Pterygium Inversum Unguis - Help with client

[Unique Nails09]

Hello All,

I have a client whom I have been doing for quite a while, she came to me for backfills once and has stuck with me every since.

She has lovely long nail beds and her nails are a joy to enhance, but ... I believe she has pyterygium Inversum Unguis, basically a fold of hyponchium has grown up to her free edge, she stated to me that she has nails on for several years and since beginning with nail enhancements she has developed this condition, I was wary of carrying on applying nails on her but she is a die hard nail fan and wanted the nails on regardless even after me explaining my suspicions of Pterygium. I have always been careful with her and she has in the while i've been doing her - never lost a nail.

Until yesterday, she came in with her thumb nail missing, the pterygium was really obvious - i've never seen her nails naked of acrylic as she has never had a soak off and new set with me as her nails are always perfect and i have simply always backfilled them. I was quite shocked as she barely wanted me to touch her natural nail and i had trouble applying the form under to sculpt as she says the skin under. the free edge is sore and it makes her squeamish.

Now i'm wondering is it okay to carry on applying enhancements on her, i think i am going to write her a doctors referral letter for this contra indication but I'm concerned that i should have done this before and not carried on doing her. I know this condition can be caused by a allergic reaction to the enhancements.

Help, i feel like the worst tech in the world but i simply didn't think that the condition was as bad as it was.

Some advice geeks please!

 

[geeg]

Hello All,

I have a client whom I have been doing for quite a while, she came to me for backfills once and has stuck with me every since.

She has lovely long nail beds and her nails are a joy to enhance, but ... I believe she has pyterygium Inversum Unguis, basically a fold of hyponchium has grown up to her free edge, she stated to me that she has nails on for several years and since beginning with nail enhancements she has developed this condition, I was wary of carrying on applying nails on her but she is a die hard nail fan and wanted the nails on regardless even after me explaining my suspicions of Pterygium. I have always been careful with her and she has in the while i've been doing her - never lost a nail.

Until yesterday, she came in with her thumb nail missing, the pterygium was really obvious - i've never seen her nails naked of acrylic as she has never had a soak off and new set with me as her nails are always perfect and i have simply always backfilled them. I was quite shocked as she barely wanted me to touch her natural nail and i had trouble applying the form under to sculpt as she says the skin under. the free edge is sore and it makes her squeamish.

Now i'm wondering is it okay to carry on applying enhancements on her, i think i am going to write her a doctors referral letter for this contra indication but I'm concerned that i should have done this before and not carried on doing her. I know this condition can be caused by a allergic reaction to the enhancements.

Help, i feel like the worst tech in the world but i simply didn't think that the condition was as bad as it was.

Some advice geeks please!

I have applied enhancements to many a client with an extended hyponychium condition ... it is not a contra indication to having enhancements (why would it be?) neither is it to my knowledge caused by an allergic reaction ??
It is a common thing and usually on clients with long nail beds.

It can be a tender area of course as all the nerve endings are located there and we all know the hyponychium area is a tender one; care needs to be taken applying forms because of this.

Solaroil can really help keep this area soft enough for the client to gently ease this attached skin back a little when it grows out too long in the same way we ease back the eponychium to expose more of the nail plate. It must be done regularly. My guess its that this lady is one who never touches her nails and who usually comes back perfect .. but nails need care and attention at home and Solaroil would really help her if she uses it regularly.

No reason you can't do her nails but using a tip may be more comfortable for her than sculpting in this instance.

 

[Unique Nails09]

Thanks geeg, i'm sure i read somewhere that it could be a reaction to acrylic, probably misinformed advice. I'm breathing a sigh of relief now, i was just in a mad panic yesterday as she was literally cringing and shaking when my hand went near the vicinity of her nail!!!

I was thinking perhaps to use tips, but i will give her the advice about solar oil, if she does it or not is a different matter - she's terrified of her own nails, as it goes through her the thought of anything touching the overgrown skin area.

Thanks again boss x

 

[geeg]

Thanks geeg, i'm sure i read somewhere that it could be a reaction to acrylic, probably misinformed advice. I'm breathing a sigh of relief now, i was just in a mad panic yesterday as she was literally cringing and shaking when my hand went near the vicinity of her nail!!!

I was thinking perhaps to use tips, but i will give her the advice about solar oil, if she does it or not is a different matter - she's terrified of her own nails, as it goes through her the thought of anything touching the overgrown skin area.

