Have you ever come across a person with usual toes, toes that are mysteriously curled or bend upwards, downwards or inwards? As strange and intriguing as it may appear, the condition can be quite painful and is known as toe deformity. In toe deformity, the foot bone is unusually and abnormally positioned, resulting in pain and discomfort.

Toe deformity in a person can be of different types. It can be:

Hammer toe: This is one of the most commonly observed toe deformity. A hammer toe is characterized by the curling or bending down of the second toe at the proximal interphalangeal joint (the middle toe joint). The toe may further bend up at the distal interphalangeal joint (joint adjacent to the toe tip) or the metatarsophalangeal joint (meeting point of the foot and the toe) as well. In hammer toe, the awkward alignment results in a slight elevation in the joint of the middle toe. A hammer toe is often seen accompanied by a bunion (a bony bump or a deformity formed at the joint that links the foot with the big toe).
Mallet toe: Mallet toe mostly affects the second toe (other toes may be affected). The deformity results in bending down of the toe at the distal interphalangeal joint (appears like a mallet).
Claw toe: The deformity affects all the toes, with the big toe being an exception. Here, the toes bend up at the metatarsophalangeal joint and bend down at the distal interphalangeal joint. The deformity results in the toes curling down towards the floor (appears claw-like).
What causes Toe Deformity?
There can be many factors responsible for toe deformities.

Toe deformity in a person may be congenital (present from birth).
It can also be an outcome of medical conditions such as arthritis (osteoarthritis, rheumatoid arthritis), stroke, heart attack, diabetes, an injury, an accident, or wearing wrong footwear.
Toe deformity can also be hereditary.
Signs and symptoms:
The symptoms for Toe Deformity (hammer toe, claw toe, and mallet toe) include

There is redness, pain, and swelling in the affected part of the toe. In claw toe, however, there may or may not be pain associated with the condition.
A person faces difficulties in straightening the toe.
In hammer toe, corns, and calluses appear on the middle joint (top) of the affected toe.
In mallet toe, ulcers may occur on the toe (in diabetic patients).
Treatment:
Initially, toe deformity appears flexible, where movement around the affected joint is possible. However, if left unattended, the condition can become severe and rigid, thereby restricting the movement (in the affected area). Treatment for toe deformity depends on how severe the condition is.

In most cases, the treatment involves wearing custom-made shoes, fitted with supports (cushions or pads) and wider toe box.
Using of tapes and splints may be helpful in correcting and repositioning the deformed toe.
Patients with excruciating pain benefit immensely from cortisone injections.
Corn pads can be used to deal with corns and calluses better.
Toe stretching exercises are highly effective.
If severe cases or extreme rigidity, doctors may opt for surgical treatments like arthrodesis, tendon transfer, arthroplasty, to name a few.

Toe Deformity- What Causes It And What Are Its Treatment Options?

Nail fungus is a fungal infection that develops under the tip of the toenail or the fingernail. It has a whitish or yellowish appearance and as the condition progresses, it causes the affected area of the nail to thicken, discolor and crumble at the edges. Usually this condition does not require any treatment, but if it turns severe, then you may require treatment to limit it from spreading.

The symptoms of this disorder are:
1. The affected nail thickens
2. There can be distortion in the shape of the nail
3. The nail can become crumbly and ragged
4. Discolored nails that lose its natural shine
5. Accumulation of debris on the nail
The infected nail may also be separated from the nail bed, causing pain and a foul odor.

Causes
The condition is usually caused by the dermatophyte fungus. In some cases, molds and yeasts can also cause fungal infections. Fungi are microscopic organisms that have certain characteristics such as:
1. They can cause complications if your nails are often exposed to moist and warm conditions
2. They usually thrive in moist and warm conditions such as showers and swimming pools

3. These fungi get into the skin through small cuts on your skin

The fungus usually affects toenails because, when you wear shoes, a warm and moist environment is created which is the perfect breeding spot for the fungus. The factors that can increase your chances of getting affected by this fungal infection are

1. Heavy perspiration
2. Athlete s foot (a condition which is characterized by rashes between the toenails)
3. Older people are affected more as blood circulation is reduced
4. Wearing socks for extended periods of time creates warm and a humid condition for the fungi to grow
5. Certain medical conditions such as diabetes

Treatments
There are certain medications that are used to treat fungal infections:

Oral anti fungal drugs: These medications help in getting rid of fungal infections.
Nail creams: There are certain anti fungal nail creams available that you can apply on your nails to get rid of this condition.

Nail Fungus - Understanding the Causes and Symptoms

Your nails tell a lot about your health or the lack of it! Many health problems have nails as the indicators or warning signs. If your nails are not healthy or pink and shiny, you might be in for some sort of health issue.  If you have cracked nails, discoloured nails, irregularities or very thick nails then you probably have some internal health problem.

Look for these indicators to get an idea-

1) Color of your nails : Pink or white nails are considered healthy. Dark spots on your nails? surface are not just a sign of aging but also indicate a risk of heart disease. Red color is a possible sign of heart infections and green colour usually indicates local fungal infection.

2) Brittle nails: If your nails are brittle and get cracked often, it is due to lack of folic acid, vitamin C and protein. In 10% of cases, psoriasis starts with the nails.

3) Furrow nails: Furrow nails are the ones which are irregular with a dent like appearance. It may indicate you of psoriasis or auto-immune illness which leads to hair loss. Thick furrow nails may signal a yeast infection.

4) Thick nails: Nails thicken in time. Thick nails are neither natural nor normal. If your nails are extremely thick, you probably it could be that your lungs are not healthy. It can also indicative of the fact that your body has poor circulation.

