Creating Waves of Awareness
© Dr. Rajneesh Kumar Sharma M.D. (Homoeopathy) and Dr. Swati Vishnoi B.H.M.S.
To understand hangnail formation, one must be acquainted with nail anatomy and their functions.
Durable keratinized structure on the dorsal distal segment of the digit that continues growing throughout life.
The cutaneous folded structures providing the lateral borders to the nail.
Cutaneous folded structure providing the visible proximal border of the nail, continuous with the cuticle.
The layer of epidermis extending from the proximal nail fold and adhering to the dorsal aspect of the nail plate.
Traditionally, this can be divided into three parts-
The convex margin of the intermediate matrix seen through the nail. It is paler than the adjacent nail bed. It is most commonly visible on the thumbs and great toes. It may be concealed by the proximal nail fold.
The vascular bed upon which the nail rests, extending from the lunula to the hyponychium. This is the major territory seen through the nail plate.
The distal margin of the nail bed, which has a contrasting hue in comparison with the rest of the nail bed. Normally, this is a transverse band of 1 to 1.5 mm of a deeper pink or brown, followed by a relatively avascular pale band.
Its color, or presence, may vary with disease or with compression, which influences the vascular supply.
The cutaneous margin underlying free nail, bordered distally by the distal groove.
A cutaneous ridge demarcating the border between subungual structures and the finger pulp.
The main cause of hangnails relates to the dryness of the cuticles. When this area becomes dry, the cuticles depart partially from the nail region and become troublesome. The nails being most distal structures in body, the metabolized proteins and other essential substances reach there in last, causing relative deprivation. Hence the nail troubles are healed slowly.
The only way to diagnose hangnails is a keen clinical examination. Other systemic diseases like diabetes or disorders causing dry skin must be ruled out e.g. Sjogren syndrome, hypothyroidism, xeroderma, psoriasis, hyperkeratosis, ichthyosis, dyshidrotic eczema etc.
Hangnails - common remedies- bros-gau. Calc. carc. kali-chl. lyc. Merc. NAT-M. nat-s. plut-n. positr. pycnop-sa. Rhus-t. sabad. sanic. sel. sep. Sil. Stann. SULPH. Thuj. upa. wye.
EXTREMITIES - FELON - hangnails, from lyc. Nat-m. sulph.
EXTREMITIES - NAILS; complaints of - hangnails - Fingers - Third – right wye.
EXTREMITIES - NAILS; complaints of - hangnails – Fingers calc. lyc. Merc. Nat-m. Rhus-t. sabad. Stann. Sulph.
EXTREMITIES - NAILS; complaints of - hangnails – inflamed kali-chl. lyc. nat-m. upa.
EXTREMITIES - NAILS; complaints of - hangnails – painful lyc. nat-m. sel. stann. upa.
EXTREMITIES - NAILS; complaints of - hangnails – painless plut-n.
EXTREMITIES - NAILS; complaints of - hangnails - Thumbs - Root of nail bros-gau.
Chapter 176. Superficial Cutaneous Infections and Pyodermas > Staphylococcal Paronychia; Fitzpatrick's Dermatology in General Medicine, 8e ..., usually around the fingernails, often originating from a break in the skin, such as a hangnail. Clinically, skin and soft tissue of the proximal and lateral nail fold are red, hot, and tender, and, if not treated, can progress to abscess formation ( Fig. 176-12 ). Management of paronychia caused by S...
Chapter 194. Paronychia > Prevention; The Color Atlas of Family Medicine, 2e ... Trim hangnails to a semilunar smooth edge with a clean sharp nail plate trimmer. Trim toenails flush with the toe tip. Do not bite the nail plate or lateral nailfolds. Avoid prolonged hand exposure to moisture. If hand washing must be frequent, use antibacterial soap, thoroughly dry hands...
Chronic Venous Insufficiency & Lymphedema > General Considerations; Current Diagnosis & Treatment: Geriatrics ... there are extensive hyperkeratotic or papillomatous changes. Patient should see a podiatrist for nail care. Avoid trimming the cuticles or hangnails. Gloves are recommended for gardening, housework, and dishwashing. Early treatment of minor trauma or insect bites is recommended. Patients should be advised to use...
Dermatologic Disorders > Clinical Findings; Current Medical Diagnosis & Treatment 2016 ... illumination. Periungual warts may be dry, fissured, and hyperkeratotic and may resemble hangnails. Plantar warts resemble plantar corns or calluses. ...
Nontraumatic Disorders of the Hand > PARONYCHIA; Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8e ... then be gently probed with a small clamp to ensure drainage. Paronychia is an infection of the lateral nail fold or perionychium, occasionally extending to the cuticle or eponychium. It is usually caused by minor trauma such as nail-biting, manicures, or embedded lateral nails ("hangnails...
Nail Care: A Complete Solution to Your Nail Problems
Dr Shiv Dua
This book includes: Fungal diseases of nails, Splitting of nails, Cracked nails, Hangnails, Nail biting, Spoon nails, White spots on nails, Ingrowning toe nails, Diet, Massage, Exercise, Ayurvedic cures Homeopathy cures.
Care of Nails: