nail psoriasis: two big toe nails, one with a frown and the other with a happy face

Psoriasis of the Toenail: What are the Signs, Symptoms and Treatments

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Psoriasis of the toenail is often overlooked but is a common manifestation of psoriasis that can affect nail appearance and health. Many people with psoriasis don’t realize their toenails can be affected—and that nail changes can be painful and embarrassing.

In this blog, we’ll explore:

  • What are the signs of nail psoriasis and how to spot them
  • How to manage psoriatic nails
  • Why nail care is key to overall nail health

Continue reading to learn more about this often-overlooked part of psoriasis and how you can manage it.

What Is Nail Psoriasis?

Psoriasis is a chronic autoimmune condition where skin cells grow too quickly, resulting in thick scaly patches on the skin. Specifically, psoriasis of the toenail, or nail psoriasis, is a type of psoriasis that affects the nails, including both toenails and fingernails. It's characterized by changes in the nail appearance such as discoloration, thickening, and pitting. Nail psoriatic disease can vary in severity: some people may only have mild symptoms while others may have severe nail psoriasis that can affect their daily life.

A Closer Look at the Nail

The nail bed and nail matrix are key to nail growth and health. Nail psoriasis can disrupt these areas, resulting in loose nails, crumbling nails, and a chalky substance forming under the nail plate. It's important to monitor the skin underneath and around the nails, as inflammation can lead to fungal infections if left untreated.

Recognizing the Signs of Nail Psoriasis

Spotting the signs of nail psoriasis is the first step to treatment. That’s why regular nail checks and being aware of these symptoms will help you catch nail psoriasis early and act fast.

Common symptoms include:

  • Nail discoloration: Affected nails may appear yellow, brown, or even white.
  • Nail thickening: Psoriatic nails are thicker than normal and more prone to damage.
  • Pitting: Small dents on the surface of the nail.
  • Separation from the nail bed: Onycholysis where the nail lifts away from the skin.
  • Flaking skin: Flaking skin around the nail folds.

How to Treat Nail Psoriasis

When it comes to treating nail psoriasis, various treatment strategies are available. Some effective options include:

Wear Protective Socks

Remedywear™ socks for adults and kids are designed to provide comfort and relief for sensitive skin affected by conditions like toenail psoriasis. Made from soft, breathable TENCEL fabric, these socks fit snugly without causing irritation, helping to reduce itchiness and prevent friction. Plus, their lightweight material ensures breathability, making them perfect for all-day wear.

Use a Soothing Cream

To boost the benefits of your Remedywear™ socks, we recommend pairing them with our Organic Manuka Skin Soothing Cream. Crafted with just six natural ingredients, including nourishing Manuka honey, this cream deeply hydrates even the driest skin without causing irritation. We love how its rich, buttery texture glides on smoothly, providing soothing relief.

Nail Care

Good nail hygiene is key. Regularly trim your nails and use a nail brush to keep the area clean.

Speak to a Healthcare Professional

Healthcare professionals use the nail psoriasis severity index to assess the severity of nail psoriasis and guide treatment accordingly. In some cases, a nail biopsy may be needed to diagnose nail psoriasis and rule out other nail conditions.

Living with Nail Psoriasis

People with psoriasis often experience more than just physical symptoms. For example, the appearance of the affected nails can cause social anxiety and self-consciousness. Educating yourself about treatment options and regular visits to your dermatologist or healthcare provider will help manage the psychological impact of psoriatic nail disease. Additionally, the National Psoriasis Foundation has resources for those looking for support and information about living with psoriasis.

While nail psoriasis can be frustrating, it is essential to remember that effective treatment strategies are available. Regular care, early intervention, and being proactive will make a big difference to nail health and appearance.

Take Control of Your Nail Health Today

Psoriasis of the toenail may seem like a minor concern, but it can significantly impact your quality of life. By understanding the signs and exploring effective treatments for nail psoriasis, you can take control of your nail health.