A Doctor Explains What Nail Ripples Mean

Nails lose moisture with age and exposure to water, soap, and chemicals.

Dry nails become brittle and more prone to ridges.

✅ Solution: Moisturize your hands and nails daily with oils (e.g., jojoba or almond).

3. Nutritional deficiencies (less common)

While not the most common cause, certain deficiencies can affect nail health:

Iron

A severe deficiency (anemia) can cause

nails to be shaped Spoons

(koilonychia), not just ridges

Protein

Weak, brittle nails — the body needs protein to build keratin

Vitamin A, B12, or calcium

May cause dryness or ridges, but are rarely the sole cause.

✅ Note: Mild ridges are not a reliable sign of a deficiency. Blood tests are required for diagnosis.

4. Repetitive trauma or nail biting

Constant picking, filing, or typing can damage the nail matrix.

This can lead to uneven growth and ridges.

✅ Tip: Avoid aggressive manicures and nail biting.

⚠️ When ridges may signal a health problem.

While most ridges are harmless, certain changes should prompt a visit to the doctor.

Warning signs: If you notice…, see a doctor.

Deep, wide horizontal ridges (Beau’s lines)

Previous illness, high fever, surgery, or chemotherapy

Discolored nails (yellow, brown, or white)

Fungal infection, lung disease, or liver problems

Spoon-shaped (concave) nails

Iron deficiency anemia

Very thick, cracked, or crumbling nails

Fungal infection or psoriasis

Pain, swelling, or redness around the nail

Infection (paronychia) or ingrown toenail

Sudden changes in shape or texture

Thyroid disease, diabetes, or kidney disease

Dr. Ross Perry, a dermatologist at Cosmedics, explains:

“Although most nail changes are benign, serious, deep Ripples – especially if they appear suddenly – can sometimes be linked to underlying health conditions such as kidney disease, diabetes, or psoriasis. It’s always worth getting checked out if you’re worried.”

🩺 What the NHS says about nail changes

The NHS confirms that:

“Most nail problems – including brittleness, ridges, and discoloration – do not indicate a serious condition.”

But they also advise:

If your nails suddenly change or become painful, consult your GP.

If a nail falls off without injury, seek medical attention.

If toenails become too thick to trim, consult a podiatrist.

Early detection can prevent complications – especially for people with diabetes or circulatory problems.

💡 How to keep your nails healthy

Moisturize daily

To prevent dry skin, use hand cream or cuticle oil.

Stay hydrated

Drink plenty of water – your nails reflect your overall hydration level.

Eat a balanced diet.

Protein, iron, vitamins A, B12, and biotin support nail strength.

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