Short answer: Chemotherapy can affect your toenails, making them weak or even causing them to fall out. This occurs because nails and hair share a similar chemical composition. Weakened nails are more susceptible to fungal infections. Consult with a podiatrist for managing these issues during chemotherapy.
Why Chemotherapy Affects Toenails
Chemotherapy targets rapidly dividing cells, which is why it’s often effective against cancer. However, it also impacts other fast-growing cells in your body, like those in your hair and nails. The chemical structure of nails is similar to that of hair, making them vulnerable during treatment. As a result, you may notice your toenails becoming weak, brittle, or even falling out. When nails fall off, it usually happens without pain but can be a worrying experience. The nails may also become discolored, with lines or indentations appearing as new growth is impacted by the drugs.
What You Can Do at Home
Maintaining good foot hygiene is crucial during chemotherapy to prevent additional complications. Here are some steps you can take:
Trim your nails regularly: Keep them short and smooth to minimize the risk of snagging and breaking. Use a soft nail file to smooth out rough edges.
Moisturize daily: Use a gentle moisturizer on your feet and nails to keep the skin and nailbeds healthy, preventing them from drying and cracking.
Monitor changes: If you notice any changes, such as discoloration, thickening, or brittleness, keep track and inform your healthcare provider.
Avoid harsh products: Steer clear of acetone nail polish removers and harsh nail treatments that can further weaken your nails.
Wear protective footwear: Opt for comfortable shoes that offer good coverage and support. Avoid tight or narrow shoes that might put pressure on sensitive nails.
What a Podiatrist Can Do
A podiatrist can offer specialized care for chemotherapy-related nail and foot changes. Here’s what they can do to help:
Fungal infection management: If you develop a fungal infection, a podiatrist can prescribe topical treatments suitable during chemotherapy. These treatments help manage infections without interfering with your recovery.
Nail care guidance: A podiatrist can demonstrate proper nail care techniques and recommend products that promote healthy nail growth without causing further damage.
Regular monitoring: Regular visits to a podiatrist can help monitor changes in your nails and catch any potential issues early, allowing for quick intervention.
Protective footwear advice: A podiatrist can suggest footwear that will protect your feet and alleviate pressure on weakened nails. They can also recommend custom orthotics if needed to enhance comfort and support.
At DeNiel Foot & Ankle Center, we offer comprehensive care for chemotherapy-related foot and nail issues, ensuring you receive the best support during this time.
When to See a Podiatrist
Your toenails are falling out, becoming severely weakened, or causing pain.
You notice significant changes in nail color, texture, or thickness.
There are signs of infection such as redness, swelling, warmth, or pus around your toenails.
If you have diabetes, notice unusual changes or experience complications related to foot health.
You have poor circulation or experience numbness in your feet, which makes monitoring your toenails challenging.
If you’re undergoing chemotherapy and are concerned about your toenails or any other foot issues, visit us at DeNiel Foot & Ankle Center for expert evaluation and care. Our team in Houston and Cypress is here to help you manage these side effects safely and effectively.
