Pincer toenails can be hereditary or acquired. Most commonly the condition is acquired. The cause of pincer toenails is usually a combination of years and years of wearing tight shoes. Tight shoes slowly squeeze the toe from both sides and over time begin to “bend” the nail root or matrix. After many years the nail root becomes permanently curved, and the nail grows into a pincer nail. The condition is more common in females because of the type of shoes they wear. Women tend to wear tighter shoes and pointy-toed shoes that crowd the toes. Additionally, women wear high heel shoes that further cram the toes into an already tight toe-box. Once the nail has become pincered, wearing proper shoes will not undo the damage.
Years of tight shoes is not, however, the only way to develop a pincer toenail. Other causes include a bone spur under the toenail. This type of spur is called a subungal bone spur or subungual exostosis. The subungual bone spur forces the toenail into the pincer nail by pushing up on the center of the nail.
Pincer toenails are sometimes painful and sometimes not. When pain develops it is usually because the edges of the nail are sticking into the skin and causing ingrown toenails.
Pincer toenails can be tricky to treat. Historically, they have been treated by performing an ingrown toenail procedure which involves removing the offending nail borders. The problem with this treatment is that, with a severely pincered nail, the doctor must remove such a large piece of toenail from both sides, that hardly any toenail is left once the procedure is complete. The result is a very narrow nail that most patients find cosmetically unpleasing. To learn more about the KD device and the procedure to attach it to the nail, click here.
Recently a brand new treatment has been developed called the KD Device, an FDA approved clip that is placed on the toenail and straightens the nail at the root. The advantage of this procedure is that it actually straightens the nail root and does not require removing and destroying any of the nail root or matrix. The procedure is simple and can be performed in the doctor’s office. It involves a small incision on both sides of the toe where the nail root or matrix is freed off the bone and the KD device is placed over the nail to splint the nail in its new corrected position. Stitches are removed at 2 weeks and the clip is left on for approximately 3 weeks. Once the clip is removed the nail is fixed. You can call or request an appointment online today. Let the Doctor’s of Gulf South Foot & Ankle diagnose your foot pain and prescribe the best possible treatment for you!