Nail Disorders - Evaluation & Treatment in Northwest Arkansas

Changes in your fingernails or toenails are often more than cosmetic. Discoloration, thickening, ridges, splitting, or changes in nail shape can be signs of infection, skin conditions, injury, or other medical concerns.

At Advanced Dermatology & Skin Cancer Center, we diagnose and treat a wide range of nail disorders, helping patients restore healthy nails while identifying conditions that may require medical attention.

Common Nail Problems We Treat

Our dermatology providers evaluate many different nail concerns, including:

  • Thickened nails
  • Brittle or splitting nails
  • Nail discoloration
  • Fungal nail infections
  • Ingrown toenails
  • Nail trauma
  • Nail psoriasis
  • Nail changes caused by eczema
  • Ridges and grooves
  • Dark streaks beneath the nail
  • Nail lifting from the nail bed
Common Nail Problems We Treat
Signs You Shouldn't Ignore

Signs You Shouldn't Ignore

Schedule an evaluation if you notice:

  • A new dark streak in a nail
  • Thick or yellow nails
  • Pain around the nail
  • Nails separating from the skin
  • Persistent redness or swelling
  • Changes affecting only one nail
  • Nail changes that don’t improve over time

 

Some nail changes are harmless, while others may signal infection, inflammatory skin disease, or, in rare cases, skin cancer.

Common Causes of Nail Changes

Many factors can affect nail health, including:

Fungal Infections

One of the most common causes of thick, yellow, brittle toenails.

Psoriasis

Can cause pitting, thickening, discoloration, and lifting of the nail.

Eczema

May affect the skin around the nails and occasionally alter nail growth.

Injury

Trauma may cause bruising, nail separation, or permanent nail changes.

Aging

Nails naturally become thicker and more brittle over time.

Medical Conditions

Occasionally, nail changes reflect underlying health conditions that deserve further evaluation.

How We Diagnose Nail Disorders

Your dermatologist will carefully examine the affected nail and surrounding skin.

Depending on your symptoms, evaluation may include:

  • Physical examination
  • Review of your medical history
  • Nail clipping for laboratory testing
  • Fungal testing
  • Skin or nail biopsy when appropriate

 

Accurate diagnosis is the first step toward successful treatment.

How We Diagnose Nail Disorders

Treatment Options

Treatment depends on the underlying cause.

Options may include:

  • Prescription antifungal medications
  • Topical treatments
  • Oral medications
  • Treatment for psoriasis or eczema
  • Nail trimming and care recommendations
  • Minor procedures for ingrown nails
  • Biopsy of suspicious nail lesions when indicated

When Nail Changes Could Be Serious

Most nail problems are not emergencies, but certain changes deserve prompt evaluation.

Seek medical care if you notice:

  • A new dark brown or black streak
  • Rapidly changing nail appearance
  • Persistent bleeding beneath a nail
  • Severe pain or infection
  • A nail growth that continues to enlarge

 

Early diagnosis is especially important because melanoma can occasionally develop beneath a fingernail or toenail.

Frequently asked questions

Q1: Are thick yellow nails always fungus?

No. While fungal infections are common, psoriasis, injury, aging, and other conditions can produce similar changes.

Most fungal nail infections require treatment and rarely resolve without medical care.

Vertical ridges often develop with age. Deep grooves or sudden changes should be evaluated.

Most white spots result from minor nail injury and eventually grow out with the nail.

Yes. Although uncommon, melanoma can develop beneath a fingernail or toenail, making new dark streaks or changing nail pigmentation important to evaluate.

Related Resources

Eczema

Discover how eczema may contribute to nail and surrounding skin changes.

Psoriasis

Learn how psoriasis can affect both the skin and nails.

Rashes

Many inflammatory skin conditions can also affect the hands, feet, and nails.

Skin Cancer Screenings

Some nail changes require evaluation to rule out skin cancer, including melanoma beneath the nail.

Why Patients Choose Us

Experienced Dermatology Providers

Expert care focused on long-term skin health.

Comprehensive Care for All Ages

Comprehensive care for children and adults

Personalized Treatment Plans

Personalized treatment plans based on your symptoms and lifestyle

Convenient Locations

Convenient locations throughout Northwest Arkansas

Nail Disorder Care in Northwest Arkansas

Changes in your fingernails or toenails may be caused by fungal infections, psoriasis, eczema, injury, aging, or other medical conditions. Common symptoms include thickened nails, discoloration, brittle nails, nail lifting, ridges, and pain around the nail. At Advanced Dermatology & Skin Cancer Center, PLLC, we diagnose and treat a wide variety of nail disorders, helping patients throughout Northwest Arkansas restore healthy nails while identifying conditions that may require additional evaluation, including skin cancer beneath the nail.

Advanced Dermatology & Skin Cancer Center Fayetteville Arkansas

Our Locations

Advanced Dermatology & Skin Cancer Center, PLLC proudly serves patients throughout Northwest Arkansas with convenient locations including:

Advanced Dermatology & Skin Cancer Center, PLLC Fayetteville

Monday – Friday, 8 am – 5 pm

Advanced Dermatology & Skin Cancer Center, PLLC Rogers

Monday – Friday, 8 am – 5 pm

Advanced Dermatology & Skin Cancer Center, PLLC Bentonville 

Wednesday - Thursday 8 am – 5 pm

Advanced Dermatology & Skin Cancer Center, PLLC Harrison

Monday – Thursday, 8 am – 5 pm