Have you ever looked down at your feet and wondered why your toenails seem thicker than they used to be? You’re not alone. Thick toenails affect many people, particularly as they age, and can range from a minor cosmetic concern to a sign of underlying health issues. Understanding what causes thick toenails and how to treat them effectively can help you restore both the appearance and health of your nails.

Why Are My Toenails Getting Thicker?

Thick toenails happen for several reasons. Sometimes it’s age; as we get older, our nails naturally thicken. But often, there’s more to the story behind thick toenails. Fungal infections are the most common culprit. These pesky infections (doctors call them “onychomycosis”) love warm, moist environments, exactly what your feet provide when trapped in shoes all day. The infection causes nails to thicken, yellow, and become brittle. Injuries can also lead to thickening. Did you drop something heavy on your toe years ago? That trauma can cause permanent changes to your nails. Even the repetitive pressure from running or certain shoes can trigger thickening over time. Less commonly, thick toenails might signal systemic conditions like psoriasis, diabetes, or circulation problems. This is why persistent nail changes deserve attention from a healthcare provider.

Signs Your Thick Toenails Need Medical Attention

Not all thick toenails require medical treatment. How do you know when to seek help? Watch for these warning signs: pain when wearing shoes or walking, significant discoloration (yellow, brown, or greenish tints), crumbling or brittle texture, separation from the nail bed, foul odor, or spreading to multiple toenails. If you have diabetes or circulation issues, don’t wait. Even minor nail problems can lead to serious complications when these conditions are present.