$Unique_ID{BRK00415} $Pretitle{} $Title{Is a Toenail Horn the Result of a Devil's Curse?} $Subject{nails hooked surgery Skin onychogryphosis ram's horn nail cut back surgical operation surgeries operations} $Volume{L-20} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Is a Toenail Horn the Result of a Devil's Curse? ------------------------------------------------------------------------------ QUESTION: Although it started slowly, I guess I have left it go too long, and now I have a terrible looking horn where my big toe nail used to be. Could it be the result of a devil's curse? What could a doctor do if I was to visit with him? ------------------------------------------------------------------------------ ANSWER: If you have the condition I think you do, it wasn't a curse that caused it, but your own neglect. You must have realized that toenails don't normally grow this way, and should be trimmed on a regular basis. The condition has a fancy medical name, onychogryphosis, which comes from two "onyx" meaning "nail" and "gryposis" meaning "hooked or curved". Some times the horn grows so large that it looks just like a ram's horn, and can be called "ram's horn nail". At any rate, it has got to go. There are two possible choices of treatment that your physician may offer you, and the choice will depend upon the size of the growth and the condition of your feet. It may be possible to cut it back to size, using the appropriate surgical instruments. This would cause no pain, but you would have to promise to keep your nails trimmed. If the nail is really deformed, the physician will have to remove the nail completely and destroy the tissue from which your toe nail grows. Just cutting the nail away won't help as a new nail will grow back, probably more disfigured than before, in four to ten months. The operation can be performed with an injection of local anesthetic to prevent pain. See your doctor soon, things won't get better by themselves. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.