Onycholysis: Causes and Treatment

Cavity under the fingernail, painted in a different from the nail color - trouble noticeable, but not causing pain. How to deal with this problem and can it be eliminated? This question is posed to everyone who faced it.

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Symptoms of

Actuallythis phenomenon has its medical name - onycholysis, the appearing cavity already indicates the presence of a serious problem, which will be difficult to treat. The void under the nail changes the color of the nail plate - it becomes different from other nails and even differs from the nail on the same finger, it acquires emptiness white, yellow, brown or bluish hues.

To hide such a defect is very difficult, only very rich shades of lacquer can help here. In order to understand "what is onycholysis, what is it?" It is better to consider the causes of its onset.

Causes of the disease

The onset of onycholysis can be associated with infections, common diseases and mechanical injuries.

Depending on the causes of the disease, the treatment will be different, but the symptoms always look the same: the portion of the nail plate changes its natural color and under it the emptiness of is formed.

Warning! If the onycholysis is not treated, the emptiness will increase and if the entire nail plate is affected, the restoration of the nail will become impossible.


The appearance of emptiness, as a result of a variety of injuries, is the most common type of disease. The fact is that the detachment and discoloration of the plate will not appear immediately after the injury, but after a while. This is due to the fact that in the place of impact or squeezing of tissues, the dead tissue first appears( in other words, from the blow under the fingernail there will be a hematoma that will provoke tissue and plate rejection), and then the nail will peel off.

Important! At the time of appearance of onycholysis( detachment), we may well forget about the cause of its occurrence.

This type of disease has good prognosis for recovery, here the overgrowth of emptiness is possible completely, the treatment consists in cutting the nail, it will gradually heal itself. To avoid getting into the void infection, it is better to seal it with a bactericidal plaster, it is useful to apply ointment under the patch.

Common diseases

The appearance of cavities under the nails can be associated with common diseases of the body. Among them will be:

  • dysbacteriosis in the small intestine;
  • cardiovascular diseases;
  • disease of the endocrine system;
  • skin diseases: eczema, psoriasis, bullous dermatosis.

Eliminate the onycholysis that has arisen on the basis of these reasons, is possible only in conjunction with the treatment of the underlying disease, otherwise the voids under the nail plates will occur with an enviable regularity.

Allergy and corrosive environment

With constant contact with allergens or aggressive media, onycholysis occurs as a reaction to an allergen. Among allergens may be a detergent or any means for home use, other chemicals with which the nail plate touches.

Allergic form of the disease is treated difficult, there is a high probability that the void itself does not overgrow, it will remain.

Important! If an allergen is detected, it is necessary to immediately stop contacting the nail with it. It is enough to start using protective gloves.

Treatment with antibiotics

Another cause of onycholysis may be treatment with antibiotics. Most often, this side effect appears when treated with tetracyclines or fluoroquinoline preparations. In fairness, it must be said, this kind of side effects is very rare.

When void appears as a result of the reaction to antibiotics, the probability of voiding is very high, but the process will be prolonged( up to 3 to 4 months).

Fungal diseases

Very long-term treatment will be onycholysis resulting from fungal disease. The fungus first affects the soft tissues: the foot, the bends of the fingers, the delicate tissue between the fingers. Redness and itching are the first symptoms of the disease, in the future there will be peeling, dry skin . Penetration under the nail plate is already a neglected form and its treatment will be very long. In this case, fungi can live not only under the nail plate, on the skin, but also in the blood, here they speak of a systemic damage to the body( all tissues are affected).

Warning! The formation of a small cavity is already a signal for immediate action, but if the fungal disease is not treated, the area of ​​the lesion will increase until the nail plate is completely detached, and eventually the voids will appear on the other nails.

It is necessary here not only for local treatment, but also for general, when you have to take medicine. Treatment can be delayed for a long time, sometimes even for years, it must be conducted under the supervision of a specialist( mycologist).

This type of disease is difficult to treat, overgrowth of onycholysis occurs slowly, but it is possible.

Treatment at home

If there is a void under the nail plate, especially if there is no likelihood of a traumatic cause of it, a doctor's consultation is necessary. Only he can prescribe an adequate treatment. With improperly selected self-treatment, the cavity will increase, which can lead to the loss of the entire nail plate.

But in any case, there will be treatment at home. To treat most cases, it is enough to use creams and ointments, special treatment of the affected area. By the way, you can find out how to properly treat this ailment at home, here.

In the treatment of onycholysis, the following ointments and creams are used.


Treatment Exederyl is indicated in fungal nail lesions( onychomycosis).It uses a cream, which many mistakenly call ointment. The main component is naphthyfine, which affects all types of known fungi that trigger the onset of onycholysis.

Treatment should take at least 3 months. In neglected cases, it can last up to 6 - 7 months. The cream is applied to the detachment area, which is previously cleaned with the help of scissors and a nail file from the exfoliated part. Especially diligently it is necessary to carry out this procedure at the first application of a cream. The cream is applied a thin layer 2 times a day. Cover the entire cavity and its edges by 0, 5 cm from the edge.

Important! after the disappearance of all manifestations of the disease, the cream is applied to the affected area for not less than 2 weeks.


