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Exploring 5 Common Nail Bed Disorders : Causes, Symptoms, and Treatments

The health and appearance of our nails can provide valuable insights into our overall well-being. Nail bed disorders can affect the nails’ appearance, texture, and growth, leading to discomfort and cosmetic concerns. In this article, we will explore a diverse range of nail bed disorders, their causes, symptoms, and available treatments. Whether you’re dealing with fungal infections, ingrown nails, or other common nail bed disorders, understanding these conditions will help you seek appropriate care and maintain optimal nail health.

Exploring 5 Common Nail Bed Disorders: Causes, Symptoms, and Treatments

  1. Fungal Nail Infections:

    Fungal nail infections, also known as onychomycosis, are a common nail bed disorder caused by fungal organisms. Symptoms include thickened, discolored nails that may become brittle and crumbly over time. These infections typically occur due to exposure to warm and moist environments, poor nail hygiene, or compromised immune function. Treatment options may include topical or oral antifungal medications, nail debridement, and preventive measures to avoid reinfection.(1)

  2. Ingrown Nails:

    Ingrown nails occur when the edges of the nails grow into the surrounding skin, leading to pain, redness, swelling, and possible infection. Common causes include improper nail trimming, wearing tight shoes, or having naturally curved nails. Mild cases can often be managed with warm water soaks and proper nail care techniques. Severe or recurrent cases may require medical intervention, such as nail avulsion or surgical removal.(2)

  3. Paronychia:

    Paronychia is an infection of the nail fold, the skin surrounding the nail. It can be acute or chronic and may result from bacterial or fungal overgrowth. Symptoms include pain, swelling, redness, and the formation of pus-filled abscesses. Treatment may involve warm water soaks, antibiotic or antifungal medications, and proper wound care. In severe cases, a healthcare professional may need to drain the abscess.(3)

  4. Nail Psoriasis:

    Psoriasis can affect the nails, leading to nail bed disorders such as pitting, ridges, discoloration, crumbling, or detachment of the nails. Nail psoriasis is often associated with skin psoriasis and may cause significant cosmetic concerns. Treatments may include topical corticosteroids, vitamin D analogs, retinoids, and systemic medications prescribed by a dermatologist.(4)

  5. Beau’s Lines:

    Beau’s lines are horizontal depressions or grooves that appear across the nails. They are typically caused by a temporary interruption in nail growth due to various factors, including trauma, illness, malnutrition, or certain medical treatments. As the nails grow, these lines become visible. Treatment focuses on addressing the underlying cause, promoting healthy nail growth, and maintaining proper nail care.(5)


Understanding the various nail bed disorders allows us to recognize their causes, identify symptoms, and seek appropriate treatments. From fungal infections and ingrown nails to nail psoriasis and paronychia, each disorder presents unique challenges and treatment approaches. By maintaining good nail hygiene, wearing appropriate footwear, and seeking prompt medical attention when needed, we can promote healthy nail growth and prevent or manage these common nail bed disorders. Remember, healthy nails not only enhance our appearance but also serve as indicators of overall well-being.


  1. American Academy of Dermatology Association. (2021). Fungal Nail Infections. Retrieved from https://www.aad.org/public/diseases/contagious-skin-diseases/onychomycosis
  2. American Academy of Dermatology Association. (n.d.). Ingrown Toenails. Retrieved from https://www.aad.org/public/diseases/contagious-skin-diseases/ingrown-toenails
  3. Dulski A, Edwards CW. Paronychia. [Updated 2022 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK544307/
  4. Muneer H, Masood S. Psoriasis of the Nails. [Updated 2023 Feb 16]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559260/
  5. https://en.wikipedia.org/wiki/Beau%27s_lines
Team PainAssist
Team PainAssist
Written, Edited or Reviewed By: Team PainAssist, Pain Assist Inc. This article does not provide medical advice. See disclaimer
Last Modified On:July 17, 2023

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