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?

Tennis toe is also known as runner s toe since athletes are mostly runners; skiers and tennis players also get this injury often. Due to its ugly appearance, tennis toe is also known as a black toenail. This injury causes bleeding under the toe along with moderate to heavy pain. Although it is not considered to be type 1 serious injury, it can still force an athlete to abstain from participating in any events. The blood from the toenail might take its own sweet time to get out of the way. As a result, the recovery time for this injury can last for weeks together. This, unfortunately, is also an ideal condition for infection to set in.

How does it happen?
This condition may arise because of the friction between the toenail and the running shoes or constant downward pressure on the toe. In case if the shoe is tighter than normal, it can damage the toenail. If on the other hand, the shoe is very loose, it can result in similar condition due to heavy pressure on the nail. Tennis toe can also arise in a situation, if the toe constantly bangs the shoe from inside. Extreme hot weather may also result in toe swelling. Finally, one may encounter tennis toe if a blow is faced on the toe. Irrespective of the cause, the blood clots inside the nail resulting in swelling and pain. Too much damage might result in falling off of the toenail altogether.

Treatment plan:
1. If the tennis toe is minor, the injury resolves all by itself
2. The toenail should be clipped together to ensure that it does not result in any friction with the shoe.
3. During the injury, it is advised that a person wears bigger size shoes with wider toe space so that it does not result in any further irritation.
4. If the toenail is torn, make sure to tap it up so that adequate protection is there from outside forces.
5. In case the injury is serious a doctor might have to intervene and drain the blood with a surgical instrument.
6. Another medical solution is to remove the toenail surgically, drain the blood and tape it up for a good one week until new nail formation takes place.

Precautionary measure:
1. Running shoes should be at least half a size bigger than the normal size.
2. Toenails should be regularly trimmed in order to avoid any injury.
3. If a person has a tendency of sweating too much, it makes sense to wear a pair of socks at all times.
4. While running, shoe laces should be tightened to avoid sudden friction between the toe and the shoe resulting into tennis toe.

Tennis Toe - How it Should be Treated?

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?

Having beautiful nails is not necessary only for looking good, but they need to be clean for health purposes too. Just like your skin and hair, you need to take care of them so that they are healthy looking. They are exposed to environment and there are many ways by which your nails get damaged. Thus, here are a few tips that are easy to follow to keep your nails look great and keep them healthy!

Care for your cuticles: During a manicure avoid trimming your cuticles. They are meant to be the barrier for bacteria and when you cut them, it may result in painful infections. With the help of a cuticle pusher, you may moisten them and push them back, but do not cut them totally. Even when you are having a conventional manicure make sure that you protect your cuticles by dabbing some olive or almond oil so that the reaction of chemicals that come in contact with your skin becomes minimum.
Use moisturizer: Even your nails need to be moisturized and hence while you rub lotion on your hands put some of it on your nail and cuticles too. By using hand wash regularly you tend to dry your nail bed. Thus, after every wash, it is necessary that you use some moisturizer. If possible, use some coconut oil for rubbing on your nails. You can use cuticle cream too and rubbing that every day on your cuticles will help in keeping them moisturized.
Provide nutrients to your nails: Yes, even your nails need nutrients to be healthy. Take biotin that is also referred as vitamin H. Studies reveals that it helps in preventing nails from becoming brittle. It may not grow your nails faster, but it provides the necessary support to your nails so that they do not split, crack or tear away.
Wear gloves to protect your nails: Make it a practice to wear gloves while you are working with detergents, whether during dishwashing or anything else. Detergents have harsh chemicals that will leach away nutrients and moisture from your nails. Thus, it s better to protect before than taking care later.  Prevention is better than cure  you know!
Avoid using harsh polish: In nail polishes, you will find toxic chemicals like toluene, dimethyl, dibutyl phthalate, and camphor, diethyl phthalates, and formaldehyde. These nail polishes are dangerous for health. Instead try alternatives that do not contain such chemicals and are easy on your nails. Before you purchase them read the label carefully.
After following all these, if still you are not satisfied with the quality or health of your nails, it is better to get advice from an expert.

5 Simple Tips for Great Looking Nails

Fungal infections in nails are caused by an overgrowth of the fungi in your nails. When the growth of fungus happens on the fingernails or toenails, it is known as onychomycosis or tineaunguium. Here are the probable causes of why you might get a fungal nail infection:

Causes -

1. Diabetes
2. Problems in your circulatory system
3. Age
4. Artificial nails
5. Swim in public pools
6. Nail injuries
7. Skin injuries surrounding the nail
8. Fingers or toes which have been moist for an extended period of time
9. Immune system problems
10. Wearing shoes which have toes enclosed

It is also worth note that fungal infections happen much more frequently in your toenail as compared to your fingernail. This is because of two main reasons. The first reason is that fungi can grow very easily on your toenails because of the position. Your shoes are dark, warm and moist and therefore, perfect for the growth of fungi. The second reason for more fungal infections on your toenails as compared to your fingernails is because toes have less blood flow than fingers, thus making it harder for the immune system to fight off the infection.

Symptoms

Fungal infections in your nails are one of the easier infections to diagnose. This is because there are several symptoms which indicate you have this condition. Here are those symptoms.

1. Scaling underneath your skin
2. White or yellow streaks on your nails
3. Corners of the nail may crumble
4. Flaky surface of the nail
5. Yellow spots at the bottom of the nails
6. Loss of nail
7. A nail breaking off from the rest of the nails
8. An odour from the nail
9. Brittle or thick nails

Fungal Nail Infection - Know Symptoms Of It!

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:

Let's look at some of the primary causes of 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.


All About Onycholysis

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