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Onychogryphosis
(Thickened Curved Nails)

Onychogryphosis, often referred to as “Ram’s Horn Nails,” is a condition characterised by the thickening and overgrowth of the toenail, typically affecting the big toe. This deformity can cause significant discomfort, making it difficult to wear shoes and perform daily activities. At The Walking Clinic, we understand the impact this condition can have on your quality of life and offer effective treatments to manage and alleviate the symptoms.

Symptoms

  • Excessive thickening of the toenail
  • Curved, horn-like nail deformity
  • Discoloration of the nail plate
  • Difficulty cutting or trimming the affected nail
  • Pain or discomfort when wearing shoes
  • Potential infection if left untreated

Causes

Several factors can lead to ingrown toenails, such as:

Trauma to the nail or surrounding area

Chronic infections, particularly fungal infections

Poor circulation or vascular abnormalities

Certain systemic diseases

Aging

Diagnosis

At The Walking Clinic, our podiatrists diagnose onychogryphosis through:
  • Visual examination of the affected nail
  • Assessment of nail attachment to the nail bed
  • Differentiation from other conditions like fungal infections
  • Evaluation of overall foot health and circulation

Treatment Options

We offer a range of treatments tailored to your specific condition:

Professional nail trimming and filing to reduce thickness

Topical treatments for associated infections

Custom orthotics to relieve pressure on the affected nail

In severe cases, surgical removal of the nail plate may be considered

Treatment of underlying causes, such as fungal infections or circulatory issues

Preventive Measures

To prevent the progression or recurrence of onychogryphosis :
  • Maintain proper foot hygiene
  • Trim nails regularly and correctly
  • Wear well-fitting shoes that don't put pressure on your toenails
  • Address any underlying health conditions that may contribute to nail problems
  • Schedule regular check-ups with your podiatrist for professional nail care

FAQs

What does a Podiatrist do?

A podiatrist is a health care professional specialising in the management and treatment of the lower limb and foot. A podiatrist can help treat a wide range of conditions and help in the management of chronic disease and even general foot care. The helpful podiatrists at The Walking Clinic can treat a wide range of problems, these include:

  • Plantar Fasciitis, heel pain and heel spurs
  • Fungal nail infections and nail problems
  • Tendon and ligament injuries
  • Morton’s neuroma or nerve pain
  • Surgical and Non-Surgical treatment of ingrown nails
  • Treatment of other nail conditions
  • Custom orthotics as management of lower limb pain
  • Diabetes assessment and care
  • Knee pain
  • Tired and painful feet
  • Fractures and stress fractures
  • Ankle sprains
  • Children’s lower-leg development and growing pains
  • General foot care including corns and callus
  • And Many More!
In general circumstances, No referral is required, however Medicare EPC patients or Department of Veterans’ Affairs (DVA) patients will require a referral from their GP.
During your initial consultation your podiatrist will take a thorough history concerning your presenting problem as well as your medical and surgical history. Your podiatrist will make all efforts to accurately diagnose your condition and initiate treatment during your first visit where possible.

The Walking Clinic offers HICAPS facilities which allow convenient on-the-spot health fund rebates for patients insured with eligible health funds. We advise patients to contact their health fund for further information regarding rebates.

It is a requirement that fees are paid at the time of your consultation.

If you have a chronic and complex medical condition, such as diabetes, you may be eligible for a Medicare rebate under the Medicare Enhanced Primary Care (EPC) program. This is a care-plan arrangement between the Walking Clinic and your GP, however your GP alone will decide if you are a suitable candidate. If you have any questions regarding EPC care plans, please feel free to contact us for information. Alternatively please contact Medicare on 132 011.
Yes. DVA Gold Card holders will receive a full rebate for podiatry consultations and other treatment related expenses with a valid referral from their GP. Please contact us prior to seeking a referral to receive the necessary information for your GP. For other forms of Veterans’ Affairs Cards (such as Green or White cards) please contact DVA on 133 254 for details regarding podiatry related rebates.

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