Onychogryphosis

Onychogryphosis, commonly referred to as “ram’s horn nails,” is a condition characterized by the abnormal thickening and curvature of the nails, usually affecting the big toes. The nails become hard, discolored, and claw-like in appearance, making them difficult to trim and maintain.

Causes of Onychogryphosis

• Trauma: Repeated injury or pressure on the toenail, often from ill-fitting shoes or direct trauma.
• Neglect: Long-term neglect in nail care can lead to severe thickening and deformity.
• Aging: Older adults are more prone to developing onychogryphosis due to reduced nail growth rate and increased susceptibility to nail disorders.
• Circulatory Issues: Poor blood circulation to the feet can contribute to nail deformities.
• Genetics: There may be a hereditary component, making some individuals more prone to the condition.
• Other Medical Conditions: Conditions such as psoriasis, fungal infections, and ichthyosis can lead to onychogryphosis.

• Thickened, Hard Nails: Nails become significantly thickened and hard.
• Discoloration: Nails may turn yellow, brown, or opaque.
• Curved or Claw-Like Nails: Nails can become curved, claw-like, or spiral-shaped.
• Difficulty Trimming: Nails are challenging to trim and maintain.
• Pain or Discomfort: Pain or discomfort, especially when wearing shoes.
• Possible Secondary Infections: Difficulty in maintaining hygiene can lead to infections.

• Proper Footwear: Wear shoes that fit well and do not apply excessive pressure on the toes.
• Regular Nail Care: Keep nails trimmed and clean to prevent thickening and deformity.
• Avoid Trauma: Be cautious to avoid injuries to the toenails.
• Good Foot Hygiene: Wash feet regularly and keep them dry to prevent infections.
• Routine Check-Ups: Regularly visit a podiatrist, especially if you have underlying conditions that affect nail health.