DermTV Nail Pitting DermTV Epi 358
Hello, I'm Neal Schultz. pause And welcome to DermTV. Fingernails have a lot of uses, butterms of personal appearance, they'realmost an accessory. Depending on your mood and style, they canbe colored, lengthened, reshaped and literally manicured.
But, since this is DermTV, there's alwaysa â€œbutâ€�. so. t here are a bunch of problems that can preventyour nails from looking their best. The problem we'regoing to discuss today is one of the strangest: nail pitting. In nail pitting, small pits developoneor several nails. These pits can be cone shaped with slantedangled borders as if an ice pick had been stuck into yournail. In fact, they can even resemble ice pick acnescars,
but these nail pits are much smaller. Or,they can have vertical parallel walls like ill holes.But regardless of their shape, they compromise the appearance of your nails. And nail polish, which isn't spackle andcant fill them in, just exaggerates the way they look. Nail pits occur while the nail is being formed, under the skin next to the back end of thenail over here. There's a tiny organ under the skin herecalled the nail matrix
and that's the organ that actually makesthe nail. Nail pits occur most commonlypeople withpsoriasis, eczema orpeople with an allergic formof hair loss, called alopecia areata, where you lose roundpatches of hair. In all of these conditions, there are usuallyseveral pitsany nail, and many fingernails may be affected. However, anyone can get one or two occasionalrandom nail pits for no apparent reason, and one or two pitsusually
are of no cosmetic or medical importance. The treatment of multiple nail pits usuallyrequires treating the associated skin conditions Imentioned. However, there is a treatment that can bedone to the skin next to the nail overlying the nail matrix.It involves injections of cortisone which of course are uncomfortable, but theyusually work after a few monthly treatments. And of course,as a last resort, you can hide your nail pits with nail tips!
Toenail Fungus Causes Symptoms and Natural Treatment
You may have seen some of my many tutorials onthe Candida Crusher YouTube channel. Today I'm going to talk about a different topic,which I haven't really covered muchthe past. But I'm going to do a few of these tutorials,and it's regarding toenail fungus, so yeast infection of toenails. It's very, very common.It's a condition I very commonly see. In fact, I would easily say that half to three quartersof my patients have one or more nails, particularly toenails, with some kind of fungal infection.It's an extremely common condition. We see a lot of itthe western world, particularlypeople like myself who wear socks and shoes all the time, office workers.I've treated patients from many walks of life
for a long period of time, and the peopleI typically see with finger or toenail yeast infections are often people who workdampor wet surroundings like chefs, cooks, gardeners, market gardeners, people who workdairyfarms, they wear rubber boots all the time, cleanersoffices or hotels. These are peoplethat we commonly see having a yeast infection. When you think about it, yeast loves warmth.It loves darkness. It loves moisture. All these sort of environments which yeast reallythrive in,the groin, the vaginal area, and the toenails.Toenail fungus is more common than fingernail fungus, although I do see quite a bitpeoplewith their fingernails as well. It's commonly
mistaken,fact, for psoriasis of the nails.When,fact, it's not psoriasis, it's actually a yeast infection. There are various kindsof species of yeast that live around the fingernail and under the fingernail.Let's look at some of the common causes of toenail fungus. I think the number one causeis people wearing sneakers and socks prolonged. Women wearing pantyhose or providing an environmentwhere this yeast can thrive. If you wear socks, you need to take them off regularly. If youcan walk barefootyour office like me, I'm lucky. You wouldn't know, but I have barefeet. I like walking around barefootmy office. If I'm seeing patients, naturally,I'll have socks and shoes on, but I try to
take my socks and shoes off most of the timeand just have bare feet or some leather sandals that I like to wear around the place for airingout the feet. Feet really like hands need to have lots of air flowing around them, somesunlight exposure. And this is why you're going to typically see more toenail fungusthan fingernail fungus. We don't often wear gloves on our hands. And if we do, we takethem off. But we wear socks for eight to ten hours a day all the time. This is a typicalcause or a contributing cause. Some of the leading causes we're going to see later reallyare more diet and stress related. Another one is clipping the toenails. Peoplewho tear the toenails, who cut them too short,
which leaves a small wound that allows bacteriaor fungus to getthere and start seeding more fungi around and under the nail. Andbefore you know it, you've got the beginning of a toenail infection. Remember, if you havegot a toenail infection, it's important to find the cause of it. And also try to understandit's not just affecting you locally with the toenail or a fingernail, it's affecting yousystemically, so it'll be internal. Topical treatments purely on the nail area waste of time. You're wasting your time just putting Lamisil on your toenail or tryingto treat the nail externally without looking at the internal contributing factors. Verysmart move if you do. Internal treatment and
external treatment because this is how you'regoing to really quot;nailquot; the nail infection. If you want to get rid of it permanently,you need to make changes on multiple levels. Treating it purely on a local level is prettystupid. You get rid of it for a while, but it'll usually come back again.Contrary to popular belief, you don't pick up toenail infection or tinea or yeast infectionsbetween the toes from locker rooms. A lot of people think if you walk around barefootaround a gym, you instantly get an infection involving a yeast that will grow tinea pedis,a tinea infection, around the feet or between the toes. It's not true. Many people walkaround barefootall areas around the world,