Medically reviewed by Dr. Tom Biernacki, DPM
Board-certified podiatric surgeon | Balance Foot & Ankle, Howell & Bloomfield Township, MI
Last reviewed: May 2026
Quick answer: Treatment for thick toenails causes treatment follows a stepwise approach: 1) conservative care first (rest, ice, supportive footwear, OTC anti-inflammatories), 2) physical therapy and targeted exercises, 3) in-office treatments (injections, custom orthotics) if conservative fails at 4-6 weeks, 4) surgery for refractory cases. Most patients resolve at step 1 or 2. Call (810) 206-1402.
Thick Toenails: 7 Causes + How to Fix
Quick answer: Thick Toenails is usually treatable at home or in-office. Dr. Tom Biernacki, DPM explains causes and fixes.
Common Causes
Trauma, fungal infection, tight shoes, vitamin deficiency, or underlying medical conditions can all play a role.
Home Treatment
Keep nails trimmed straight, dry feet thoroughly, wear breathable shoes, consider OTC antifungal if fungus is suspected.
When to See Dr. Tom
If condition persists or worsens. Call (810) 206-1402.
In-Office Treatment at Balance Foot & Ankle
If home treatment isn’t providing relief for your thick toenails causes treatment, our podiatry team at Balance Foot & Ankle can help with expert evaluations and advanced in-office care.
Ready to Get Relief?
Book online 24/7 in Howell & Bloomfield Township, MI
4.9★ | 1,200+ Reviews | 3,000+ Surgeries
Or call: (810) 206-1402
Dr. Tom Biernacki, DPM is a board-certified foot & ankle surgeon (ABFAS & ABPM) at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has made him one of the most-followed foot & ankle educators on YouTube.