5) Curved nails: If your nails are curved and concave like shape it might signal either lack of iron or heart problems.



What Your Nails Tell About Your Health

Nails are an important part of your physiology, although they are mostly used for either utilitarian purposes such as gripping or for beauty purposes such as nail decorations. Nails themselves can go through infections which need not have underlying causes and thus can cause damage to that part of the tissue. One such disorder of the nail is onycholysis.

What is onycholysis?
This is a disorder where the nail on the finger or the toes starts to separate from the skin below. This happens little by little and usually starts at the tip and then progresses backward. The further back it progresses, the more nail tissue it destroys. While the entire nail may not be detached from the nail bed, parts of it may chip off, showing the tissue underneath.

Symptoms of Onycholysis:

Jagged border between the pink flesh of the nail bed and the yellow edge of the nail
Detached nails become opaque, yellow or may turn green in color
Nail may become irregular in shape and size
Bits and chunks of nails can break off easily
Primary Causes for Onycholysis:

Frequent trauma - If you have a profession or work at home where you constantly require tapping away, it might cause minute injuries to build up within the nails and the fingers. Tapping on keyboards is one area where you could get repetitive trauma like this.
Manicure problems - Many salons may aggressively try to clean the underside of the nails and in the process, slowly dislodge the nail form the nail bed and cause onycholysis. This has known to be the case with many people.
Water immersion - If you have work where your nails are immersed in water for long periods of time, this could also affect the development of onycholysis.
Skin diseases - Certain skin conditions can also end up giving onycholysis. Psoriasis and contact dermatitis are other conditions that may lead to onycholysis as a consequence.
Allergy to nail glue - Many makeup artists and customers have complained that certain brands of nail glue can also cause allergies resulting in onycholysis.
Medications - Medications meant for the treatment of other ailments within the body can have the unintended consequences of causing onycholysis.
Treatment:
The underlying problems need to be corrected which may cause onycholysis. Once the underlying problem is corrected, onycholysis usually corrects itself. The nail may take some time to re-grow but will grow back on its own eventually and may take 4 to 6 months to cover the entire affected area again.

Onycholysis - How It Can Affect Your Nails?

How To Take Care Of Nail Health 

Nails significantly reveal about your overall health.When well taken care of, nails not only look good but they also help you stay healthy.
Follow these tips for a shining nails.
1. Moisturize - Use a Hand-Nail cream regularly to avoid ragged cuticles and flakey skin. Moisture keeps your nails in a good shape.

2. Mild Soaps - Use specially formulated hand foams to wash your hands. Certain anti-bacterial soaps can strip away layers of essential oils from your skin, thus leaving your palms dry and even itchy.

3. Massage - Massage your cuticles regularly. This will help improve blood circulation to the tips as well as stimulate the entire nervous system promoting the growth of strong and healthy nails.

4. Manicure - Treating your hands once a month to a relaxing manicure is an excellent idea. Not only do your nails end up looking fabulous but the additional TLC will go a long way in ensuring that your hands don’t look twice their age. Scrubbing off the dead cells, applying a ‘hand mask’ and then some relaxing massage as you close your eyes to some soothing music, is just what ‘nail therapy’ is all about.

5. Maintain - It’s a common knowledge that the skin on our hands tends to age quicker as it is often left exposed to the elements such as the harsh sun or extreme winters. To maintain your manicured nails, use a sunscreen regularly and wear gloves in the winters and even while going about household chores such as doing the dishes or mopping the floor.

If you would like to consult with me privately, please click on 'Consult'.

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 Are Your Nails Telling Others About Your Health?

Nail fungus is a very common problem. Symptoms include inflammation, swelling, yellowing, thickening or crumbling of the nail. It is usually not painful, unless the infection spreads. If left untreated, nail fungus can cause cracking, splitting and even complete loss of the nail. The good news is that nail fungus is curable and can be treated very easily. There are many specialized treatments required for bringing quickest recovery. Most people think that medications are the only solution in this regard, but this is not true as there are many therapies that are needed along with medicines so that speed of recovery can be boosted to a great extent.

Treatments for fungal nail infections
1. Antifungal medications: Nails are first tested thoroughly in order to get the confirmation about nail fungus. Both growth and reproduction of fungal cells are prevented by consuming these medications. Some of these medicines are used for topical or external application while others are taken orally. Some of the physicians suggest continuing, both types of medicines simultaneously for getting more powerful effects and quick recovery. However, there are a few probable side-effects that occur while taking these medicines and these include loss in taste, rashes, diarrhoea, itching, headache and others.

2. Using antifungal nail-paint: Nowadays, you can use antifungal nail-paints so that the deepest layer of the nail can be well treated and infected parts can be healed quickly. But you have to continue the usage for a few months, or else, you will not be able to get the desirable results.

3. Laser treatment: This treatment is one of the most powerful ones and can treat your infected nail with greater speed and accuracy. Light energy in high doses is used for treating nail infection in this case.
The above treatments are really quite helpful, and you can choose any of them as per your necessity, preference and affordability.

Things you can do at home
1. Keep your hands and feet clean and dry
2. Wear well fitting shoes made of natural materials and clean cotton socks, these will allow your feet to "breathe"
3. Clip your nails to keep them short, use a separate pair of clippers or scissors for the infected nail
4. Don't share towels and socks with other people, and ensure your towels are washed regularly
5. Don't walk around barefoot in public pools, showers, and locker rooms, special shower shoes are available to protect your feet
6. Consider replacing old footwear as it could be the source of the infection
7. Treat athlete's foot as soon as possible to avoid the infection spreading to your nails

How to Treat Fungal Nail Infections?

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