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What Is Onycholysis?

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A toenail that begins to lift, loosen, or detach from the nail bed can become very uncomfortable and concerning. The detachment of toenails is usually caused by a toenail fungus infection. This condition, also known as onycholysis, can sometimes happen when fungus invades the nail and starts growing, causing it to separate from the skin beneath it. It may start in the corner of the nail but can progress if the underlying cause is not addressed.

At Laser Nail Therapy, many of our patients experience toenail detachment due to fungal infections, trauma, or other nail conditions. Understanding what causes the toenail to detach from the nail bed is the first step toward preventing further damage and restoring healthy nails.

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Onycholysis refers to the separation of the nail plate from the nail bed. It often presents as:

A white or yellow area at the tip of the nail
A gap is forming beneath the nail
Nail lifting or loosening
Debris or odor under the nail

If left untreated, the separation can worsen and potentially lead to complete nail detachment.

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What Causes Toenail Detachment, and Is It Dangerous?

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Toenail Fungus (Onychomycosis)
- One of the most frequent causes of nail lifting is toenail fungus. Fungal infections weaken the nail and produce debris under the nail plate, causing it to separate from the nail bed.
  Common signs include:
  - Yellow, brown, or white discoloration
  - Thick, brittle, or crumbly nails
  - Chalky or smelly debris under the nail
  - Nail lifting or distortion
Trauma or Injury
- Physical trauma, such as stubbing your toe, dropping something heavy, or repeated pressure from shoes, can cause the nail to detach.
  Common signs include:
  - Bruising
  - Pain when walking
  - Blood under the nail
  - Partial or full nail loss
Tight Shoes
- Shoes that compress the toes or apply constant pressure can gradually lift the nail and weaken its attachment to the nail bed.
Psoriasis and Other Skin Conditions
- Psoriasis and other skin conditions like eczema or lichen planus can weaken the nail structure, causing pitting, lifting, and debris buildup.
Bacterial Infection
- Moisture trapped beneath a lifting nail can invite bacterial infections, which may cause foul odor, pain, or green discoloration.
Excess Moisture or Harsh Chemicals
- Frequent exposure to water or different harsh chemicals, such as cleaning solutions, can weaken the nail and lead to detachment.
Medical Conditions or Medications
- Conditions like thyroid disease, anemia, and diabetes, as well as certain medications (including chemotherapy drugs), can cause toenail detachment.

A toenail that detaches isn’t always an emergency, but it can become serious if:

The area becomes infected
Pain increases
The nail changes color rapidly
There is redness, warmth, or discharge
You have diabetes or circulation issues

When a nail is lifted, it creates an opening where fungus and bacteria can grow; early care is essential to prevent severe infections.

What to Do If Your Toenail Is Detaching

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If you notice your toenail lifting or separating from the nail bed, follow these steps:

Keep the area clean and dry. Moisture slows healing and increases infection risk.
Keep the nail in its place. Only trim the fully loose portion using disinfected tools.
Avoid tight shoes. Switch to open-toe or loose footwear.
Stop using nail polish. Polish can trap moisture beneath the nail.
Disinfect shoes and socks. Fungal spores can linger and re-infect the area. You may use an antifungal shoe spray or wash footwear in hot water.
Monitor for pain or swelling. Seek medical care if symptoms worsen.

How Toenail Fungus Leads to Nail Detachment and How to Prevent Nail Detachment

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Toenail fungus is one of the most common reasons for nail lifting. As the fungus grows and multiplies under nails, it causes:

Toenails to thicken
Weak nail plates
Debris buildup under the infected nails
Separation of the infected nails from the nail bed

Without treatment, the fungal toenail infection spreads, often leading to further nail detachment or complete nail loss.

At Laser Nail Therapy, we use the FDA-cleared PinPointe laser to target and kill fungus beneath the nail, where creams and home remedies cannot reach.

Laser treatment helps by:

Killing fungus at its source
Allowing a healthier nail to start to regrow
Eliminating fungal debris and thickening of nails caused by fungus
Improving nail attachment to the nail bed
Preventing further lifting or detachment, which was caused by the fungus

Our treatment is non-invasive, medication-free, and requires no downtime. All patients are able to resume regular activity right after treatment is done.

When to See a Specialist

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You should schedule an evaluation if you notice:

Persistent nail lifting
Thick or discolored nails
Foul, cheesy odor
Pain or pressure under the nails
Recurring detachment of the nails from the nail bed
Concerns related to diabetes or circulation

Early diagnosis can prevent further nail loss and help restore healthy nail growth.

The Bottom Line

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Understanding what causes your toenails to detach from their nail bed is key to preventing further damage. Trauma, moisture, skin conditions, and especially fungal infections can all lead to nail lifting.

If toenail fungus is involved, timely laser treatment can help stop the progression and encourage healthy nail regrowth.

Ready to Restore Healthy Nails?

If your toenail is lifting, loosening, or showing signs of fungus, our specialists at Laser Nail Therapy are here to help.

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