Treatment with clotrimazole( Candide, Ganesten, Imidil, Ovis, Funginal) is used in cases where the exfoliation of the nail plate is caused by foot mycoses. Clotrimazole cream is applied to well-washed and dried feet 2 to 3 times a day. The exfoliated part of the nail plate is cut to the base and treated also with a cream at least 2 times a day. The course of treatment is at least 2 months.

Important! Treatment is carried out after the symptoms disappear for at least 1 month.

Ointment Vishnevsky

Ointment Vishnevsky refers to drugs that have no analogues( although the period of its creation was the time of WWII).The composition of the ointment includes natural components:

  • birch tar - effective for skin dermatitis;
  • castor oil - facilitates the delivery of ointment components to the deeper layers of the skin, its regeneration;
  • xeroform, it is used to disinfect wounds, to quickly heal them.

All components are ideally suited to each other, which provides ointments with excellent disinfecting and regenerating properties. Its use to allow to accelerate the process of nasal plate overgrowth, Vishnevsky ointment can be used in pregnancy, lactation and for children. But considering that the birch tar content is included, you should be careful about the amount of the drug applied.

That's interesting! How to quickly get rid of the foliation of nails in can find out in our detailed article!


Treatment with Mycosan is indicated for mycosis and fungal nail lesions. This drug is designed specifically for the treatment of nails and preventing their infection. The kit includes a tube with serum, a special applicator for applying the product, 10 disposable nail files, as well as special templates and a diary.

That's interesting! If you are suffering from nail fungus on your legs, then find out how quickly to get rid of it here.

The composition includes water, rye enzyme filtrate, pentylene glycol, dimethyl isosobide, hydroxyethylcellulose.

  1. When using the drug, it is necessary to wash and wipe the skin of the foot and fingers well, to treat the nails with a single-use firing and cover with a layer of the drug.
  2. When applying the ointment to the affected area, a protective film forms, which does not allow the fungus to penetrate into the deeper layers of the skin.

The drug lasts 12 hours, which requires applying it 2 times a day for 3-4 weeks. To process a nail file it is necessary 1 time a week, for each nail to use a separate file.

Important! During the treatment it is necessary to keep the feet dry. Wipe your hands and feet dry immediately. Often change socks. Wear only cotton fabrics. Do not visit saunas and do not use manicure lacquer.

On the treatment of folk remedies

The people have a large arsenal of funds for the treatment of exfoliated nails. The most common among them will be treatment with the help of the following tools.

Tea tree oil

Effective method of tea tree oil treatment, good result of which is proved by many dermatologists, oil inhibits fungal growth and promotes the regeneration of nail tissues. Just need to apply oil to the affected nails 6-7 times a day and rub it.


Very simple and economical way to treat iodine.5% alcohol solution of iodine is applied 2 drops for 20 days to the affected area. There may be a burning sensation, then it is better to take a break for 1-2 days or conduct the procedure every other day.


Vinegar mixed( 70%) with chicken egg, vegetable oil and dimethyl phthalate, taken for 1 tbsp.l. You can also treat the nail fungus.

  1. All is well mixed and lubricated by the resulting composition of sick nails, we put socks on top of our feet, wrap our feet with polyethylene .
  2. The solution can be cooked 4-5 times and stored in the refrigerator. The procedure is desirable to be carried out 2 times a day for at least 20 days.
  3. For preventive maintenance of footwear it is better to process time in 5 - 6 days a solution of vinegar.

Essential oils

You can treat the nail fungus with essential oils. You need to take 5 drops of tea tree oil, avocado and castor oil - mix and rub into the nail plates for 2 months. This recipe is good and as a preventative.


Treatment with gelatin presupposes baths for nails, as well as eating foods containing this component: jellies, chillies, jellies. For baths, soak 1 liter of gelatin in 1 tbsp.hot water, dissolve the grains and cool down to the stage of the beginning of the thickening. The bath should last up to 30 minutes, not more often 3-4 times a week until 5-6 weeks.


Very simple way to treat lemon. To do this, it is tiresome to cut the lemon into small pieces and apply them to the affected area. Cover the lemon with a piece of polyethylene and a bandage. After 10 days, the appearance of the nail is much improved. Lemon juice is well added to the firming baths for hands and feet.

Sea-buckthorn oil

It is very useful to treat nails with sea buckthorn oil, it has the ability to regenerate tissues and thanks to a large amount of vitamin C it activates the body's own forces to fight microbes. By the way, about the medicinal properties of sea-buckthorn, read in our special section.

Peroxide of

Hydrogen peroxide to cure onyzolysis is unlikely to succeed, but it can be very useful for softening hardened nail plates. To do this, you need to hold your feet in the bath, and then apply peroxide, like a cotton band to the sick nail. Such a compress will help to remove the patient from the exfoliated area more easily. But after it must be greased with cream from the fungus.

That's interesting! Get rid of the fungus between your toes is easy, just need to apply our advice!


Important! During the treatment of the fungus, observe personal hygiene.

  1. Use separate, clean cotton towels and socks.
  2. Keep your feet, hands, nails dry. Constantly and very carefully wipe the moisture from the feet, fingers, all affected areas.
  3. Do not visit sauna and bath.

Treatment of onycholysis is long and takes at least 2-3 months. Fungal diseases are very insidious and often come back.

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