Did you know only about 50% of discolored or thickened, dystrophic-appearing, nails have a fungal infection?

Did you know only about 50% of discolored or thickened, dystrophic-appearing, nails have a fungal infection?

It is possible for the layman to believe a thickened nail must mean a nail fungus is present. When concern a person has a nail fungus presents itself, before treating them cosmetically, it is best to refer the person to their general practitioner who can refer them to a podiatrist or dermatologist to correctly identify the condition if needed. Only about 50% of discolored or dyst

Onychomycosis

rophic-appearing nails have a fungal infection confirmed with culture. And 20% of the adult population has onychomycosis, nail fungus.

Thickened Toenail Caused by Chemotherapy

 

There are many other causes for a nail to become thickened or discolored. Treatment like chemotherapy can cause changes in the nail matrix and cause an overproduction of nail cells that form the nail plate. Older people are at an increased risk of nail alterations, including normal age-related changes and disorders that more commonly affect this specific population. Secondary factors are important contributors to pathologic nail changes, including impaired circulation at the distal extremities, faulty

biomechanics, infections, neoplasms, and skin or systemic diseases with nail manifestations.¹

The many other causes of nail thickening and discoloration, which are not a fungus, include:

Onychogryphosis

1. Onychogryphosis thickening and distortion of the nail, typically of the big toe, thought to be due to previous nail bed trauma.²

2. Onychauxis, an overgrowth or thickening of the nail, reveals nothing to the casual observer, the tech, or the doctor. Many times, in fact, onychauxis is a natural part of aging.3

Onychauxis

If the thickening is caused by a fungus it “can sometimes be cured,” says Dr. Schumacher. “When a nail is thick because of a fungal infection” ” treatment of the infection may cure the nail.” In cases like this, the nail may be able to grow in healthy after the primary condition has been resolved. However, if onychauxis is caused by trauma and the matrix is damaged, it’s more likely that the thickness will need to be maintained through regular manicures or pedicures, because the nail may continue to grow in thicker than normal nails. Since a doctor must determine a cause before treatment is recommended, there is not a standard treatment for onychauxis. 4

3. Trauma (tight shoes, nail-biting).

4. Poor foot care.

Eczema

 

Subungual melanoma

 

Lichen planus.

5.  Eczema (irritant or allergic contact dermatitis).

 

6. Lichen planus.

7. Subungual melanoma.

8. Psoriatic nail disease. Psoriasis can affect the skin, nails, and joints. Classically, psoriatic nail disease consists of onycholysis; salmon (oil) spots (discolored areas that represent nail bed psoriasis); an irregular pitting pattern; and onychauxis. The Koebner phenomenon, or the appearance of lesions at the site of in

Psoriasis

jury, can also occur in the nails and may manifest in an asymmetrical presentation. If a patient presents with an onychomycosis-like nail involvement and has failed oral antifungals, one should consider a diagnosis of psoriatic nail disease. Also, if psoriatic plaques and nail dystrophy are present, they do not automatically lead to a diagnosis of psoriatic nail disease. This is why culture and biopsy with negative PAS stain are essential to achieving the correct diagnosis.5

 

9. Bacterial paronychia – e.g., Pseudomonas spp. infection.

Bacterial paronychia

10. Systemic disease – e.g., thyroid disease, diabetes, peripheral arterial disease.

11. Rare systemic disorders – e.g., keratosis follicularis (Darier’s disea

Yellow Nail Syndrome

se), yellow nail syndrome, nail-patella syndrome, pachyonychia congenital.

 

Idiosyncratic drug reaction

12. Idiosyncratic drug reaction (especially tetracyclines, quinolones and psoralens).

 

It is a “nail myth” that “nail thickness is caused by separation of the nail layers.”

The layman explanation to most of the causes of a thickened nail, items in the above list, is due to changes in the matrix which produce the nail cells. Nail cells move up the nail bed after being produced. When the matrix experiences change due to trauma, circulation or disease, it can create an overproduction of nail cells creating the thickened nail.

