Living and Wellness Discolored Toenails: How to Treat Nail Discoloration By Dermatology, April 18, 2018 Looking down at your toes, you notice that one, or a few, are looking a bit off-color. Whether green, black, or brown, this unsightly scene is enough to ask yourself: Is this discoloration normal? Should I be worried? Find out what can cause nail discoloration and when you should talk to a doctor. Get expert dermatology care in Pennsylvania, when you need it. Learn more about UPMC eDermatology. Causes of Nail Discoloration Toenails can change color for different reasons; some are more treatable than others. Before you can treat a discolored toenail, you have to know the cause. Common causes of nail discoloration include: Fungal infection of the nails Dirt, poor hygiene, and living in a humid area are all causes of a fungal infection in your toenails. Fungal toenail infections can cause discoloration, making your nail appear any of these colors: Yellow Red-brown Green Black If a fungal infection is causing your nail discoloration, you may have success treating it with an over-the-counter antifungal cream. Medical conditions that cause discolored nails Certain medical conditions, such as diabetes, poor circulation, or a heart or lung disease, can cause your toenails to change color. Talk to your doctor about any existing conditions you have that could affect the color of your nails. Nail injury If you play sports, run on a regular basis, or participate in an activity that causes trauma to your feet, your toenails may develop white spots. If the trauma is severe enough, your nail can turn black from damage to the blood vessels and, in time, fall off. Nail discoloration and age As you age, your toenails, as well as your fingernails, may begin to turn a light shade of yellow. Nail discoloration is a normal part of the aging process. Yellow nail syndrome Yellow nail syndrome is a very rare condition. Often associated with lymphedema, it can occur during cancer treatment. What You Can Do About Discolored Toenails If you develop toenail fungus, you can treat the infection with an antifungal cream or an oral medication. For other causes of toenail discoloration, make sure your feet are well protected and avoid walking barefoot to prevent an injury or infection. Here are some tips to prevent discolored toenails: Wear shoes that fit properly to avoid injury Keep your toenails trimmed short Wear clean socks Dry your feet well after swimming or showering Avoid walking barefoot, especially in public places Avoid putting on socks or shoes while your feet are damp Spray your shoes with an antifungal spray to prevent infection When to See a Doctor for Discolored Nails Most of the time, discolored toenails can be treated with over-the-counter medicines or items you already have at home. However, you may need to make an appointment with a dermatologist if you suspect a severe fungal infection or have other symptoms besides toenail discoloration. If you experience bleeding, sharp pain, or swelling, contact your doctor. For more information about treating discolored toenails, contact the UPMC Department of Dermatology or call 412-647-4200.