How to trim thickened toenails (2024)

How to trim thickened toenails

You probably don't think much about your toenails. But they may get your attention if the nails start to thicken. Thick toenails usually are painless. If they get too long, however, they can become uncomfortable. Read on to learn more about thickened toenails and how to properly trim them.

What causes thickened toenails?

The most common cause of thickened toenails is aging. Toenails thicken with age because the growth rate of the nail plate slows. Other reasons toenails may thicken include:

  • A common skin condition called psoriasis. It causes cells to build up rapidly on the surface of the skin.
  • An injury or trauma to the toes.
  • Tight-fitting shoes.
  • Fungal infections.

Among these, a fungal nail infection called onychomycosis (on-ih-koh-my-KOH-sis) is a common cause of thickened toenails. The photo below shows an example of thick toenails that have onychomycosis.

How to trim thickened toenails (1)

Getting ready to trim

Before you trim your toenails, soften them by soaking your feet in warm water for 5 to 10 minutes. Then dry your feet and toenails with a towel.

Nail nippers, shown below, work best for trimming thickened toenails. They're lightweight, easy to grip and easy to control. You can buy them at most pharmacies or drugstores.

Nail nippers can be very sharp. Be careful when using them, especially if you have:

  • Diabetes.
  • Poor circulation.
  • Reduced sensation in your feet.

If you have any of these health issues and you have questions about trimming your toenails, talk to a member of your health care team.

How to trim thickened toenails (2)

Trimming the nails

Start at the corner of the nail, and make small straight cuts all the way across your toenail. Taking small cuts helps prevent splintering. Don't use the nail nippers to round the edges of the nail. Cut straight across. This lowers the risk of developing an ingrown toenail.

How to trim thickened toenails (3)

How to trim thickened toenails (4)

Smoothing sharp edges

The thickened toenail pictured below has been trimmed correctly. The toes next to it need a similar straight cut.

After you've trimmed your toenails, gently file them with an emery board or nail file. This removes sharp edges that could cut your skin. Not only is a cut painful, but it also can raise the risk of an infection or an ingrown toenail. Filing your nails can help keep them from catching on your socks too.

How to trim thickened toenails (5)

When to contact your health care team

Thickened toenails usually don't need medical care. But if they keep getting thicker over time or if they become painful, contact your health care team.

Also make a medical appointment if you don't think you can trim your toenails safely on your own.

If the look of thickened toenails bothers you, talk with a member of your care team about possible treatment options.

Aug. 15, 2023

  1. How to trim your nails. American Academy of Dermatology. https://www.aad.org/public/everyday-care/nail-care-secrets/basics/how-to-trim-nails. Accessed May 15, 2023.
  2. Tips for healthy nails. American Academy of Dermatology. https://www.aad.org/public/everyday-care/nail-care-secrets/basics/healthy-nail-tips. Accessed May 15, 2023.
  3. Dinulos JGH. Nail diseases. In: Habif's Clinical Dermatology. 7th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed May 15, 2023.
  4. Rich P, et al. Overview of nail diseases. http://www.uptodate.com/home. Accessed May 15, 2023.
  5. Goldstein AO, et al. Onychomycosis: Management. http://www.uptodate.com/contents/search. Accessed May 15, 2023.

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How to trim thickened toenails (2024)

FAQs

How to trim thickened toenails? ›

Start at the corner of the nail, and make small straight cuts all the way across your toenail. Taking small cuts helps prevent splintering. Don't use the nail nippers to round the edges of the nail. Cut straight across.

What to do if toenail is too thick to cut? ›

Thick toe nails can be managed using an emery board and filing your nails. This will stunt nail growth and keep them manageable. Gently file each nail across the thickened part 2-3 time weekly to reduce the thickness. The best time to do this is when the nail is dry, before a bath or shower.

How to trim elderly thick toenails? ›

Soak your feet in warm water for at least 10 minutes to soften your nails, and then use a towel to thoroughly dry your feet and toenails. Using a nail clipper, make small cuts to avoid splintering the nail and cut straight across. To lessen the chance of the nail becoming ingrown, don't round off the corners.

