Onychogryphosis, commonly called ram’s horn nails, causes the toenails to thicken, harden, and grow in a curved, claw-like shape. It usually affects the big toe and discomfort or pain can be felt, particularly when wearing shoes or walking. This condition is more common in older adults, individuals with limited mobility, and those who have experienced trauma to the toes, which may trigger abnormal nail growth. Poor circulation, improper nail care, and underlying health conditions like diabetes can also increase the risk of developing onychogryphosis. Diagnosis involves a physical examination by a podiatrist, who may use imaging tests to assess the severity. Management typically includes regular trimming and thinning of the nail, and in severe cases, partial or complete nail removal. If you have any symptoms of this condition, it is suggested that you visit a podiatrist who can provide proper care and guidance to manage symptoms and prevent complications.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Darlyne Cange, DPM from Cange Podiatry, DPM, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions please feel free to contact our offices located in Glen Burnie and Ellicott City, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.