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Discolored and Thick Toenails: When to See a Podiatrist

Man is jogging in the park, rear view. Mid-stride, one foot up, back of shoe facing you.

Discolored and thick toenails may seem like a minor inconvenience or simply a sign of a fungal infection to many individuals. However, these symptoms can often signify underlying health issues that extend beyond mere fungal infections. While seeking the assistance of a pedicurist for clipping and filing might provide temporary relief, it's imperative to recognize that consulting a specialized medical professional like Dr. Berman, a podiatrist at Somers Orthopaedic Surgery & Sports Medicine Group, can offer a more comprehensive understanding and treatment plan for these conditions.

About the Author: Alan N. Berman, DPM, FACFAS, is a highly experienced podiatrist at Somers Orthopaedic Surgery & Sports Medicine Group, serving patients in New York and Connecticut. With over 25 years of experience, he is dual board-certified by the American Board of Podiatric Surgery and the American Board of Podiatric Medicine. Dr. Berman holds medical and surgical privileges at Putnam Hospital Center and Danbury Hospital and specializes in comprehensive foot and ankle care, including advanced bunion treatment and diabetic foot care. He is also a Fellow of the American College of Foot and Ankle Surgeons and an active member of the American Podiatric Medical Association.

Common Causes of Discolored and Thick Toenails

Fungus - Toenails that are discolored and thick may indeed be indicative of a fungal infection, a common culprit in such cases. Fungal infections thrive in warm, moist environments, making the toes an ideal breeding ground. However, attributing all cases of discolored and thick toenails solely to fungus can be misleading. Several other factors could contribute to these symptoms, ranging from systemic health issues to localized nail trauma.

Psoriasis, eczema, and diabetes - One significant factor to consider is the possibility of underlying medical conditions such as psoriasis, eczema, or even diabetes. Psoriasis and eczema can affect the nails, leading to changes in texture, thickness, and color. Additionally, individuals with diabetes are prone to developing nail abnormalities due to impaired blood circulation and compromised immune function. In such cases, addressing the underlying health condition becomes paramount to effectively managing the nail symptoms.

Toenail Trauma - Furthermore, toenail trauma, whether acute or chronic, can result in thickened and discolored nails. Stubbing toes, wearing ill-fitting shoes, or engaging in activities that repeatedly impact the toes can damage the nail bed, leading to changes in nail appearance. While superficial treatment by a pedicurist may provide cosmetic improvement, it fails to address the root cause of the problem.

Personalized Treatment Plans for Nail Abnormalities

Consulting a podiatrist like Dr. Berman at Somers Orthopaedic Surgery Group offers several distinct advantages. Podiatrists are trained medical professionals specializing in the diagnosis and treatment of foot and ankle disorders, including nail abnormalities. Dr. Berman's expertise enables him to conduct a thorough evaluation of the toenails, considering both local and systemic factors that may contribute to the observed changes.

Moreover, Dr. Berman can offer personalized treatment options tailored to the specific needs of each patient. This may include topical or oral antifungal medications for fungal infections, prescription-strength topical treatments for psoriasis or eczema, or recommendations for diabetic foot care to prevent further complications. In cases of severe nail trauma or deformity, Dr. Berman can perform minor surgical procedures such as nail avulsion or nail reconstruction to alleviate discomfort and restore nail health.

Somers Orthopaedic Surgery & Sports Medicine Group: Your Partner in Podiatric Health

While discolored and thick toenails may initially appear to be a cosmetic concern or a simple fungal infection, they can often signify more significant underlying health issues. Dr. Berman at Somers Orthopaedic Surgery & Sports Medicine Group offers comprehensive evaluations and personalized treatment plans to address the root cause of your foot problems.  Schedule an appointment to take control of your foot health today!

Author
Alan Berman, DPM

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