Can thickened toenails be reversed? ›

Once your toenail grows thick, it will always be thick, this is a permanent change. There are only two main options when we have a thickened toenail: Conservative treatment where the foot specialist will debride (file) your toenails to their normal flat level.

What do podiatrists use to cut thick toenails? ›

Heavy duty podiatry-grade toenail clippers: We recommend ClipPro nail clippers for our patients.

How do you get rid of keratin buildup under your toenails? ›

If your nails are crusted with keratin debris, she scrapes it away with specialized tools. If your infection is severe, she may recommend toenail surgery to temporarily remove the infected nail and treat the nail bed topically. Clearing onychomycosis can take up to a year.

What is the white hard stuff under my toenails? ›

If the toenail fungus progresses, it can go deeper into the nail, causing discoloration, thick white stuff under the toenail (keratin debris), nail thickening and crumbling, and even transmission to surrounding nails.

What is the best home remedy for thick toenails? ›

Waldman recommends mixing one part white or apple cider vinegar to three parts warm water. Soak your toes for at least 10 minutes (but up to 40 minutes is better). Instead of vinegar, you can use Listerine, which contains thymol, the main compound in the herb thyme.

How can I make my thick toenails look good? ›

Soften your nails first by applying urea cream (Aluvea, Keralac) and wrapping your feet in bandages at night. Then, wash off the urea cream and use a nail clipper and nail file to trim your nails. Apply an over-the-counter fungal treatment after you gently file your nails. Apply Vicks VapoRub on your toenail each day.

Can you have thick toenails without fungus? ›

Thick toenails are the common result of four different causes: injury, old age, fungal infection and psoriasis.

Why do my toenails grow super thick? ›

The most common cause of thickened toenails is aging. Toenails thicken with age because the growth rate of the nail plate slows. Other reasons toenails may thicken include: A common skin condition called psoriasis.

Can you get a pedicure with bad toenails? ›

You absolutely can get a pedicure with a fungal infection, but it is important to honestly address the situation with the salon ahead of time. When doing so, find out if the salon has the proper sterilization practices and necessary tools to handle fungal nails.

What is the best tool to grind down thick toenails? ›

Pinkiou Portable Electric Nail Drill Set Pen Sander Polish Machine Acrylic Gel Removal Manicure Filer Kit with 6 Nail Drill Bits Pedicure Efile Rotary Carver Nail Art Tools
  • toenail grinder.
  • toe nail grinder for thick toenails.
  • toenail sander for thick nails fungus.
  • toenail+sander+for+thick+nails.

Should you scrape out toenail fungus? ›

Can You Scrape Out Toenail Fungus? No. You may be able to scrape a bit off the top of or from under your nails, but that won't cure the infection.

What is the difference between toenail fungus and thick toenails? ›

The fungus does not make the toenails thick; the pressure, type of injury, and patient's genetics determine how thick the nails will grow, resulting in conditions like thick black toenail or thick skin under toenail.

What does a pincer toenail look like? ›

Pincer nail is a deformity characterized by excessive transverse curvature of nail, progressively increasing along its longitudinal axis. The curvature is greatest at the distal end, leading to an ingrown nail, producing pain, discomfort, and significant cosmetic alteration.

How to trim a pincer toenail? ›

If you have pincer nails, you may be tempted to trim the free end very short. However, this can increase the risk of ingrown toenails, so it's a good idea to let the free end grow out a little bit. Your podiatrist can then fit you with a special orthotic to slowly straighten your nail plates.

How do you fix an overgrown toenail at home? ›

Here's how:
  1. Soak your feet in warm, soapy water. Do this for 10 to 20 minutes 3 to 4 times a day until the toe improves.
  2. Place cotton or dental floss under your toenail. ...
  3. Apply petroleum jelly. ...
  4. Choose sensible footwear. ...
  5. Take pain relievers.
Feb 8, 2022

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