My Toenails Are White! Should I Worry?
The human toenail, though seemingly simple, is a fascinating structure. Made primarily of keratin, the same protein found in hair, it protects the underlying toes. Unlike hair, however, toenails are composed of dead cells, which is why trimming them is painless. And according to Dr. Dan Michaels, DPM, healthy toenails also typically grow at a rate of 1.5 millimeters per month, considerably slower than fingernails.
Did you recently notice white spots or discoloration on your toenails while clipping? While it’s understandable to be concerned, there are several potential explanations, some more concerning than others. For this blog, the Reconstructive Foot & Ankle Institute is here to break down the basics of why you’re seeing spots in the first place!
Common Causes of White Toenails:
- Fungal Infection (Onychomycosis): This is a prevalent culprit behind white toenail discoloration. Fungal infections often start as white or yellow spots that can thicken and crumble the nail over time.
- Yeast Infection (Candida): Similar to fungal infections, yeast infections can also cause white spots or discoloration on toenails.
- Psoriasis: This autoimmune condition can manifest in various ways, including causing white spots or pits in the nails.
Less Common Causes:
- Iron Deficiency: If you’re iron deficient, it can affect toenail growth, potentially leading to white discoloration and abnormal nail shapes like spoon nails (koilonychia).
When to See a Podiatrist
While white spots may be a cosmetic concern, they can sometimes indicate underlying health issues. Dr. Michaels recommends consulting a podiatrist if you experience any of the following alongside white toenails:
- Thickening or crumbling of the nail
- Discoloration beyond white (yellow, brown, black)
- Pain or tenderness in the toe
- Loosening of the nail plate
Early diagnosis and treatment of toenail abnormalities can prevent complications and promote healthy nail growth. Dr. Michaels can accurately diagnose the cause of your white toenails and recommend the most effective treatment plan.
The Reconstructive Foot & Ankle Institute offers comprehensive podiatric services! Call us at 301-797-8554 or contact us to schedule an appointment.
Located in Hagerstown & Frederick, MD, we’re ready to meet any of your foot health needs.
Don’t forget Dr. Michaels’s motto: “If it’s below the knee, think of me!”