Thanks again boss x

Well that is why I think a tip is best .. for a start it will stop the pain and protect the end as soon as you have applied it.

Did her natural nail break and pull off the end exposing the grown out bit? If so this can be very painful and needs the protection of a tip rather than sculpting over it IMO. Quick and painless.

 

[tracey louise]

i have quite long nail beds and have the extended hyponichium,i have never had any problems wearing enhancements because of this and i have worn them for about the last 7 years.
the only problems i have has as gigi said is sculpting as fitting the forms can be quite difficult.
i have never heard of it being caused as a result of an alergic reaction i thought it was natures way of giving more support if you long nails/enhancements as the skin grows further up to give more support.
im not quite sure i understand why this would make her nails so sensitive to touch though?

 

[Unique Nails09]

I think she is simply terrified of me catching the skin (which i wouldn't) and the thought makes her squeamish!. Thanks for the help folks x

 

[tanyarbeauty]

I think she is simply terrified of me catching the skin (which i wouldn't) and the thought makes her squeamish!. Thanks for the help folks x

Hi, I now have this problem. i just have my skin growing on the underside of my thumb and a few of my other fingers. I am aware I have the same problem. Do you know if your client ever sorted and treated her problem? please let me know.

 

[Rinn]

Am I right in thinking this condition can occur when the clients wears her nails very long...

Is it more common when wearing enhancements or could it happen if the client wore her natural nails very long?

 

[elmojo]

I have this on my middle 3 fingers on each hand. I didn't have it before I wore enhancements (gel) but I have had it since (about 7 years). I have got beautiful long nail beds too, which means I can wear my nails nice and short - and always have. It's never caused me a problem, I think with some TLC you should be fine.

 

[Isabella]

I have this condition on 4 fingers, I have read if you have worn extensions for a lot of years, which I have, you are more likely to develop this, The only way to get rid of it is to spend a period of time with no extensions and sculpture and keep the natural nail short and in time you will see the nail bed go back to normal. I have been without tips now for 2 months and one finger has just about grown back to normal. I recommend to my ladies to come for regular Manicures, so I don't loose them. I have even got them on Shellac to keep their nails strong

 

[JuicyLucy]

I am having trouble understanding why extended wearing of enhancements would cause this problem. I can understand why years of long natural nails under enhancements or bare could contribute to this. Surely since the hyponychium is attached to the natural nail its about natural nail length and not overlay problems??

 

[spjelgus]

I have always thought of it as when wearing extensions people are not as aware of what collects under the nails. When I have nothing on my nails I am constantly using the other hand to pick stuff from under the free edge, this will naturally "push" the hyponychium down so it does not grow with the nail. When I wear enhancements or gelish I don't do this so my hyponychium grows up with the nail.

this is also the reason I always tell my biter clients that want their nailbed to become slimmer and longer to get a nail brush for scrubbing under their nails instead of scraping, it allows the hyponychium to grow a little.

 

[tina]

I also have this but I can't keep my nails short otherwise it is sore and my natural nails can never stay long on their own without the protection of acrylic on so it is a bit of a no win situation.

I have to have something on the nails because of it.

Hope I make sense

 

[Maz101]

I have this too, I used to have my natural nails very long with a l&p overlay and just have tips put on every Christmas, I found having sculpts uncomfortable because of the form, so I always have tips apart from on one nail, as the finger is damaged so a sculpt is better. I have my nails shorter now and they've stayed the same.

I do think because my natural nails were long it did seem to get more sensitive but I have always oiled and kept an eye on it.

I have 2 clients the same and both have lovely natural nails, which I keep at a nice length, I so enjoy doing their nails.

 

[Envy]

Allergic reactions and mechanical force can both be some of the causes for pterygium when the seal tissue is severely damaged

Most common is just long nails allowing the sole horn cuticle to stay attached eventually drawing the seal forward. Solar oil as Geeg mentioned is a great way to soften this skin and let it draw back

For sculpting on these nails simply customize the form by cutting a deeper curve into the edge of the form that fits under the nail. If its straight across or only gently curved it will push into the extended skin...

Hths

 

[Arty*Rox]

There's some interesting reading about this in Doug Schoon's book Nail structure and product chemistry.

Here's a link http://www.schoonscientific.com/downloads/article-Abnormal-Nail-Nailpro-2005.pdf