What if your nail problem comes from an underlying bone problem? - FALL Blog | Foot Ankle & Lower Limb

What if your nail problem comes from an underlying bone problem?

Conditions
What if your nail problem comes from an underlying bone problem? - Featured image for FALL Clinic Perth podiatry article

Understanding how underlying bone problems can affect nail health

When Nail Problems Start Below the Surface

Understanding Bony Exostosis and Nail Changes

Sometimes nail problems aren't caused by external factors, but by underlying bone issues. A bony exostosis - where bone grows and pushes against the nail - can create symptoms that mimic other common nail conditions.

Common Symptoms

  • Lifted nail plate
  • Nail thickening
  • Color changes
  • Persistent ingrown nails
  • Chronic nail problems resistant to treatment

Diagnosis Process

  • Professional examination required

  • X-ray imaging essential for:

  • Confirming bone growth

  • Determining extent of exostosis

  • Planning appropriate treatment

  • Trained clinical assessment needed

Why It's Tricky

  • Can mimic fungal infections
  • May appear similar to trauma-related changes
  • Often misdiagnosed without proper imaging
  • Requires specific treatment approach

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