The technical term for layers of the nail separating is Onychoschizia. It is the transverse and lamellar splitting of the free edge and nail plate. The causes are excess wetting and drying of the nail, trauma, nail enhancements or polish, and systemic diseases. But does not include thickening of the nail.

Nail fungus caused by dermatophytes can cause an illusion of a thickened nail. The invasion of the organism causes mild inflammation, the skin under the nail to thicken (focal parakeratosis), and an overproduction of keratin (subungual hyperkeratosis) which push the nail up from the nail bed creating an illusion of thickness.6

Older people are at an increased risk of nail alterations, including normal age-related changes and disorders that more commonly affect this specific population. Secondary factors are important contributors to pathologic nail changes, including impaired circulation at the distal extremities, faulty biomechanics, infections, neoplasms, and skin or systemic diseases with nail manifestations.7

Holding a nail technology or cosmetology license makes you the best advocate for the people who trust and look to you for your expert advice your license gives you, and the knowledge to know when to refer them to a physician. You were trained and tested on nail disorders and diseases. When in doubt always refer to a physician. Holding a nail technology or cosmetology license does not prevent you from educating yourself beyond the nail technology course. Always follow your state board guidelines regarding this topic when it comes to treating your clients cosmetically.

Links to supporting documentation are included in this post.

Definitions that are not explained above.

Nail dystrophy refers to poor nail formation, usually as the result of trauma or infection. When caused by trauma, the nail becomes discolored due to blood pooling underneath the nail. Over time, the nail breaks away from the nail bed until it detaches completely.8

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3038811/
  2. https://patient.info/doctor/fungal-nail-infections-pro
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3038811/
  4. http://www.nailsmag.com/article/82023/what-is-onychauxis
  5. http://www.podiatrytoday.com/how-treat-dystrophic-nails
  6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3038811/
  7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3038811/
  8. http://naildystrophy.com/

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Finger Baths Should be Outlawed in Nail Schools

Finger Baths Should Be Outlawed lowest prices levitra

I graduated from Nail Technician School in 1994 and I was taught to use a finger bath to soak the cuticles before starting a manicure. It took me about one month to realize this strategy made no sense what so ever. My favorite subjects in high school and college were science and physics so I had a great understanding about how chemicals and elements affect their surroundings. Many people believe the nail plate to be a solid surface, but it is actually porous. Just like a sponge, it has thousands of tiny holes that can and will absorb water. So if you can imagine how your skin gets soggy when it has been submerged in water for a long period time, your nails get soggy too. buy generic sildenafil online

Our goal when giving you a manicure is to care for your cuticles, relieve your stress with a great hand and arm massage and polish your nails so they last. So if your nails are submerged in a finger bath of water they are being water logged and will not hold they polish for any length of time. vicodin and viagra together

I have had clients come in for a manicure and ask, “Aren’t you going to soak my fingers?” And I tell them, “No, I use a cuticle remover that will dissolve the dead skin so I can removed it more efficiently.” “A finger bath will not dissolve the skin that needs to be remove, it will only water log your nails and cause the polish to chip within a few days.” They are doubting Thomas right away of course, the hand massage at the end usually sways them to think I know what I am talking about. But it is the polish that lasts for 2 weeks that makes them a believer and they are back in my chair. I hear things like, “I have never had a manicure last for two weeks in my life!” “I don’t know what you do different from other nail tech’s but my polish didn’t chip, it just wore off the ends from friction.” lowest price for viagra

Finger baths should not be used as a tool for teaching manicures. Even if they need to charge more for the tuition to purchase cuticle remover, they should purchase cuticle remover! And if there is anyone out there still doubting this theory, try it yourself. Use cuticle remover on one hand and soak the other hand for 5 minutes in water. Then polish both hands, see what hand chips and which one lasts. But you really should take my word for it and ask your manicurist to stop using a finger bath and start using cuticle remover so your manicure lasts for a much longer period of time 🙂

Nail Tech Talk “5 funniest things that happened in the salon this week.”

