Why Is My Nail Not Growing Back? Nail Health Issues - Dermatology

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Nails are not growing?


When I was a child, I loved to play and would randomly cut my nails with nail clippers.
I remember one time I almost cut off the entire nail of my thumb, and it took a long time to grow back.
However, when it did grow back, there was a triangular-shaped notch on the side, and the nail never fully grew out.
Now, only hard, dry skin grows in that area.
Is it true that my nail will almost never grow back?

Niming, 10~19 year old female. Ask Date: 2016/01/10

Dr. Li Yufen reply Dermatology


Hello: If the nail matrix or nail bed has lost its normal function due to severe trauma and scarring, it may result in the inability of the nail to grow.
It is recommended that you consult a dermatologist nearby to confirm if there are any other nail issues.
Thank you!

Reply Date: 2016/01/10

More Info


Nail growth issues can be frustrating and concerning, especially when they stem from past injuries or improper care. In your case, it sounds like you experienced significant trauma to your thumbnail, which can lead to various complications in nail regrowth. Let’s delve into the reasons why your nail may not be growing back properly and what you can do about it.

Firstly, it’s important to understand that nails grow from the nail matrix, which is located under the base of the nail. If the matrix is damaged—due to cutting too deeply, trauma, or other injuries—it can affect the nail's ability to grow normally. The triangular shape you mentioned could indicate that the nail matrix was compromised, leading to an abnormal nail growth pattern. In some cases, if the matrix is severely damaged, it may result in permanent changes to the nail structure, including ridges, irregular shapes, or even the inability to grow a nail at all.

Nail growth is also influenced by several factors, including genetics, nutrition, and overall health. If you have a well-balanced diet rich in vitamins and minerals, particularly biotin, zinc, and protein, it can support healthy nail growth. However, if your body is experiencing deficiencies or if you have underlying health issues, this could also impact nail regrowth.

Another aspect to consider is the condition of the surrounding skin. If you are noticing hard, dry skin where the nail should be, this could be a sign of a condition called keratosis, which can occur when the skin produces too much keratin. This can happen in response to trauma or irritation. Keeping the area moisturized and protected can help improve the overall health of the skin and potentially support nail regrowth.

If you are concerned about the appearance of your nail or the surrounding skin, it may be beneficial to consult with a dermatologist or a healthcare professional. They can assess the condition of your nail matrix and surrounding skin, provide a proper diagnosis, and recommend treatments that may include topical ointments, nail care routines, or other interventions.

In the meantime, here are some tips to promote healthy nail growth:
1. Moisturize Regularly: Use a good quality hand cream or cuticle oil to keep the area hydrated. This can help prevent dryness and promote healthier skin and nails.

2. Avoid Trauma: Be cautious when trimming your nails and avoid any activities that could cause further injury to the nail bed.

3. Maintain a Balanced Diet: Ensure you are getting enough vitamins and minerals that support nail health. Foods rich in biotin (like eggs, nuts, and whole grains) and zinc (like meat, shellfish, and legumes) can be particularly beneficial.

4. Consider Supplements: If you suspect you have a deficiency, consider discussing with a healthcare provider whether a biotin or multivitamin supplement might be appropriate for you.

5. Gentle Care: Avoid harsh chemicals and excessive filing or buffing of the nails, which can further damage the nail matrix.

6. Consult a Professional: If the nail does not show signs of improvement over time, or if you notice any signs of infection (such as redness, swelling, or discharge), seek medical advice.

In conclusion, while it can be disheartening to deal with nail growth issues, understanding the underlying causes and taking proactive steps can help improve the situation. With time, care, and possibly professional guidance, you may see improvements in your nail health. Remember, patience is key, as nails typically grow slowly, at a rate of about 1/8 inch per month.

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