychorrhexis, can be caused by various factors:

  • Aging: Like thickened nails, ridged nails can be a natural part of the aging process.
  • Nutritional Deficiencies: Inadequate intake of essential nutrients, such as biotin, zinc, and iron, can lead to ridged nails.
  • Physical Trauma: Injuries to the nail bed or matrix can cause ridges to form as the nail grows.
  • Medical Conditions: Certain medical conditions, such as Raynaud’s disease and lichen planus, can result in ridged nails.

Identifying the underlying cause of ridged nails is crucial for determining the appropriate treatment and addressing any potential underlying health issues.

Treating Thickened or Ridged Nails

1. Maintain Proper Nail Care

Proper nail care is essential for maintaining healthy nails. Follow these tips:

  • Keep your nails clean and dry to prevent fungal infections.
  • Trim your nails regularly, keeping them at a moderate length.
  • Avoid using harsh chemicals or excessive filing, as this can further damage the nails.
  • Moisturize your nails and cuticles regularly to prevent dryness and brittleness.

2. Address Underlying Health Issues

If thickened or ridged nails are caused by an underlying health condition, it is important to address and manage that condition. Consult with a healthcare professional to determine the appropriate treatment plan.

3. Use Topical Treatments

Topical treatments can be effective in managing thickened or ridged nails:

  • Antifungal creams or nail lacquers can be used to treat fungal infections.
  • Moisturizing creams or oils can help improve the appearance and texture of the nails.
  • Applying nail strengtheners or hardeners can help reduce nail brittleness and promote healthier nail growth.

4. Consider Professional Interventions

In severe cases, professional interventions may be necessary:

  • A podiatrist or dermatologist can perform nail debridement to remove thickened or damaged nail tissue.
  • In some cases, surgical procedures may be required to address underlying nail abnormalities.

It is important to consult with a healthcare professional to determine the most appropriate treatment options for your specific nail condition.

Conclusion

Thickened or ridged nails can be a sign of underlying nail abnormalities or conditions. Understanding the causes of these nail changes and knowing how to treat them is crucial for maintaining optimal nail health. By following proper nail care practices, addressing underlying health issues, using topical treatments, and considering professional interventions when necessary, you can effectively manage and improve the appearance and health of your nails. Remember to consult with a healthcare professional for personalized advice and treatment options.

Haroon Rashid, MD
Rate author
Urgent Care Center of Arlington, VA