Hi
About a year and half ago I ripped half of my left big toenail off. The podiatrist I went to removed the toenail and that was that. My new toenail grew back quickly but grew into my toe so the podiatrist said the best thing to do was to permanently remove my toenail. Even after almost 2 years my left big toe is in constant pain. I regularly put icyhot on my nail less toe to subside the pain. I really wish I had my toenail still. Above my cuticle I have what looks like a thin nail but I heard that the small thin growth could be a callus. I have questions.... Why would my big toe hurt without a nail after 2 years? And could the growth be a nail or callus? Is anyone having the same problem?
Thanks
Kristin
  • Comments (10)
  • Thank you so much for you all of y'all's comments. I made an appointment with my podiatrist and will definitely mention what y'all said to make sure everything is covered. Thank so much again!
    Kristin
  • An xray should be taken of the digit. I agree the hallux is in extensus. A subungual exostosis or other bony pathology may exist.
  • This looks like a thin nail rather than a callus.  The pain you're describing could be due to nerve damage---neuropathic pain.  A traumatic injury such as yours could have injured nerve endings. And with your autoimmune issues, the wound would have healed differently than a normal wound.

    If you have no allergies to it, you can try Capsaicin ointment.  The pain may worsen initially, but then should improve.  This is treating the effect, not the cause.  As previous posts have recommended, I would follow up with your podiatrist and have it evaluated.  They may do xrays to evaluate the underlying bone.  They may suggest doing another matrixectomy to stop the nail portion that seems to be growing there.

    Here is a link to the Capsaicin ointment to give you a better understanding of it.  You can get it at most pharmacies, including CVS, Walgreens and Wal-Mart.  Don't use it on an open wound.

    http://www.webmd.com/pain-management/tc/capsaicin-topic-overview

    If the pain is severe or worsens, you could also consider a pain management doctor.  There are a lot of ways to reduce pain.  Besides topical therapies, like ointments and creams, and medications, there are biofeedback techniques that allow you to teach your body not to feel the pain, and other advanced pain relief therapies.

    It's not common to have the symptoms you're having.  Just continue to work with the doctors and probe for solutions like you're doing.  Hope this helps and good luck.  Hope you're pain free soon!

  • The hallux appears to be in extensus and is possibly rubbing the shoe  toe box. The big toe appears to be bent upward at the toe joint and is possibly rubbing the end of the shoe upper.  Soft kid leather is the best material for a shoe toe box and plastic or patent leather is the worst material.

  • Heres another picture- hopefully its a better view.

    Thank you again

    Kristin

     

     

     

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  • unnamedThank you again for your responses. I finally figured out how to put a picture from my phone onto my new computer. The half moon above my cuticle is what I'm not sure about (whether its a callus or nail). The pain is usually an all day thing (the dull ache) its when I put lotion on my feet that i get the sharp pain and its coming from the nail bed primarily in the middle. I usually wear tennis shoes because I'm uncomfortable wearing flip flops with my missing toenails. I never knew I could have had damage done to my bone but I will have to have it checked out as soon as I can.

    Thank you so much

    Kristin

  • Kristin,

    You can use the "insert picture" tab on the text screen and upload the photo from your computer.  Occassionally you can have success cutting and pasting the photo into the text screen.

    Is the pain constant all day?  is it sharp with direct touch over the entire nail bed?  Any difference in pain or frequency in or out of shoes.

    I agree a photo would be helpful, hopefully you can get that to work!  But I too recommend going to your podiatrist and having an x-ray done just to make sure nothing is happening at the underlying bone structure (phalanx).  Not common, but occassionally a bone cyst post procedure can develop, if there was trauma when the nail came off then there is potential the bone was injured or spurring or bone growth causing pressure & pain to the area.

    Keep us posted.

  • Thank you so much for your quick responses! I'm 25 years old and I have hypothyroid disease. My doctors believe I have hoshimotos disease. The "nail" is clear and shiny but very thin. I'm trying to post pictures but I'm not really sure how to on here. The pain is dull most of the time but if I touch my toe it becomes a sharp pain.
    Thank you
    Kristin
  • Sorry to hear about your nail trouble.  Have you shown this to your podiatrist and asked him/her about it?  As Dr. Bates noted, a picture would be helpful.  More information about your pain would also help.  Where is it exactly...at the base of the nail by the cuticle only?  The entire the nail bed?  Only where the nail grows?  Only the top of the toe past the toe joint?  The entire toe?  Only on one edge of the nail bed?

    What is the pain like?  Is it sharp, burning, numb, tingling, aching, other?  Does the Icyhot help, and for how long?  Is the pain every day?  Does anything make it better or worse?

    How did you rip the toenail off?  Do you have any medical conditions that might influence the healing of your injury, such as rheumatoid arthritis, diabetes, poor circulation, any other autoimmune diseases or connective tissue diseases?  Do you smoke.  What is your approximate age?

    Is the growth clear, yellow, uniform along the entire width of the nail bed, irregular?  If it is clear and looks like a nail, it might be a thin nail.  The nail matrix has several layers of cells stacked on top of each other, so in rare cases a thin layer of nail could grow in place of the normal nail after a matrixecomy.  A callus is more likely to be yellow and thick with an uneven surface.

     

     

  • Quote:

    Hi About a year and half ago I ripped half of my left big toenail off. The podiatrist I went to removed the toenail and that was that. My new toenail grew back quickly but grew into my toe so the podiatrist said the best thing to do was to permanently remove my toenail. Even after almost 2 years my left big toe is in constant pain. I regularly put icyhot on my nail less toe to subside the pain. I really wish I had my toenail still. Above my cuticle I have what looks like a thin nail but I heard that the small thin growth could be a callus. I have questions.... Why would my big toe hurt without a nail after 2 years? And could the growth be a nail or callus? Is anyone having the same problem? Thanks Kristin


    A picture might answer if nail or callus.  Pain could possibly be a totally unassociated problem such as an osteoid osteoma.