nailtechtalktop5Top 5 Funniest Salon Moments This Week

1. My client was late for her appointment. She is never late for her appointments so I was beginning to worry a bit. When she arrived she was frazzled because she hates being late. She immediately started apologizing and said “Oh Lori, Lori I am so sorry I’m late. I was on my way here and I thought, oh my goodness something’s wrong, something’s very wrong, something doesn’t feel right with the accelerator.” To which I responded, “Oh….were you running out of gas?”  She said, “NO! I looked down at the gas pedal and I still had my slippers on! I thought to myself I can’t go in and see Lori looking like this!  I had to turn around and go back home and change my shoes and that is why I am late!” Her delivery had everyone in the room laughing hysterically. was kostet eine viagra pille

2. A client told me a story about a disagreement she had with his sister-in-law, which got pretty heated.  Her sister-in-law just ranted and raved and would not stop. She wouldn’t let my client get a word in and kept interrupting as she responded to her sister-in-law.  She made an effort to shut her up by saying “you really should shut your mouth because I know how to throw a punch and not break a nail!” That shocked her enough to stop talking so my client could respond without further interruptions. Cialis 10 mg

3. A client told me a story about being in one of the recently remodeled schools. She commented on the new configuration at the entrance. (With all the school shootings in the news, the school board voted to beef up security at the school entrance.) She said she felt very intimidated, like she was about to enter a secure building… like a prison.  She had to ring the buzzer and the person on the other end asked what they wanted.  She said she were dropping something off for her son and she was buzzed in. She made a joke saying she was waiting for someone to come out and tell her to “turn to around, put your hands against the wall, spread your legs shoulder width apart…do you have any latex allergies?” while they were getting gloved up! We laughed and laughed. cialis for sale

4. A client told a story about her argumentative 12 year old son.  Her son will not stay in the bathroom whiile he brushes his teeth. He walks around the hallway and into his bedroom and drips toothpaste slobber all over the carpet. She has told him a million times to stay in the bathroom while he brushes and over the sink. Of course the boy never listens.  That night before bed the mother told her son to get a rag and clean the toothpaste off his bedroom floor.  Of course he argued with her that there was no toothpaste on the floor. She pointed out the toothpaste on the floor and told him to get a rag and clean it up. To which he said “how do you knoooow it’s toothpaste?” The mother asked “well what else would it be?” The mother said “I know it’s toothpaste, I see you drip while you walk around, that’s why I tell you to stay in the bathroom to brush your teeth” and started to walk away.  When the boy didn’t think she was looking anymore he got down on his knees and sniffed the carpet! Just one last ditch effort to try and get out of cleaning the carpet!

5. A woman came into the salon and said “Halloway are you f’ing kidding me? I checked out your YouTube channel!” I smiled and thought what in the world is she about to say! She said “357,000 people watched you scrub dead skin off some lady’s feet! And you get paid for that? That is bulls&%t. You need to come over to my house and I will let you rub my foot all up in thoses big bo%&ies. Then lets see how many hits that bad boy gets, because momma needs a new roof!” I couldn’t stop laughing for about 10 minutes! viagra 100 mg best price

Bonus Funny

The last bonus funny is about me.  My husband Bruce made fun of me the entire day after this happened. He told everyone that came into the salon what I said that day.  Let’s just start by saying, I never know what day of the month it is. I just get up and go. And this month is our 20 year anniversary.  We knew we were not going to be able to do anything because of the boys football schedule.  Bruce said we were going to be at the football field on Thursday watching our child’s game. Well, he actually said Tuesday but I remember Thursday. So Thursday came and we got ready for work and got to the salon. I thought oh crap i didn’t tell him Happy Anniversary today! So I got my client settled into the pedicure chair. And went out and gave him a hug and said,”Happy Anniversary”. He started laughing and said “Ah ha I have a witness, did you hear that?” he said to my client. She said “yes that was sweet.” He said, “if I had done something like this she would kill me.” And we were both confused. The client said “that was really sweet of her.” And he said, “yes it would have been if today was our anniversary! Our anniversary is on Tuesday!” To which I said,” What! Today isn’t the 27th? He said no today is the 22nd! UUGGHHHHHH

 

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