I have two clientswith a nail that splits right down the center. What causes this and is there anything that I can do for them?
I have two clients, one is 63 years old and the other is 30 years old, and both have a nail that splits right down the center. They each say it has done this for years and don’t remember when it started. I have covered it with acrylic to keep it from snagging on everything and hopefully to get a little length on the nail. What causes this and is there anything that I can do for them?
A nail that is split down the middle is usually secondary to an injury or trauma that was sustained sometime in the past. In many situations, patients do not remember having received such an injury. One of the more common causes of this type of trauma can be over-vigorous pushing back of the cuticle, which injures the nail matrix/nail bed and can result in scar formation and hence, a split nail.
In general, a nail that is split down the middle and has been that way for more than 6-12 months will not resolve with any medication or treatment. Camouflaging it with a nail tip or an acrylic nail can temporarily solve the problem for the client, but will not eliminate the split permanently. The only way to eliminate the split permanently is to have the scar surgically removed and repaired. There is a risk, however, if this is done that the scar may either remain or even become larger.