One of the most common chief complaints in my practice is, “ugly nails.” This is frequently followed up with a comment about how the topical nail fungus solution that has been applied for over a year is not working. Unfortunately, nail fungus is a very difficult and lengthy process to treat. In many cases, however, the cause of the “ugly nail” is not fungus at all. This is why it is important to obtain a nail biopsy before commencing treatment for nail fungus.

Other Causes of Ugly Nails


Trauma does not always mean dropping a heavy weight on your nail, and in the worse case scenario having the nail fall off. If you have ever lost a nail, it is likely that the nail has since grown back thickened or with a ridge in it.  Nail trauma can also involve the constant pressure of your nail against the inside of a tight shoe, children and pets stepping on them, or even stubbing a toe. These types of injuries can be treated with trauma prevention and emollients that will help the nail to grow in softer and more regular.

Systemic Disease

Diseases such as Diabetes, peripheral arterial disease, and thyroid disease, frequently cause changes in the appearance of nails. The nails may change color, becoming white, yellow, or even dark. In many cases the nail also becomes brittle and difficult to cut. Nail clubbing can be associated with lung and heart disease.Posirasis nails


If you have Psoriasis of your skin, you are at a greater risk of Psoriatic disease in your nails as well. This will present with nail pitting, white spots, or splintering of the nail.

Arsenic poisoning nailsDrug Interactions

  • Chemotherapy can leads to thick transverse grooves in the nail called “Beau’s Lines.”
  • Tetracycline can lead to Black nails.
  • Arsenic poisoning shows up as transverse white lines called “Mee’s Lines.”

Subungual Melanoma

This is a malignant lesion that requires immediate treatment involving excision of the melanoma. This most commonly appears as a vertical, dark line through the entire nail and into the skin where the nail attaches. This is referred to as “Hutchinson’s Sign.”

In cases where the nail biopsy is positive for fungus, there are treatment options. These treatments include both topical and/or oral medications. If you are concerned about fungus in your nails, call Hollowbrook Foot Specialists today at (845) 298-9074 for an appoint. We are here for all of your foot needs, serving the Hudson Valley from Wappingers Falls!

By: Samantha DelRegno D.P.M.

Your Top-Rated & New Favorite Podiatrist In Wappingers Falls, NY

Always arrive to a pleasant cheerful staff! They make you feel welcome and get you situated quickly! The Doctor is friendly and makes your feet feel great! I travel a bit to get to this office, but it is so worth it! The staff is always helpful and customizes my appointments to my needs!

- Bob D.

bob 5 star review

GREAT EXPERIENCE!!!! Very nice, friendly, and thorough doctor. Wonderful staff too! Very clean office. They fit me into there schedule the same day. They recognized my issue right away and got me out of discomfort painlessly.

- Jordan C.

jordan 5 star review

I came here today for the first time what a wonderful group of people, very professional and friendly and the Dr. I saw, Dr. Geshev, he is absolutely the first podiatrist I’ve ever seen that made me feel very comfortable, and he knows what he’s doing. I would recommend this podiatrist office to everybody.

- Valerie G.

john 5 star review

Great experience. They got my son in as soon as possible as made sure his foot was ok. Will definitely use them again!

- Irene T.

irene 5 star review

Wonderful staff (warm and inviting). Clean office. Dr. G is knowledgeable and listened to me. He knew 3 ways to help my situation and I know that I will feel better under his care and instructions. I recommend Hollowbrook Foot Specialists!

- S.G.

5 star review

*The reviews listed are from actual patients of Hollowbrook Foot Specialists. Individual results may vary. Reviews are not claimed to represent results for everyone.

google 5 star review
yelp 5 star review
facebook 5 star review

Is Hollowbrook Foot Specialists Right For You?

Answer These Questions To Find Out Now

hollowbrook white logo
click for directions

Our Wappingers Falls
Podiatry Office
89 E. Main Street
Wappingers Falls, NY 12590

Phone: 845-298-9074

Office Hours:
Monday: 11am - 7pm
Tuesday: 9am - 5pm
Wednesday: 9am - 5pm
Thursday: 9am - 5pm
Friday: 9am - 3pm
Saturday: By Appointment Only

hollowbrook foot specialist office
white logo footer hollowbrook
Our Wappingers Falls
Podiatry Office
89 E. Main Street
Wappingers Falls, NY 12590

Phone: 845-298-9074

Office Hours:
Monday: 11am - 7pm
Tuesday: 9am - 5pm
Wednesday: 9am - 5pm
Thursday: 9am - 5pm
Friday: 9am - 3pm
Saturday: By appointment only

hollowbrook podiatry
american college of foot and ankle surgeon
podiatric medicine association
aapsm footer logo
apma logo

We Serve ALL The Following Cities & Their Surrounding Areas ...

Wappingers Falls, NY   |   Poughkeepsie, NY   |   Hopewell Junction, NY   |   Fishkill, NY   |   Beacon, NY

© 2019 - Hollowbrook Foot Specialists
Designed by