When Nail Problems Start Below the Surface

Understanding Bony Exostosis and Nail Changes

Sometimes nail problems aren't caused by external factors, but by underlying bone issues. A bony exostosis - where bone grows and pushes against the nail - can create symptoms that mimic other common nail conditions.

Common Symptoms

• Lifted nail plate

• Nail thickening

• Color changes

• Persistent ingrown nails

• Chronic nail problems resistant to treatment

Diagnosis Process

• Professional examination required

• X-ray imaging essential for:

  • Confirming bone growth

  • Determining extent of exostosis

  • Planning appropriate treatment

• Trained clinical assessment needed

Why It's Tricky

• Can mimic fungal infections

• May appear similar to trauma-related changes

• Often misdiagnosed without proper imaging

• Requires specific treatment approach