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Alkrington
Thickened toenails
Toenails often thicken with age, after an injury or through repeated pressure from shoes. Very thick nails can be impossible to cut at home and painful inside shoes.

Check if you have thickened toenails
- Nails that are much thicker than normal and hard to cut
- Nails that curve, ridge or grow upwards
- Pain or pressure from the nail when wearing shoes
Things you can do yourself
Do
- Cut nails after a bath, when they’re softer
- Use proper nail nippers rather than small scissors
- Wear shoes with plenty of depth at the toes
Don’t
- Force scissors through a thick nail
- Try to cut thick nails if you have diabetes, poor circulation or poor eyesight
Non-urgent advice: See a podiatrist if:
- you can’t cut your nails safely yourself
- a nail is painful or lifting
- you have diabetes
Urgent advice: Ask for an urgent GP appointment or get help from NHS 111 if:
- the skin around a nail is red, hot and swollen, or there is pus
You can call 111 or get help online at 111.nhs.uk. In an emergency, call 999.
How we can help
We cut and reduce thickened nails with a fine burr until they’re comfortable, painlessly and safely, and can see you regularly to keep them that way.
Foot conditions
Related conditions
- Ingrown toenail A nail edge growing into the skin, causing pain, redness and swelling.
- Fungal nail infection Thick, discoloured or crumbly toenails caused by a fungus.
- Diabetes and your feet Why foot checks matter and the warning signs not to ignore.
Podiatry
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