Footman Podiatry and Gait Analysis Clinics

Putting Your Feet In Safe Hands With The Foot and Lower Limb Specialists

Twisted Toe Nails

Toe Nails Don't always Grow Straight!

Many of our clients come to see us for regular, routine podiatry 'Foot Care', however, we do get visits from people who only need a "one-off" treatment, for a problematic toe nail which has managed to get out-of-control.  Some problems are more common than others, and this article is about a condition more commonly known as 'Rams Horn' nail, or as us podiatrists call it - "Onychogryphosis".

It's a condition which is easy to manage, and we come across it usually once or twice a year, however sometimes we do get a spait of clients with this condition.

CAUTION - This article contains photo's of disfigured toe nails

Please note this article contains photo's of a disfigured toe nail, before and after a treatment.  As podiatrists we see and deal with these types of nails day-in and day out, and give patients a great deal of satisfaction and comfort from our treatment.  HOWEVER, some more sensitive people may not wish to view the images, so click here to return to the home page.

A Big "Thank You"

As always, I would like to give my thanks to my patient, who very kindly let me take and use the photo's of their toe in this article, along with their permission to write about this incident. It's always a great opportunity and a priviledge to be able to share such images and education on what can be done to help people. Without the consent of my patients, this would not be possible.

Onychogryphosis / "Rams Horn Nail"

Onychogryphosis or "Rams Horn Nail" is more common than you would think. It can be caused by various problems, but more commonly by trauma to the toe, by letting the nails grow too long and wearing tight shoes.

Treating / managing these nails is actually very easy.  Initially, the problematic nail is cut back to reveal the shorter nail, so we can see how much more nail needs to be removed.  When the remaining nail can be assessed, it can be reduced down / sanded down with either a regular nail file, or a nail sander.  This brings the nail down to be as smooth / level as all the other nails.

Once this has been done, the nail can be shaped like any other nail.

Rams Horn Nail

Rams Horn Nail



Treated Nail

"After Treatment"


"After Treatment"

After Care

Once the nails have been cut back and shaped, regular treatment with a normal nail file will keep the problematic nail in a manageable state.  If you have no further problems managing your toe nails, then we will be happy to have helped you.

But, if you generally have difficulty maintaining your toenails, this problem may reoccur. So its recommended you book a regular foot health check and treatment with us. Prevention is always better than cure!

If you have any problems with your feet, and want that professional assessment / treatment, you don't need a doctors referral.  You can book online, or email us at  When you are emailing, please state the nature of your problem, and which clinic you would like to be seen at Middlesbrough or Helmsley. Please INCLUDED a contact number.  If you email simply stating "Can I book an appointment?" it gives us nothing to work with, except to email you back asking for more information.

You can book online:

To book an appointment at the Cargo Fleet Clinic, Middlesbrough Road, TS6 6XH, you can click here.

To book an appointment at Bondgate Clinic, Helmsley, you can click here.

Alternatively, phone / leave a message on 07846 752993.  We are usually gloved-up, treating people or out on home visits, so we have a fantastic reception answering service that can help you straight away.


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