Toenail Dystrophy

Have you noticed that your nails are changing?

Maybe becoming thick, discolored, lifting, crumbling?

Many believe that any change of the nails is due to a fungus of the nails, but this is not always the case.

Causes of Nail Dystrophy
  • Trauma: poor fitting shoes, running and dropping items on the toes are all common traumatic causes of changes to the nails that can mimic fungal infections
  • Systemic conditions: psoriasis, thyroid dysfunction, vitamin deficiencies
  • Vascular conditions: arterial insufficiency, venous insufficiency, lymphedema

Once there has been damage to a nail plate there may always be an abnormal appearance to the nail.

When trauma occurs to a nail there is commonly permanent damage to the nail matrix, where the new nail cells are produced, and it will continuously grow abnormally.

In some conditions where the nail dystrophy is from a systemic condition or vitamin deficiency, if the condition is better controlled and deficiency reversed, then it may be possible to return the nail to a more normal appearance.

Treatment Options

Once the cause of the nail dystrophy is determined, appropriate treatment can begin. Again, treatment will be based on the cause of the dystrophy, but sometimes the cause can be unknown.

In these situations there are still treatments to help improve the appearance of the nail with the understanding the nail will continue to grow abnormally.

Laser Therapy For Unsightly Nails

Laser therapy can be used to effectively treat unsightly nails because it stimulates nail growth by penetrating the nail matrix and improves the overall appearance of the nail.

Plus, often with trauma to the nail, the nail lifts from the nail bed and it’s the PERFECT opportunity for fungus to take hold. The laser therapy, along with a comprehensive treatment plan that is individualized for your needs and lifestyle, can help to you regain clearer, healthy nails.

Conchita had an issue that is so very common – she had trauma to her toenail years ago and overtime the nail started to pull away from the nail bed.

She developed fungus and has shared her story of how laser treatment has restored her nails to clear and healthy again. See the results for yourself below.

If you are experiencing foot pain, call our office or make an online appointment


Staff was extremely friendly and professional. They took us back immediately and no waiting for doctor to come in. Dr Settles-Carter was amazing with my little girl. She took her time and explained every detail to my daughter. As we were leaving my little girl said Dr Settles-Carter was the best doctor ever. Coming from a 10yr old.

Bert King

It took some work, and patience, but my feet are much better now. Dr. Freels worked with me to find exercises, and more importantly, the right shoe to wear. So nice not to dread going into work, for the pain of simply walking. Despite what another review here says, they've never tried to sell me any shoes there, have always left the choice up to me.

Robert Griffith

The staff was very courteous. However, the care provided by Dr. Carter and the staff in the back was exceptional! I finally had answers for my health concerns and issues and a course or plan of treatment including the costs of the services they provide. I especially liked the hours of operation...I can see a doctor for the treatment I need without having to use my personal and sick days! Love the flexibility. Lastly, the ambiance esthetics were relaxing and beautiful.

Bonnie Ogle Taylor

The entire staff at Lexington Podiatry was very welcoming and friendly. Jill went out of her way to make sure my daughter was taken care of. We appreciate being seen so quickly (it would have taken weeks to have seen an orthopedist for her foot injury). Now, she is on the road to recovery! Great office, thanks everyone!

Team Wade 24

Had a great experience! Everyone was very nice, it was clean, the doctor took time to listen to me. She showed me my x-rays and explained them to me. I would recommend them to family and friends.

Heather Purvis

Accepted Insurance Providers

There may be providers, plans and coverage not included on this list. We will help you with navigating the options for coverage and costs. We also accept HSA, Flex accounts, Care Credit and prompt pay pricing for treatment at the clinic and surgical procedures. We do not accept Medicaid plans at this time. Visit our New Patient page for more details.