This April, Dr. Correa wants to shed light on a topic she feels is often overlooked in primary care - our nails. Dr. C feels there is so much information a physician can gather from a thorough hand examination - this is why she requests patients to have bare, natural nails for ALL in-person appointments, when possible! Read on for an overview of common benign nail conditions Dr. Correa wants our patients to know about this month.
Nail Fungus - One of the most common nail problems, nail fungus, often appears as a yellow or white spot under the tip of your fingernail or toenail. As the fungal infection goes deeper, it can cause your nail to discolor, thicken, and crumble at the edge. While it's typically not painful, it can be unsightly and cause discomfort if left untreated. Over-the-counter antifungal nail creams and ointments can sometimes help, and Dr. C swears by Vicks and ACV soaks for these early cases (sounds crazy but it works!). For severe or persistent infections, or if you're not sure, please contact Dr. C.
Ingrown Toenails - This condition occurs when the corner or side of a toenail grows into the skin. It can cause pain, redness, and even an infection. Proper nail hygiene and wearing well-fitted shoes can help prevent this problem. In the early stages of ingrowth, dilute bleach soaks can help (if this issue comes up, please message Dr C for the exact recipe).
Nail Psoriasis - This condition, often associated with skin psoriasis, can cause nail changes such as pitting (small dents on the nail surface), discoloration, thickening, and separation of the nail from the nail bed. While there's no cure for psoriasis, there are very effective medical therapies to keep it under control and out of your mind.
Brittle Nails - If your nails break easily or have vertical ridges, you may have brittle nails. This can be caused by frequent exposure to water or harsh chemicals. Using a moisturizer and wearing gloves during chores can help protect your nails. Simple white petrolatum (Vaseline) on the nails overnight can help, but if it does not, there may be a nutritional issue that requires further medical attention (labs, at minimum).
Beau's Lines - These are indentations that run across your nails and can be a sign of stress or an underlying health condition. If you notice these lines and they don't seem to grow out, it's time to call or text Dr. C.
Nail Pitting - These are small depressions in the nails and are common in people who have psoriasis or alopecia areata, an autoimmune disease that causes hair loss. Nail pitting can also be due to chronic dermatitis (skin inflammation) or exposure to certain medications or chemicals.
Dr. C is always examining your nails at your visits whether you realize it or not, so rest assured she will notice anything that is medically concerning. But, never hesitate to call us with any concern. Your nails are a reflection of your overall health. Regularly moisturizing, keeping nails clean and trimmed, cleaning your nail tools, and eating a balanced diet can help maintain their health.
Best regards,
Aditi Correa, MD
Your Partner In Health
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