Onycholysis

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Andreag

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:cry:hi can anyone tell me what causes onychomadesis(nail seperation of nail plate from nail bed??i have done l&p on my mums nails about 4 times now, she has'nt had any extensions on for a couple of months, and she noticed nail seperation,iv looked on the net to find out what actualy causes this to happen,all it says is due to ilness or medication,i need to know if its something iv done!all help appreciated, x
 
Are you sure it's not onycholysis? Where is the nail seperating? If it's from the hyponichium then its most likely to be onycholysis.

Causes are - wearing nails too long; filing too harshly; trauma of some kind; cleaning behind the nail with sharp implement, etc.

If the seperation is elsewhere, please describe and we will try to help. Also would help if you could explain how her enhancements were removed.

hth
 
Hi Andreag,
my advise to you would be to go to the doctor and let the doctor assess your mum's nail. When I did my BTEC course I was told that we should not diagnose anything because we are not doctors, it is better to get expert advise. Hope this is helpful :)
 
Sounds like Onycholysis to me ,and as Fiona has said what the cause is ,but we are not Doctors or Dermatologists and not qualified to diagnose..the direction your client should really be heading is the doctor.

Searching through the old threads recently one of the girls on the site put a thread in about nail diseases and disorders.

This is a good site and there are some really awful pictures on them of some of the worst nail problems,but it's an educational one the site is called dermnetnz.org

this site is a good source of information to
Nail Diseases and Disorders
 
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Causes are - wearing nails too long; filing too harshly; trauma of some kind; cleaning behind the nail with sharp implement, etc.

hth


I agree i have had it myself due to overfilling and its not nice but get her the doc to check as self diagnosis is not safe and can be wrong
x
 
Hi Andreag,
my advise to you would be to go to the doctor and let the doctor assess your mum's nail. When I did my BTEC course I was told that we should not diagnose anything because we are not doctors, it is better to get expert advise. Hope this is helpful :)

You are right that we are not doctors, but as professionals we should be able to recognise the most common nail conditions and treat them, because they do not require drugs or creams or a visit to a Dr. etc but more TLC with good products.

One of those conditions that you certainly can recognise and treat is onycholysis .. or nail plate separation. Unfortunately it is commonly seen in our business and is most often caused by the client (picking at product or repeatedly breaking nails) or the technician (thinning of the nail plate when blending tips or filing or incorrect removal).

It should not be the case that we see this condition as much as we do and it should never be caused by incompetent nail techs ... but it often is.

Another condition that you should certainly be able to recognise and treat is 'green nail' or 'greenies' which is again something I would never send anyone to a Dr. to diagnose or to treat. This is a simple pseudomonas bacterial infection caused by moisture seeping between the product and the natural nail and being trapped there. Usually if a nail enhancement has cracked and leaked and the client has not returned for a repair of the crack.

We as professionals are supposed to be the nail experts. Common conditions we should absolutely be able to recognise and to do something about. I would never involve a GP in either one of these conditions. I know what they look like and I know what to do if I see them and so should we all.
 
hi the nail is separating at the base,and guess what she picked her nails off!!id be so upset if its me thats caused it x
 
hi the nail is separating at the base,and guess what she picked her nails off!!id be so upset if its me thats caused it x


OMG!:eek: Andreag your client has caused the nail trauma herself hun by picking or ripping the nails off .

Nail enhancements should never be ripped off or picked off ,they should be soaked off .

Oncholysis is distal separation of the nail plate from the nail bed, normally seen as an increased white area from the free edge. Usually due to build up of debris which attracts fungus and bacteria under the nail plate, also associated with injury, trauma and self inflicted damage, infection, allergy to nail enhancements products and reaction to drugs. Non infected nails can be treated but only if there is no infection present , but severely separated nails should not be treated.
 
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hi i dont think its onycholysis,as the free edge of her nail hasnt gone white thats fine, she, looseing her nail at the base,no sign of any infection,iv looked at pics on the net and it looks like onychomadesis,and iv never soaked her nails off she always picks them off!!
 
so it looks like this then :eek::eek:DermAtlas: Online Dermatology Image Library dermatology image,onychomadesis,nail dystrophy

I just looked it up as i haven't seen it before, onychomadesis is crusting and scaling at the base of the nail and associated with nail shedding :eek::eek:
but as said we are not doctors or dermatologists ..and we are not qualified to diagnose, but as professionals we can recognise the most common nail diseases and disorders.

If it's anything like the picture above and the link to it ...i would get your client to her doctor ASAP. or how about if you or your client won't mind ..is take a picture of her nails and post it on the site so we can have a look.
 
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I will try and get in contact my tutor for you and ask her whether it is ok to treat a client with onycholysis and I will let you know what she says because I am more that certain that because we are nail technicians and not dermatologists we should know our limits and not overstep the boundries, imo, being professional is all about politely requesting that the client goes to see his/her doctor and offering another treatent until her condition has cleared up.
 
I will try and get in contact my tutor for you and ask her whether it is ok to treat a client with onycholysis and I will let you know what she says because I am more that certain that because we are nail technicians and not dermatologists we should know our limits and not overstep the boundries, imo, being professional is all about politely requesting that the client goes to see his/her doctor and offering another treatment until her condition has cleared up.
Onycholysis is an easy thing to recognise and a condition that doesn't need a doctor's diagnosis.
Geeg has given some fab advice, her teaching skills far surpass anyone else that I know of as does her level of experience.

Have a read of the link I posted in my last reply, it explains a lot about it and should be helpful in the understanding and treatment of this condition.
 
As long as the onycholysis is not more than 1/3 of the nail plate then you can apply enhancements. Keep the enhancements short so there is no pressure at the free edge and use Solar Oil every day to keep the nail bed soft so that the nail plate can re-attach to the nail bed.

I am a tutor ... and this treatment is common practise amongst professional nail technicians.

If you are a beginner and cannot recognise the condition then feel free to check but professionals will not need to. They know full well what to do in a case of non extreme onycholysis.
 
thanks everyone for your help x
 

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