Expert Foot & Ankle Treatment from Michigan’s #1 Podiatrist - Balance Foot & Ankle Specialist
Board Certified Podiatrists
Expert Foot & Ankle Care
Expert Foot & Ankle Treatment from Michigan’s #1 Podiatrist - Balance Foot & Ankle Specialist
Expert Foot & Ankle Care
Nail pitting causes small dents or depressions in the toenails and may be associated with underlying skin or medical conditions. At Balance Foot & Ankle Specialist, our experienced podiatrists provide professional nail evaluations for patients in Howell and Bloomfield Hills, Michigan, helping identify the cause and guide appropriate care.
Nail pitting is commonly associated with conditions affecting nail growth and formation, including:
Our Michigan foot doctors assess nail health alongside overall foot structure to identify contributing factors.
Treatment for nail pitting focuses on managing the underlying cause rather than the nail surface alone. Depending on diagnosis, treatment may include:
Patients receiving care in Howell and Bloomfield Hills are provided personalized treatment plans based on their specific foot and nail health needs.
Toenails grow slowly, so improvement in nail pitting takes time. With proper care and ongoing monitoring:
Our Michigan podiatrists provide guidance to support long-term nail health and prevent recurrence.
If you’ve noticed small, pinpoint depressions or dents on the surface of your fingernails or toenails, you may be experiencing nail pitting. This seemingly minor change can actually be an important clue about underlying skin or autoimmune conditions such as psoriasis, eczema, or alopecia areata. While often harmless on its own, nail pitting is worth investigating, especially when paired with other symptoms like discoloration or nail thickening.
Nail pitting occurs when the nail matrix—the tissue under the base of the nail—gets disrupted. This interference affects how the nail grows, leaving behind tiny indentations. The most common causes include:
The pattern, depth, and distribution of the pitting often help in diagnosing the underlying cause.
Toenail Pain (Toenail Fungus, Ingrown Toenails, Discolored Toenails)
Nail changes like pitting may be more than cosmetic. At Balance Foot & Ankle Specialist, we evaluate nail health as part of your total wellness. Whether it’s psoriasis, trauma, or something else, we’ll help you find answers and solutions.
Finding the best products for managing peripheral neuropathy and diabetic foot pain can make a world of difference in your daily comfort and mobility.
When it comes to managing foot pain from conditions like plantar fasciitis, flat feet, or diabetic neuropathy, the best orthotics can offer crucial support and relief.
Choosing the best shoes for foot conditions like neuropathy, plantar fasciitis, or flat feet is essential for pain relief and long-term foot health.
Click on pictures for full size & descriptions:
You are more likely to have psoriasis under your toenails if:

Toenail psoriasis displays the following symptoms:

Skin psoriasis is associated with toenail psoriasis.
If you have finger nail or toe nail pitting, these can be some good treatment options:

Toenail Psoriasis Treatment
Skin psoriasis is associated with toenail psoriasis.


























Best Woman’s Antifungal Socks:








Best Men’s Antifungal Socks:




Toenail Pain (Toenail Fungus, Ingrown Toenails, Discolored Toenails)
Our board-certified podiatrists specialize in foot and ankle care.
Dr. Tom Biernacki, Head Podiatrist at Balance Foot & Ankle Specialist, brings years of experience diagnosing and treating complex foot and ankle conditions—including heel nerve pain.
Experienced in geriatric foot conditions, chronic pain treatment, and difficult toenail management. Highly rated by Michigan seniors for comfort-focused care.
Dr. Gutkin is experienced in treating a variety of conditions including diabetic foot care, foot pain and trauma.
Tiny dents or depressions on the surface of your fingernails or toenails—often looking like pinpricks.
It can be. Pitting is commonly associated with psoriasis, autoimmune issues, or other skin conditions.
Yes, especially in cases of nail psoriasis or alopecia areata, the nails may be affected before the skin.
Nail pitting itself isn’t usually painful, but the underlying conditions may cause discomfort or other symptoms.
If it’s due to a temporary issue or trauma, it may resolve as the nail grows out. Chronic cases may persist.
A visual exam is often enough, but your doctor may perform a biopsy or blood tests to rule out systemic causes.
While you can keep nails trimmed and moisturized, treatment usually involves managing the underlying condition.
Nail polish won’t worsen pitting, but you may want to use non-irritating or breathable polish to avoid further nail damage.
Yes, especially if the pitting affects toenails. Podiatrists can assess your foot health and refer you to dermatology if needed.
Topical steroids, vitamin D analogs, or systemic medications may be prescribed—depending on the root cause.
Changes in nail texture may indicate an underlying condition that benefits from professional care. A podiatric evaluation in Howell or Bloomfield Hills, Michigan can help determine the cause and recommend appropriate next steps.
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