Onycholysis is a condition in which the nails seem to lift off from the nail bed causing a space underneath of them. The best approach to onycholysis is first to understand that the condition is very often associated with an underlying medical condition which causes inflammation of the nail bed or nutritional or hormonal deficiencies. These condition include things like psoriasis, atopic dermatitis, anemia
, and thyroid problems. Therefore the first step when dealing with onycholysis is to have a good head-to-toe physical examination by your primary care doctor
to make sure there is no underlying condition that needs to be worked up and treated. Sometimes onycholysis can be caused by fungal infection of the nail. However, fungal infections usually present as thickening and distortion of the nail bed. Isolated onycholysis can create a space under the nail that can be secondarily infected by a fungus, but again the cause of the onycholysis needs to be investigated. Finally, although tea trea oil and several other plant-based remedies have been found to be of some effect in treating nail fungal infections, realistically most nail infections by fungi require prescribed oral medications to clear up. Talking with your dermatologist
or your primary care doctor is recommended.