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WAIKEONG
11-29-2006, 11:22 AM
The outer edge of the little (last) toenail on my
right foot was kind of partly chipped off about
six months ago, and the lower unbroken portion
was ingrowing somewhat and pressing against
the skin.

The doctor pulled out this root so as to allow that
edge to grow back together with the rest of the nail.
He said if that didn't work, he said he would have
to pull out the whole nail to allow for proper regrowth.

That edge has been growing back, but it appears to
be doing so separately from the rest of the nail,
rather than as a whole.


Thanks.

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Marti
11-29-2006, 10:24 PM
We are not supposed to post pictures or links to pictures, but I got to see it before the Administrator removed it. It looks like it may be growing in attached together as one unit at the cuticle area. Does it look like this to you? If so, you can simply clip or file off the rough section, but do not be agressive so as not to cut into good tissue or remove good tight nail plate.

WAIKEONG
11-30-2006, 10:41 AM
Thanks for the reply, Marti.

Yes, I had a close look with a magnifying glass,
and the nail does appear to be growing attached
as a unit near the cuticle.

I will follow your advice and try to clip away or
file the rough detached section carefully. If that
doesn't help, I might see a good pedicurist and
see if he/she can do something.

I checked on the net and it seems that toenails can
take up to a year to grow back, so perhaps that edge
hasn't fully grown back yet, since it has been only 6 months.

WAIKEONG
12-31-2006, 05:39 AM
Hi Marti,

That chipped edge of this little toenail is growing,
but as it reaches higher, I think its top portion tends
to get chipped or split off from the rest of the nail,
just like before the doctor pulled it off. I think this
breakup was what caused the problem in the first
place, and not due to some knock injury as I initially
thought.

I have relatively wide feet, particularly towards the
frontal portion where the toes are (my office manager
calls me "Duck's Feet" !), but I am also wearing quite
wide shoes (I have a tough time finding proper shoes
sometimes) to accomodate them, so I don't think that
cramped shoes may be aggravating this.

This old security guard near my office heard my problem,
and he said it was likely that my long hours sitting in
the office in front of the computer from day to night was
causing poor circulatory problems in that toe area, thus
contributing to poor quality nails.

Do you think this might be possible ?

Marti
12-31-2006, 11:41 AM
Poor circulation would not only effect ALL of the toes, but the feet and the ankles as well. Poor circulation would make the nails all appear to be slightly blue, your toes would swell as well as your feet and ankles. If you are experiencing any of these symptoms, you need to stand up for 10 minutes at least every hour. Sitting for long periods pinches the blood vessles in the groin area and behind the knees, causing less blood to flow to your lower extremities.

I seriously doubt if this is causing the nail plate to split, but it would certainly aggrivate the problem. For whatever reason, the nail plate cells are being formed in the matrix with a split in the cell development. This would cause the nail plate to grow in as two separate portions. The doctor can 'kill' the portion of root on the smaller side of the split, leaving the 'good' side to grow normally. Once he 'kills' the root on the bad side, the matrix will no longer be able to produce nail plate cells.

WAIKEONG
01-01-2007, 05:38 AM
Thank you very much for the reply, Marti.

I will give it a couple more weeks and see if this
problem persists, and if so I will check with the
doctor or the podiatrist and see if they should "kill"
the root of the matrix on the smaller right edge of
the split permanently. I think they use phenol or
something ?

I remember a couple of years ago, when the left big
toe was having a minor ingrown nail problem on the
right corner, my dermatologist had a look and said
if it persisted, he could use his laser to burn off that
entire edge. (Luckily though I managed to alleviate
it with the usual cottonwool method.) I think he also
meant "killing" the nail root there with the laser, so
maybe I could see him for this little toenail problem
as well.

Happy New Year, Marti, and to everyone on this board too.





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