BEAUTY-2.2.1

Nail Anatomy, Growth and Nail Conditions: Treat or Refer

The anatomy of the nail unit, how nails grow, and how to tell a healthy nail from an unhealthy one — with a clear treat-or-refer table separating cosmetic nail conditions from medical ones that must go to a doctor.

The chief stew books you a pedicure for a charter guest. You take off the old polish and find a thickened, yellow, crumbling big toenail that lifts away from the bed. She wants it painted red and she wants it now. The correct answer is not red polish, and knowing why is the difference between a technician and an amateur.

The Nail Unit

Part What it is
Nail plate The visible hard keratin plate
Nail bed The vascular skin beneath the plate; gives the pink colour
Matrix The growth engine under the proximal fold — damage here damages the nail permanently
Lunula The visible pale half-moon; the front of the matrix
Cuticle / eponychium The eponychium is living tissue at the base; the cuticle is the thin dead layer stuck to the plate
Hyponychium The seal under the free edge — a barrier against infection
Free edge The part you shape

The eponychium and hyponychium are seals, not untidiness. Cutting them breaks the body's barrier against infection. This single fact governs all cuticle work.

Growth

Fingernails grow roughly 3 mm per month, toenails around 1 mm — so a full fingernail takes about 6 months, a toenail up to 12–18. Growth slows with age, illness and poor circulation, and speeds slightly in warmth. It means two things: damage you cause takes months to grow out, and a horizontal ridge tells you something happened to that guest weeks ago.

Healthy vs Unhealthy

Healthy: smooth, translucent pink plate, intact seals, no separation, no pain, no odour, no discolouration. Unhealthy: separation from the bed, thickening, crumbling, green or black discolouration, swelling, heat, pus, pain.

Treat or Refer

Condition What it is Action
Longitudinal ridges Age-related Treat; buff lightly
Beau's lines Horizontal grooves from illness or trauma Treat cosmetically
Leuconychia White spots, usually minor trauma Treat
Brittle / peeling nails Dryness, over-exposure to solvent Treat; oil and hydrate
Hangnail Torn skin at the fold Trim the torn skin only
Onychomycosis Fungal: thick, yellow, crumbling, lifting Refer. Do not polish. Do not file
Paronychia Infected nail fold: red, swollen, hot, pus Refer. Do not touch
Onycholysis Plate separating from bed Refer
Pseudomonas ("greenies") Green stain under an enhancement Refer; remove enhancement, do not re-cover
Dark streak / new pigmented band Could be many things, including serious Refer to a doctor. Say nothing more
Ingrown toenail with infection Red, swollen, discharging Refer

The rule: a cosmetic condition you may treat and improve. A medical condition — infection, inflammation, separation, unexplained pigment — you refer to a doctor. You never diagnose, and you never paint over a problem so it cannot be seen.

Onboard Notes

  • The matrix makes the nail; damage there is permanent.
  • The eponychium and hyponychium are infection seals. Do not cut them.
  • Thick, yellow, lifting, green, hot, painful or oddly pigmented: refer.
  • Polish over an infection hides it, feeds it, and is on you.
  • Preparatory study only. Nothing here qualifies you to treat a guest. Beauty and nail work requires an accredited vocational qualification and professional insurance.

Practice questions

5 questions
recallcore

recall · core

What is the matrix, and why does it matter so much?

recallcore

recall · core

What are the eponychium and the hyponychium, and what is their function?

scenariocore

scenario · core

You remove a guest's polish and find a thickened, yellow, crumbling toenail lifting away from the nail bed. She wants it painted. What do you do?

recallstretch

recall · stretch

How fast do nails grow, and why is that useful to know?

oralstretch

oral · stretch

How do you decide whether a nail condition is yours to treat or one you must refer?

Independent study. xplor is not an accredited training provider and awards no certificate. This course does NOT qualify you to treat anyone: beauty and nail treatments require an accredited vocational qualification, practical assessment and insurance.

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