Thick Toenails: Treatments and Home Remedies

Thick Toenails: Treatments and Home Remedies

Thick toenails can be unsightly, uncomfortable, and sometimes even painful. They are often caused by fungal infections, aging, injury, or underlying health conditions like psoriasis or diabetes. While they may not always indicate a serious problem, treating them early can prevent complications. Here’s what you need to know about the causes, treatments, and home remedies for thick toenails.

Causes of Thick Toenails

1. Fungal Infections (Onychomycosis) – The most common cause of thick toenails, fungal infections develop when fungi invade the nail bed, causing discoloration, thickening, and brittleness.

2. Aging – As people age, their nails tend to grow slower and become thicker due to reduced circulation and repeated trauma over time.

3. Injury or Trauma – Stubbing your toe, dropping something heavy on it, or repeated pressure from tight shoes can cause thickening.

4. Psoriasis – This autoimmune skin condition can affect the nails, leading to thickening, ridges, and discoloration.

5. Diabetes or Poor Circulation – Conditions that affect blood flow to the feet can lead to nail thickening and make infections harder to heal.

Medical Treatments for Thick Toenails

If your thick toenails are caused by a fungal infection or an underlying health condition, medical treatments may be necessary:

• Antifungal Medications – Oral antifungal pills (such as terbinafine or itraconazole) are commonly prescribed for stubborn fungal infections. Topical antifungal treatments like ciclopirox or efinaconazole can also be applied to the nails.

• Nail Trimming & Thinning – A podiatrist can safely trim and file down thick nails to reduce discomfort.

• Laser Treatment – Some clinics offer laser therapy to target fungal infections, though results may vary, and it can be expensive.

• Surgical Removal – In severe cases, a doctor may remove the affected toenail to allow a healthier nail to grow in its place.

Home Remedies for Thick Toenails

For mild cases or as a supplement to medical treatment, home remedies can help improve the appearance and health of thick toenails.

1. Soaking & Softening the Nails

• Soak your feet in warm water with Epsom salt for 15–20 minutes daily to soften thick nails.

• Adding apple cider vinegar (one part vinegar, two parts water) to the soak can help fight fungus.

2. Using Antifungal Agents

• Tea tree oil has natural antifungal properties—apply a few drops diluted with coconut oil to the affected nails daily.

• Baking soda mixed with water can be applied as a paste to help reduce fungal growth.

3. Proper Nail Care

• Trim your toenails straight across to prevent further thickening or ingrown nails.

• Use a nail file to smooth the surface and reduce thickness.

• Disinfect nail clippers regularly to avoid reinfection.

4. Wearing Breathable Footwear

• Choose shoes with good ventilation to keep your feet dry and fungus-free.

• Change socks daily, especially if your feet sweat a lot.

When to See a Doctor

If your thick toenails are painful, spreading, or not improving with home care, consult a doctor or podiatrist. Underlying health conditions, like diabetes, require medical attention to prevent complications.

By following these treatments and home remedies, you can improve the health and appearance of your toenails while preventing further problems.