Wound Care

Nail deformities treatment in Plano, Dallas, Prosper & Allen, TX

Nail deformities treatment in Plano, Dallas, Prosper & Allen, TX

Posted On: March 22, 2020

Nail deformities treatment, Your nails look smooth and have consistent coloring. As you grow older, your nails begin to brittle and you may develop vertical ridges on your nails.

Nail separation, spots and discoloration can occur from injuries to your fingers and hands. Certain medical conditions can change the appearance of your nails. There are different kinds of nails abnormalities or deformities that may occur. Early treatment is a way to prevent the conditions from getting worse and preventing the nails from getting infected.

Nail deformities treatment

There are several different types of nail abnormalities that may occur to your nails. These include Beau’s line, clubbing, spooning, Mees line, Leukonychia, Pitting, etc.

Some medical conditions can lead to changes in your nails. These medical conditions require early treatments to prevent the conditions from getting worse. Consult with your doctor if you have any symptoms of nail deformities which include:

  • Discoloration or changes in nail color
  • Changes in nail shape
  • Thickening or thinning of the nail
  • Nails become brittle
  • Nails that are pitted
  • Bleeding around nails
  • Swelling or redness around nails
  • Pain around nails
  • Nail separating from the skin

Causes of nail deformities

There are several medical conditions that can lead to nail deformities. These include:

Iron deficiency

Deficiency of iron in the body may cause spoon-shaped nails (koilonychia).

Kidney failure

Kidney failure may cause the bottom half of your nails to turn whitish while making the top half of your nails turn pinkish or appear pigmented.


This is a condition that may cause the nails to turn whitish. Nails that are extremely whitish called Terry’s nail. This nail deformity can be present not only in people with cirrhosis but also people with chronic heart failure or diabetes.


Different forms of nail deformities can occur resulting from aging.

Low blood level

Low blood levels of the protein albumin can cause horizontal white lines to form on the nails.

Some lung diseases

An accumulation of lymphatic fluid in tissues may cause yellow nail syndrome. The nails may also become thick, over-curved or yellow-green in color.


Injuries can lead to nail deformities


Cancer can also lead to nail deformities

Exposure to certain toxins can lead to nail deformities

Types of nail deformities

There are several different kinds of nail deformities. These include:

Koilonychia (Spooning)

Koilonychia occurs when your fingernails have raised ridges and scoop outward, taking the form of a spoon. Spooning can be a sign that you have:

  • Iron deficiency anemia
  • Heart disease
  • Hemochromatosis (a liver disorder that results to too much iron being absorbed from food)
  • Lupus erythematosus (an autoimmune disorder that causes inflammation)
  • Raynaud’s disease (a condition that limits blood circulation).

Beau lines

These are horizontal depressions in the nail that occur when there is temporary reduction of growth of the nail. The grooves can sometimes go all the way through the nail, leading to complete loss of the nail. Beau lines may occur due to an infection, injury, systemic illness, or chemotherapy. It may also be a sign of malnutrition. 

Other conditions that cause Beau’s lines are:

  • Diseases that causes high fever such as measles, mumps, and scarlet fever
  • Peripheral vascular disease
  • Pneumonia
  • Uncontrolled diabetes
  • Zinc deficiency


This is a nail deformity that occurs when your nails thicken and curve around your fingertips. Clubbing can be as a result of low oxygen in the blood. Other conditions that can cause Clubbing include: 

  • Cardiovascular diseases
  • Inflammatory bowel disease
  • Liver diseases
  • Pulmonary diseases
  • AIDS


Leukonychia are the nonuniform white spots or lines on the nail. They normally occur as a result of a minor trauma. They are harmless in healthy individuals. Conditions that may lead to Leukonychia include: 

  • Poor health or nutritional deficiencies
  • Infectious, metabolic, or systemic diseases
  • Certain drugs.

