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Why do elderly get thick toenails?

Author

Rachel Ellis

Published Jan 18, 2026

Both fingernails and toenails thicken as we get older. We only notice it with toenails because they're usually not filed and buffed as often as fingernails. The growth rate of nails decreases when people get older. This results in thickening because nail cells pile up.

What helps thick toenails in elderly?

Applying a small amount of melted coconut oil can help heal thick yellow toenails. You can purchase over-the-counter (OTC) antifungal nail creams and ointments. Be sure to clip and clean your nails before use to make sure the creams reach deeper layers. Laser therapy can be used to treat a fungal toenail infection.

How do you prevent toenails from thickening as you age?

By regularly filing your toenails at home, you can help to reduce the thickness of your nails. This can also assists with the appearance by removing the outer layer which is often discoloured.

Why do toenails get thick when your older?

With age, there is a rapid decrease in the growth rate for both toenails and fingernails, said Dr. Richard K. Scher, head of the nail section at Weill Cornell Medical College. As a result, both kinds of nail thicken, because of the piling up of nail cells, called onychocytes.

What do thick toenails indicate?

Thick toenails are your body whispering that something is not right. Several causes result in developing thick toenails. The main cause is onychomycosis or fungal infection of the nails caused by dermatophytes (nail fungus). Physical trauma, Psoriasis,Lichen planus and diabetes may also cause thick nails to develop.

25 related questions found

Can thickened toenails be reversed?

Thick toenails can be reversed if the underlying cause is addressed or proper preventative measures are taken. Polishing rough surfaces to make them smoother is a great way to treat thick toenails. Avoid pedicures because they may cause fungal infection to flare up when cuticles are removed.

How do you grind down thick toenails?

Use gentle pressure and grind it thinner until it is normal thickness or starts to get warm. If it gets warm, stop and then do a little more later or the following day. Continue grinding a little each day until the nail is normal thickness.

Why do old people's toenails get thick and yellow?

Unfortunately, thickening toenails are a by-product of aging, in most cases. As we age, our toenails - and fingernails - slow their growth rate, and the nails thicken because the nail cells, called onychocytes, sort of pile up.

How does a podiatrist treat thick toenails?

Treatment for Thickened Nails:

  1. Resection and thinning of the nail by a podiatrist.
  2. Nail scrapings may be taken for fungal culture.
  3. Permanent or temporary surgical removal of the nail.

How do you treat an aging toenail?

10 top tips for ageing toenails

  1. Look for irregularities. Take a good look at your feet and see if you notice any changes. ...
  2. Stay warm and dry. ...
  3. Cut toenails properly. ...
  4. Keep elevated. ...
  5. Avoid nail polish. ...
  6. Use lemon. ...
  7. Treat your toenail fungus with mouthwash. ...
  8. Take a walk.

What home remedy is good for thick toenails?

How are thick toenails treated?

  1. Clean the affected area with soap and water daily.
  2. Groom your nails regularly. ...
  3. Apply an over-the-counter fungal treatment after you gently file your nails.
  4. Apply Vicks VapoRub on your toenail each day. ...
  5. Apply tea tree oil twice a day every day.

Why is my big toenail so thick?

Toenails can thicken as a result of sudden or repeated trauma or injury. Mostly, this happens to people involved in sport or exercise, such as soccer players, runners, and dancers, but also to people with ill-fitting shoes. Often, thick nails due to injury are mistaken for fungal infections.

What does Vicks VapoRub do for toenails?

Vicks VapoRub

Although designed for cough suppression, its active ingredients (camphor and eucalyptus oil) may help treat toenail fungus. A 2011 study found that Vicks VapoRub had a “positive clinical effect” in the treatment of toenail fungus.

What is the white hard stuff under my toenails?

This overgrowth is called subungual hyperkeratosis. People with hyperkeratosis may notice a white, chalky substance under the nail. When this occurs in the toenails, the pressure of shoes pushing down on the nails might cause pain.

Are thick toenails caused by fungus?

Among these, a fungal nail infection — onychomycosis (on-ih-koh-my-KOH-sis) — is a common cause of thickened toenails.

Are thick toenails always a fungus?

Are thick toenails always fungus? No, thick toenails are usually not fungus. The toenail root responds to pressure by growing a nail plate that is thicker and sometimes detached from the nail bed — a place where the fungus can hide and grow.

Is thick toenails a fungus?

It is natural for toenails to get thicker with age, but thick toenails may be caused by other factors, including fungal infections, autoimmune conditions, or mechanical stresses, such as from poorly fitting shoes.

Can thick toenails be ground down?

Dystrophic Toenails

Dystrophic nails can be thinned through manual sanding, however, the quickest and most effective way to sand very thick toenails is with an electric sanding device. Thick nails should be sanded to avoid ulcerations due to shoe pressure, and can be sanded as thin as you desire.

Is it OK to file down thick toenails?

For nails that are still intact, it's acceptable to gently file down the nail as long as you don't file it too thin (this can increase the possibility of infection).

How do you soften hard toenails?

Soften your toenails by soaking your feet for 10 minutes in warm water. Dry your feet and toenails with a towel. Now you're ready to trim your toenails. Nail nippers work best.

What kills toenail fungus instantly?

Hydrogen peroxide. Hydrogen peroxide can kill fungus that grows on toenails. You can directly wipe hydrogen peroxide on your infected toes or toenails with a clean cloth or cotton swab. Hydrogen peroxide can also be used in a foot soak.

Does apple cider vinegar help with toenail fungus?

Apple cider vinegar is a popular remedy for toenail fungus due to its antifungal properties. If you want to treat your fungus using ACV, you can soak your feet in a mixture of warm water and the vinegar for about 15 minutes, twice a day.

What are thick toenails called?

Onychauxis is a nail disorder that causes fingernails or toenails to grow abnormally thick. Over time, the nails may become curled and turn white or yellow. This thickening of the nail may force the nail plate (the part you paint with nail polish) to separate from the nail bed.

How do elderly trim their toenails?

Soak your feet in warm water for at least 10 minutes to soften your nails, and then use a towel to thoroughly dry your feet and toenails. Using a nail clipper, make small cuts to avoid splintering the nail and cut straight across. To lessen the chance of the nail becoming ingrown, don't round off the corners.

Does Medicare pay for podiatrist to cut toenails?

Generally, podiatry services are not covered by Medicare.