Thick toenails can be unsightly and uncomfortable, but there are several ways to address them, ranging from home remedies to medical procedures. The best approach depends on the cause and severity of the thickening.
Home Remedies for Thick Toenails
Several topical home remedies might help soften and thin thick toenails:
- Vicks VapoRub: Some people report success using Vicks VapoRub, although scientific evidence is limited.
- Urea Creams: These creams are available over-the-counter and can help moisturize and soften the nail.
- Tea Tree Oil: This essential oil possesses antifungal properties and may be beneficial if a fungal infection is contributing to the thickness. Always dilute tea tree oil before applying it to the skin.
- Soaks: Soaking your feet in warm water mixed with apple cider vinegar (one part vinegar to three parts water) or baking soda can help soften the nails. Soaking for at least 10 minutes, up to 40 minutes, may be beneficial.
Medical Treatments for Thick Toenails
If home remedies are ineffective, consider these medical options:
- Prescription Creams or Ointments: A doctor can prescribe antifungal creams or ointments to treat underlying fungal infections.
- Oral Medications: For more severe cases, oral antifungal medications may be necessary.
- Laser Therapy: Laser treatments can target and kill the fungus causing thickened nails.
- Nail Removal (Avulsion): In some cases, a podiatrist may surgically remove the entire toenail to allow for healthy regrowth. This procedure often involves applying phenol to prevent regrowth of the nail.
- Debridement: A podiatrist can use tools to carefully remove excess layers of the toenail, reducing its thickness.
- Injections: Injections are sometimes used to treat underlying conditions contributing to nail thickening.
Trimming Thick Toenails
Regardless of treatment, proper trimming is crucial:
- Nail Nippers: These are ideal for trimming thickened toenails due to their ease of use and control. (Mayo Clinic)
- Emery Board: Filing the nails with an emery board can help smooth rough edges and reduce thickness. (NHS Borders)
Important Note: Always consult a podiatrist or dermatologist if you have persistently thick toenails, especially if accompanied by pain, discoloration, or other symptoms. They can properly diagnose the underlying cause and recommend the most appropriate treatment.
