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Thickened, yellow nails: how to recognise them and what NOT to do

4 min · Dr. Romina Orsetti


In brief

  • Thickened, yellow nails can have several causes, not just fungus.
  • Retronychia is a nail that grows backwards: different from a lateral ingrown nail.
  • At home: don’t force or aggressively file thick nails.
  • Safe thinning and the diagnosis are the podiatrist’s job.

Thick, yellow or tender nails at the base deserve attention. Let’s look at how to recognise them and why the DIY approach is risky.

How can you recognise the problem?

Thickened, yellow nails can appear with age, after repeated trauma or for other reasons. Retronychia, on the other hand, is a specific condition: the nail grows backwards, pressing on the nail fold at the base, causing pain and inflammation. It is different from a classic ingrown toenail, which affects the side edges, and for this reason it should be distinguished by a professional.

What NOT to do at home?

  • Don’t file or cut very thick nails with force.
  • Don’t use pointed objects to lift the edges.
  • Don’t cover the problem with harsh nail polish.
  • Keep up good hygiene, dry feet and comfortable shoes.
Thinning thick nails and diagnosing the cause are the podiatrist’s job. A trained clinical eye recognises retronychia or other conditions in time, avoiding complications and more invasive treatments. Available in Osimo and Villa Musone di Loreto.

Frequently asked questions

What is retronychia?
It is a nail that grows backwards, pressing on the fold at the base and causing pain. Different from a lateral ingrown nail, it should be assessed by a podiatrist.
Can I thin the nail myself?
Better not: filing with force can cause injuries. Safe thinning is the podiatrist’s job.
Are they always a fungus?
Not always: they can be caused by repeated trauma, age or other factors. A professional assessment is needed.

Concerned about your feet? Let’s talk

An assessment with a podiatrist catches the problem early and prevents complications. Prevention is better than cure: book in Osimo or Villa Musone di Loreto.