Doctor insights on:
Smashed Crooked Nail
My 5 month old sons toe nails are all growing crooked. Is this normal, or could it be from always having socks on him? His big toes are slanted.
See below: Sometimes this will happen and unfortunately there is not a good way to correct it. ...Read more
Doubtful: Dequervain's is tendonitis of first dorsal extensor compartment of the radial dorsal wrist. Can cause swelling in the area but should not cause appearance of crooked wrist. Primary symptom is pain over the area with ulnar deviation and traction on the thumb. Use of the thumb in grasp and pinching will cause pain. Seek care with hand surgeon, usually responds to steroid injection ...Read more
Common: Unfortunately, this can be a common occurrence after a wrist fracture. The prominent ulna can be a result of two issues. First, malalignment of the radius bone can cause the ulna to be more prominent. Second, wrist fractures can sometimes cause instability of the distal radioulnar joint (druj). This can cause a prominent ulna too. I would recommend an evaluation by an orthopaedic hand surgeon. ...Read more
The fingers on my left hand are crooked. (I think I fell on my hand last winter!) How do I go about fixing this?? Will a splint help?
Medical consult...: Since it may be from an injury so long ago, I recommend consulting with an Orthopedic Surgeon and/or a Hand Surgeon. An arthritic condition needs to be ruled out as well. ...Read more
Did I break my pinky? Swollen, no bruise, crooked and very painful and can't put hand to fist. Had in splint for past 24 hrs. Happened 5 days ago
Get an xray: Time to stop speculating ; get evaluation/diagnosis. Go see your family doc who can order an xray to prove whether broken or not. S/he can then discuss appropriate treatment options w/you. But until we have diagnosis, it's no use guessing. ...Read more
Punched a wall. Pinky seems a lil crooked, and slight swelling in the back of hand area below ring and pinky fingers. Fist can be clenched. Fracture?
Boxers Fracture: You have likely fractured the head of your 5th metacarpal neck with possible displacement and angulation. Do not use your hand, protect it and visit an Orthopaedic Surgeon in clinic. You need x-rays and splinting until an ortho has a chance to schedule you for a closed reduction of the fracture (putting it back in place) and then percutaneous pinning, casting, or in some cases operative fixation. ...Read more
Hand fracture 2weeks ago (4th metatarsal closed initial).ER ortho put a splint 2 wear 4-6 week. I went 2 a walkin clinic 4 swelling. My finger is crooked
Verticle Nail Ridges:
Vertical nail ridges are fairly common and nothing to worry about.
Vertical nail ridges extend from the cuticle to the tip of the nail. Vertical nail ridges often become more numerous or prominent with age, possibly due to variations in cell turnover within the nail.
If your fingernails change color or you develop horizontal nail ridges, consult your doctor. ...Read more
Difficult to say: There are many changes that can occur with the nails. Many can be benign but some changes (downward curling being one of them) can be a sign of systemic disease, particularly lung disease. You should see you primary care doctor and possibly a dermatologist to help determine what is going on. ...Read more
Many causes`: There are many causes of nail clubbing. The most common is lung disease, then heart disease, gastrointestinal (as malabsorbtion), liver disease (cirrhosis), thyroid and even a congenital born defect called eisenmenger syndrome. ...Read more
Healthy nails: For nail health: 1. Don’t bite nails to avoid infections. 2. Keep nails clean & dry. 3. Clip nails straight across (rounded in center) to prevent them from becoming ingrown. Don’t push back cuticles. Use emery board for irregular nails 4. Insure that your shoes fit properly & that they don’t squeeze your toes. 5. Alternate the shoes you wear. 6. Apply moisturizing cream to nails. 7. If nails are thick & hard to cut you can soak in salt water x 5 to10” followed by application of lactic acid cream or urea. 8. Wear flip flops in public showers / pools to avoid fungal infections. 9. Don’t do bathroom surgery. ...Read more
Sandpaper: A grandmother showed me this trick decades ago. I use a simple 1X3 inch piece of heavy duty (wet/dry) sandpaper in 100-180 grit. If you use it free form to file the nails it can do the job in less than a minute on both hands. The paper conforms to the curves better than a file and using it lightly assures you won't injure the skin. ...Read more
Which way?: If they are length wise it's not likely to be a serious problem. Even horizontal ridges can be due to repetitive trauma. However you might want to have blood work done for metabloic abnormalities like liver or kidney disease, thyroid or anemic issues. It should be easy to rule out serious causes of horizontal nail ridges, vertical line can occur with age. ...Read more
Tetanus and clean: First you must update your tetanus status. Next the area needs to be cleaned and any foreign material needs to be removed (what did the nail go through? Shoes? Socks?) any foreign material may lead to infection. Lastly the area needs to be protected and the less pressure on it, the better. ...Read more
Pleasure: The lips are populated with a variety of nerve endings that give pleasure as they are stimulated. It helps a newborn figure out how to feed when they have never been hungry; helps the toddler get through a rough day with thumb sucking; makes us enjoy kissing & smoking & chewing your nails. If it weren't for society frowning on the process, more would probably do it. ...Read more
Trauma or illness: If only one nail is involved it could be due to trauma from approximately 4-6 months ago. The nail is made in the nail matrix which is right beneath the cuticle. Thus, it is easy to injure this area. However, if all nails are involved look back 4-6 months ago...Did you have a high fever or surgery? Stresses such as these can give ridges in multiple nails. See your doctor for further eval. ...Read more
Vertical fingernail ridges
fingernail ridges are not always a health concern. There is a distinction between vertical and horizontal fingernail ridges. Vertical ridges are normal and are not a sign of any medical health concern. They extend from the base of your fingernail to the tip in an aligned and orderly positioning. They appear more prominently with age. ...Read more