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Tag: trauma

What are the reasons that a big toenail might stop growing?

The human body is an incredibly complex and fascinating organism, and the way it works can be somewhat unpredictable at times. One such unpredictability is when a big toenail stops growing. There are various reasons why this might happen, ranging from minor injuries to more serious medical conditions.

One of the most common reasons for a big toenail to stop growing is trauma to the nail bed. This can occur as a result of a heavy object falling on the toe or from the toe being stubbed or jammed. In these cases, the nail may become detached from the nail bed or the growth of the nail may be disrupted, leading to a slow or complete cessation of growth.

Another common cause of a big toenail not growing is a fungal infection. Fungal infections can affect the nail bed, causing thickening, yellowing, and discolouration of the nail. As the infection progresses, the nail may become distorted and begin to crumble or fall off, leading to a halt in growth.

Certain medical conditions can also cause the big toenail to stop growing. For example, psoriasis is a chronic autoimmune condition that can cause the nails to become thick, discoloured, and brittle. This can lead to the nails separating from the nail bed and ceasing to grow. Other conditions, such as diabetes and peripheral artery disease, can also cause a disruption in nail growth due to impaired circulation and nerve damage.

In some cases, genetics can also play a role in a big toenail not growing. Some people may inherit a predisposition to developing nail conditions that can lead to slowed or halted nail growth.

Treatment for a big toenail that has stopped growing will depend on the underlying cause. In cases of trauma or injury, the nail may regrow on its own once the nail bed has healed. Fungal infections can be treated with antifungal medications, while medical conditions may require more specialized care.

A big toenail may stop growing for a variety of reasons. From minor injuries to serious medical conditions, there are a range of factors that can impact nail growth. If you are experiencing a disruption in nail growth, it is important to seek medical attention to determine the underlying cause and receive appropriate treatment.

How is an Achilles Tendon Rupture Treated?

A tear of the Achilles tendon is not an uncommon problem in sport and can be very dramatic when it happens, as the calf muscles and the connected Achilles tendon play such an crucial function. It is more likely to occur in explosive activities such as tennis. The real issue is that the achilles tendon and the two muscles connected to it cross two joints (the knee and the ankle) and when both joints are moving in opposite directions simultaneously, particularly if abruptly (as might happen in tennis), then the likelihood of something failing is pretty high.

The treating of an achilles tendon rupture is a bit controversial with there being two options that almost all the research shows have got quite similar outcomes. One choice is conservative and the other is surgical. The conservative option is commonly putting the lower limb in cast which holds the foot pointing downwards slightly. It can take up to six weeks to heel up and after the cast is removed, there should be a slow and gentle resumption of exercise. Physical therapy is usually used to assist with that. The surgical choice is to surgically sew the two edges of the tendon back together, this is followed by a period in a cast which is shorter compared to the conservative option, and is followed by a similar steady and slow resumption of sport. When longer term results are evaluated the final outcome is usually about the same, but the operative procedure has the added chance of surgical or anaesthetic complications which the conservative strategy doesn't have. The choice as to which approach is better will have to be one based on the experiences of the doctor and the choices of the person with the rupture. There is a trend for competitive athletes to go down the operative pathway for an achilles tendon rupture as it is thought that this does give a better short term outcome and get them back to the sports field faster.