Cracked Toenail: Why is my toenail cracked?

Cracked toenails refer to toenails that have developed one or more splits or fractures along their length.

These cracks can range from minor surface fissures to more significant splits that extend deep into the nail.

Cause of cracked toenails!

Various factors can cause cracked toenails, and they can vary in severity. Here are some common causes and types of cracked toenails:

  1. Trauma: One of the most common causes of cracked toenails is physical trauma or injury. Stubbing your toe, dropping something heavy on your foot, or forcefully hitting your toenail can lead to cracks.
  2. Brittle Nails: Nails can become brittle and prone to cracking due to factors like frequent exposure to water, harsh chemicals, nail polish removers, or excessive nail filing. Age and certain medical conditions can also contribute to brittle nails.
  3. Fungal Infections: Fungal infections of the nails, known as onychomycosis, can weaken the structure of the nail and make it more prone to cracking.
  4. Psoriasis: People with psoriasis, a chronic skin condition, might experience nail changes, including cracking, pitting, and discolouration.
  5. Underlying Health Conditions: Certain health conditions, such as nutritional deficiencies, thyroid disorders, and circulatory problems, can impact the health and strength of your nails, making them more susceptible to cracks.
  6. Improper Nail Care: Cutting your nails too short or using improper techniques to trim your nails can increase the risk of cracks.
  7. Excessive Pressure: Wearing tight or ill-fitting shoes can put pressure on your toenails, leading to cracks over time.
  8. Environmental Factors: Exposure to extreme cold or dry conditions can contribute to nail dryness and brittleness, which can lead to cracking.

The severity of a cracked toenail can vary. In mild cases, you might only notice a superficial crack on the nail’s surface, while in more severe cases, the crack can extend deep into the nail bed and cause pain, bleeding, and susceptibility to infection.

Treating cracked toenails involves a combination of maintaining nail hygiene, preventing further trauma, and addressing any underlying causes.

As mentioned earlier, if a cracked toenail is causing significant pain, bleeding, or signs of infection, it’s advisable to seek medical attention from a healthcare professional or a podiatrist.

They can provide appropriate guidance and treatment based on the specific situation.

Treatment of cracked toenails

The treatment of cracked toenails depends on the underlying causes and the severity of the crack. Here’s a breakdown of how the different causes and types of cracks can be treated:

  1. Trauma-Induced Cracks:
    • For minor cracks caused by trauma, you can start by cleaning the area with mild soap and water, applying an antiseptic, and keeping the nail clean and dry.
    • If there’s bleeding, apply gentle pressure with a clean cloth to stop it.
    • Protect the cracked nail by applying a bandage or adhesive strip to prevent further splitting and to provide support.
    • Avoid wearing tight shoes that might put additional pressure on the cracked area.
  2. Brittle Nails:
    • Maintain proper nail hygiene by keeping your nails clean and dry.
    • Use moisturising creams or oils to hydrate your nails and surrounding skin.
    • Avoid excessive filing and using harsh chemicals on your nails.
    • Consider taking supplements or adjusting your diet to include nutrients that promote healthy nails, such as biotin and omega-3 fatty acids.
  3. Fungal Infections:
    • If a fungal infection is causing nail weakening and cracking, antifungal treatments may be necessary. Over-the-counter antifungal creams or nail lacquers might help, but more severe cases may require prescription medications.
    • Consult a healthcare professional for an accurate diagnosis and treatment recommendations.
  4. Psoriasis-Related Cracks:
    • If psoriasis is the cause of your cracked toenails, managing the underlying psoriasis is essential. Consult a dermatologist for proper treatment options, including topical creams, oral medications, or phototherapy.
  5. Underlying Health Conditions:
    • Treating the underlying health condition, such as addressing nutritional deficiencies or managing thyroid disorders, can help improve the health of your nails.
    • Consult a medical professional to identify and address any contributing health issues.
  6. Prevention and General Care:
    • Avoid cutting your nails too short or using improper techniques when trimming.
    • Wear comfortable shoes with adequate toe space to prevent pressure on the nails.
    • Protect your nails from excessive exposure to water and harsh chemicals.
    • Keep your nails dry and well-maintained.
    • Consider using nail-strengthening products if recommended by a healthcare professional.

It’s important to note that for more severe cases, or if you’re uncertain about the cause of your cracked toenails, it’s best to consult a healthcare professional, such as a dermatologist or a podiatrist.

They can diagnose properly and recommend a tailored treatment plan based on your situation.

Additionally, if you notice signs of infection, persistent pain, or other concerning symptoms, seek medical attention promptly to prevent complications.

Products that can be used for treatments

While I can provide some general recommendations for products that might be useful, it’s essential to keep in mind that individual preferences and needs vary.

Additionally, I recommend consulting with a healthcare professional before using any new products, especially if you have underlying health conditions or are uncertain about the best course of action.

Here are some product suggestions based on the treatments mentioned:

  1. Antiseptics and Cleaning:
    • Hydrogen peroxide solution (3% concentration) for cleaning and disinfecting minor cuts or cracks.
    • Betadine (povidone-iodine) solution for disinfection.
  2. Protective Covering:
    • Band-Aids or adhesive bandages to protect the cracked nail and prevent further splitting.
    • Nail adhesive strips designed for repairing cracked nails.
  3. Moisturizing and Nail Health:
    • Nail and cuticle creams or oils containing ingredients like vitamin E, jojoba oil, or almond oil to keep the nails and surrounding skin moisturised.
    • Biotin supplements, which are sometimes recommended for promoting healthy nails. Consult a healthcare professional before starting any supplements.
  4. Antifungal Treatments:
    • Over-the-counter antifungal creams or ointments containing ingredients like clotrimazole or terbinafine for mild fungal infections.
    • Antifungal nail lacquers that can be applied directly to the nail surface.
  5. Psoriasis Management:
    • Topical corticosteroid creams or ointments prescribed by a dermatologist for managing psoriasis-related nail changes.
    • Prescription medications or phototherapy recommended by a healthcare professional for more severe psoriasis.
  6. Nail Strengthening:
    • Nail strengtheners or hardeners that contain ingredients like formaldehyde, keratin, or calcium to help reinforce weak or brittle nails.

Remember that using products should be part of an overall treatment plan recommended by a healthcare professional. They can provide personalised guidance based on your specific situation and needs.

It’s also essential to do a patch test before using any new products to check for potential allergic reactions or sensitivities.

If you’re unsure which products to use, consulting with a healthcare provider, dermatologist, or podiatrist can help you make informed choices tailored to your condition.

In conclusion, dealing with cracked toenails requires a balanced approach that considers both prevention and proper treatment.

Cracked toenails can stem from various causes, including trauma, fungal infections, underlying health conditions, and more.

Addressing these issues effectively involves a combination of good nail hygiene, protective measures, and sometimes medical intervention.

While home care measures such as antiseptics, protective coverings, and moisturising products can aid in managing minor cracks, it’s crucial to consult a healthcare professional, especially for severe or persistent cases.

If recommended by a medical expert, antifungal treatments, nail strengtheners, and psoriasis management solutions can be valuable components of a comprehensive treatment plan.

Prioritising nail health and seeking professional advice, when needed ensures a thoughtful and proactive approach to resolving cracked toenail issues and promoting overall foot well-being.

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About the Author: Jon Walker