Can Damaged Nail Matrix Heal? Recovery and Care Tips - Dermatology

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Will the nail growth plate heal if it is damaged?


Last October, I burned the skin above the nail bed while cooking, and after the skin healed, I started experiencing issues with my nail one or two months later.
The new nail that grew out has a straight line, and as it grew to the middle, it began to dent and become damaged.
As it extended to the nail edge, it quickly started to split in half.
Now, ten months later, the new nail still has a line running through it from start to finish, and it continues to be damaged and split.
The nail bed appears red when viewed through the nail, and there is pain at the base of the nail when pressed.
The dermatologist initially suggested that the nail matrix might be damaged but informed me that I could only wait for it to heal on its own.
They provided a topical treatment to prevent fungal infections in the damaged nail.
I would like to know if there is a possibility of recovery if the nail matrix is damaged, and what steps can be taken to help the new nail heal?

Miss Huang, 30~39 year old female. Ask Date: 2022/08/17

Dr. Li Yufen reply Dermatology


Hello: The extent to which the nail growth plate can recover depends on the severity of the initial injury and whether there is any fibrosis involved.
It is recommended to continue monitoring the condition while maintaining a normal daily routine, ensuring a balanced diet, and minimizing exposure to irritants such as water or cleaning agents.
Additionally, regularly using hand cream or petroleum jelly can help care for the nails.
Thank you!

Reply Date: 2022/08/17

More Info


The nail matrix, or the area from which the nail grows, plays a crucial role in the health and appearance of your nails. When the nail matrix is damaged, it can lead to various issues, including ridges, splits, and even pain at the base of the nail. In your case, it sounds like the burn you sustained has caused significant trauma to the nail matrix, resulting in the abnormal growth of your nail.

To address your question, yes, a damaged nail matrix can heal, but the recovery process can be slow and may not always result in a return to the original appearance of the nail. The extent of healing largely depends on the severity of the damage and how well you care for the affected area during the recovery period.

Here are some important considerations and care tips to help promote healing:
1. Avoid Further Trauma: Protect the affected nail from additional injury. This includes avoiding tight shoes or gloves that may press against the nail and cause pain or further damage.

2. Moisturize: Keeping the nail and surrounding skin moisturized can help improve the health of the nail matrix. Use a gentle, fragrance-free moisturizer or a specialized nail oil to keep the area hydrated.

3. Nail Care Products: As advised by your dermatologist, using a nail ointment can help protect the nail from fungal infections and further damage. Look for products that contain antifungal properties if you are concerned about the risk of infection.

4. Diet and Nutrition: A well-balanced diet rich in vitamins and minerals, particularly biotin, zinc, and protein, can support nail health. Consider incorporating foods like eggs, nuts, and leafy greens into your diet.

5. Patience: Nails grow slowly, typically at a rate of about 1/8 inch per month. It may take several months for the nail to grow out completely, and during this time, you may continue to see changes in the nail's appearance.
6. Consultation with Specialists: If the pain persists or if the nail continues to show signs of severe damage, consider consulting a dermatologist or a specialist in nail disorders. They may recommend treatments such as corticosteroid injections to reduce inflammation or other interventions to promote healing.

7. Avoid Nail Polish and Artificial Nails: While it may be tempting to cover up the damaged nail, using nail polish or artificial nails can trap moisture and lead to fungal infections. It’s best to allow the nail to breathe and heal naturally.

8. Monitor for Infection: Keep an eye on the nail for any signs of infection, such as increased redness, swelling, or discharge. If these symptoms occur, seek medical attention promptly.

9. Pain Management: If you experience pain at the base of the nail, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. However, consult with your healthcare provider before starting any new medication.

In summary, while a damaged nail matrix can heal, the process requires time, care, and patience. By following these tips and maintaining regular check-ups with your healthcare provider, you can support the healing process and improve the chances of a healthy nail regrowth. If you have any concerns about the healing process or if the condition worsens, do not hesitate to seek further medical advice.

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