Mees lines

These are transverse lines that run horizontally all of the way across the nail. Mees lines may be a sign of arsenic poisoning. It can also be associated with more serious health problems such as:

  • Cancer
  • Heart failure
  • Chemotherapy
  • Exposure to certain toxins

Terry’s nail

Terry’s nail occurs when the tip of each nail has a dark band. This condition often occurs due to aging. It can also be caused by: 

  • Congestive heart failure
  • Diabetes
  • Liver disease


A condition that occurs when the nail plate separates from the nail bed, causing white discoloration is known as onycholysis. Onycholysis can be due to infection, trauma, or products used on the nails. Other causes for onycholysis include: 

  • Psoriasis
  • Thyroid disease

Yellow nail syndrome

When the nails get thicker and don’t grow as fast as normal, this condition is known as yellow nail syndrome. In worst cases, the nail may even pull away from the nail bed. This condition can be as a result of: 

  • Internal malignancies
  • Lymphedema, swelling of the hands
  • Pleural effusions (fluid buildup between the lungs and chest cavity)
  • Respiratory problems such as chronic bronchitis or sinusitis
  • Rheumatoid arthritis

Nail Psoriasis

Nail psoriasis occurs when your nails get thicker, change color or shape and develop pinprick holes. The shape and nature of your nails will be altered. 

Autoimmune mechanism is the major cause of nail psoriasis.


During diagnosis, your doctor will conduct a physical examination on your nails. Your medical history may also be reviewed. Some nail clippings or scrape debris may be collected from under your nail and sent to a lab for examination. Your doctor will look into all possible causes of your nail condition.

Treatment of nail deformities or abnormalities

Treatment of nail deformities depends on the cause and severity of the condition.Nail deformities treatment

Treatment options include:

Oral antifungal drugs

Oral anti-fungal drugs are often the first choice because they help to eliminate infections more quickly than topical drugs. Oral antifungal drugs that you may need to take include terbinafine (Lamisil) and itraconazole (Sporanox). These drugs aid the growth of a new nail free of infection. The infected nail is replaced with the new nail. 

You may need to take antifungal drugs for six to 12 weeks. You may not see immediate results until the growth of a new nail.

Medicated nail polish

Antifungal nail polish called ciclopirox (Penlac) May be prescribed by your doctor. You will have to paint the affected nails and the surrounding skin with the nail polish once a day. Wipe away the piled-in layers clean with alcohol after seven days. After wiping it away, you will begin a fresh application. This nail polish may be applied daily for almost a year. Apply it on your infected nails and surrounding skin once a year.


The upper layer of the affected nail will be removed to allow for the growth of new nails.

Topical steroids

Topical steroids are sometimes used to reduce localized inflammation. Liquid steroid drops are usually applied underneath the nail and other areas where the skin and nail meet.


Calcipotriol is a vitamin D derivative applied topically twice a day to the affected nail.


Tazarotene is a topical retinoid product used to treat psoriasis and acne. Application of 0.1% Tazarotene gel or cream once a day for 12 to 24 weeks has been shown to improve pitting, onycholysis, and salmon patches on both fingernails and toenails.

Steroid Injections

Steroid injections are injected in small doses directly into or near the structure of the affected nail area. Triamcinolone acetonide is the most commonly used intralesional steroid.

Systemic Therapies

Systemic therapies involve medications that temper the underlying immune response that triggers nail malformation. These include older disease-modifying anti-rheumatic drugs (DMARDs) like methotrexate and Sandimmune (cyclosporine).

Medicated nail cream

Your doctor may prescribe some medicated nail cream that you can apply on the infected nails. These creams may work better if you first thin the nails so that the medication gets through the hard nail surface to the underlying fungus.


Surgery may be the last resort when other treatment options have failed to yield good results. The deformed nail may be removed totally to allow for the growth of a new nail.

The best place to get Nail deformities treatment in Dallas, Plano, & Prosper is Dr. Graff Foot, Ankle, and Wound Care Center

Dr. Graff Foot, Ankle, and Wound Care Center is the best place to go for your nail deformities treatment. We are located in Dallas, Plano, and Prosper in Texas.

We provide the best treatment with the best facilities and equipment. We have a team of experienced medical professionals that work tirelessly to provide the best treatment for all our patients.

We treat different types of nail deformities and ensure that our patients are totally healed. We have a team of specialist with years of experience and knowledge for the treatment of conditions affecting the lower legs.

Visit us today or book an appointment with us. You are sure to get the best and most effective treatment of nail deformities

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