Nail brace

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Nail brace is a non-surgical treatment method used in podiatry to correct curved nails or ingrown toenails, conditions that can cause pain, discomfort, and even infections. Nail bracing involves the application of a small brace on the nail to gently straighten it over time. This method is often considered for patients seeking alternatives to more invasive procedures such as nail surgery.

Overview[edit | edit source]

Nail braces work by applying a gentle force to the sides of the nail, gradually flattening the nail's curvature as it grows. This can alleviate the pressure on the surrounding skin and tissue, preventing the nail from growing into the skin. Nail bracing techniques vary, including adhesive braces that stick directly onto the nail and tension braces that clip onto the nail's edges.

Types of Nail Braces[edit | edit source]

There are several types of nail braces, each designed to address specific conditions and severity of nail curvature or ingrowth. The most common types include:

  • Adhesive Braces: These are applied directly to the top of the nail and use tension to correct the curvature.
  • Wire Braces: Made of a thin wire that clips onto the sides of the nail, pulling the edges upwards and flattening the nail over time.
  • Plastic Braces: Similar to wire braces but made from plastic, offering a less visible option.

Indications[edit | edit source]

Nail bracing is indicated for individuals suffering from mild to moderate ingrown toenails or those with curved nails that are prone to becoming ingrown. It is a preferred option for patients who wish to avoid surgery, have contraindications to surgical intervention, or have recurrent ingrown toenails despite previous surgeries.

Procedure[edit | edit source]

The procedure for applying a nail brace is relatively simple and can be performed in a podiatrist's office. It involves:

1. Cleaning and preparing the nail. 2. Selecting the appropriate size and type of nail brace. 3. Applying the brace to the nail according to the manufacturer's instructions. 4. Adjusting the tension on the brace to ensure it exerts the correct amount of force on the nail.

Follow-up appointments are usually necessary to adjust the brace as the nail grows and to monitor the progress of the treatment.

Advantages[edit | edit source]

Nail bracing offers several advantages over surgical treatments, including:

  • Non-invasive
  • Painless
  • No downtime required
  • Can be a cost-effective solution
  • Reduces the risk of infections associated with surgical procedures

Limitations[edit | edit source]

While nail bracing is effective for many patients, it does have limitations. It may not be suitable for severe cases of ingrown toenails or for individuals with certain medical conditions that affect nail growth. Additionally, the success of the treatment depends on the correct application and adjustment of the brace, requiring patient compliance and regular follow-up appointments.

Conclusion[edit | edit source]

Nail bracing is a valuable treatment option in the field of podiatry, offering a non-invasive solution for correcting curved nails and treating ingrown toenails. By understanding the types, indications, and procedure for nail bracing, patients can make informed decisions about their care and explore this alternative to surgical interventions.


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Contributors: Prab R. Tumpati, MD