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Doctor explains what ridges on nails mean


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By BLG MAJDA - décembre 29, 2025

 


Doctor explains what ridges on nails mean

Vertical lines on nails: a normal sign of aging or a sign of something serious?
You look at your hands.
And there they are – tiny vertical grooves running from the cuticle to the tip of the nail.
You can't imagine it.
They are becoming more and more noticeable.
And now you're wondering:
Are these ridges simply a sign of aging?
Or are they a sign of a vitamin deficiency—or even a serious health problem? 
You are not alone.
Vertical nail ridges are one of the most common complaints people bring to a dermatologist. The response is usually reassuring.
Sometimes, however, they can be a symptom of an illness.
Let's take a closer look at what nail ridges really mean and when you should see a doctor.
🧠 What are nail ridges?

Raised lines running up and down the nail plate (from the cuticle to the tip) are extremely common – especially as we age.

There are two main types:

✅Vertical ridges

Thin, parallel lines from base to tip

Usually harmless - part of natural aging

⚠️Horizontal ridges (Beau's lines)

Deep grooves on the nail

May signal illness, injury, or nutrient deficiency

In most cases, vertical lines are not a medical problem – but they can be a subtle reflection of your overall health.

🌟 What causes vertical ridges on nails?

1. Aging (most common cause)

As we age, nail growth slows and the nail matrix (the tissue beneath the cuticle) becomes less smooth.

This leads to thicker, drier nails with visible ridges.

Think of it like wrinkles – but for your nails.

✅ Completely normal - affects most people over 50

2. Dehydration and dryness

Nails lose moisture with age and exposure to water, soap, and chemicals.

Dry nails become brittle and more prone to fissures.

✅ Solution: Moisturize your hands and nails daily with oils (e.g. jojoba or almond)

3. Nutritional deficiencies (less common)

While not the most common cause, certain deficiencies can affect nail health:

Iron

Severe deficiency (anemia) can cause

spoon-shaped nails

(koilonychia), not just ridges

Protein

Weak, brittle nails - the body needs protein to build keratin

Vitamin A, B12 or calcium

It can cause dryness or fissures, but it is rarely the only cause.

✅ Note: Mild bands are not a reliable sign of deficiency. Blood tests are required for diagnosis.

4. Repetitive injuries or nail biting

Constant picking, filing, or typing can damage the nail matrix.

This can lead to uneven growth and ridges.

✅ Tip: Avoid aggressive manicures and nail biting

⚠️ When ridges may signal a health problem

Although most ridges are harmless, certain changes should prompt a visit to the doctor.

Warning signs: If you notice…, see a doctor.  

✅Deep, broad horizontal ridges (Beau's lines)

Previous illnesses, high fever, surgery or chemotherapy  

✅Discolored nails (yellow, brown, or white)

Fungal infection, lung disease, or liver problems  

✅Spoon-shaped (concave) nails

Iron deficiency anemia 

✅Very thick, cracked or crumbling nails

Fungal infection or psoriasis

✅Pain, swelling, or redness around the nail

Infection (paronychia) or ingrown toenail 

✅Sudden changes in shape or texture

Thyroid disease, diabetes, or kidney disease

Dr. Ross Perry, a dermatologist at Cosmedics, explains:

"While most nail changes are benign, severe, deep ridges—especially if they appear suddenly—can sometimes be linked to underlying health conditions such as kidney disease, diabetes, or psoriasis. It's always worth getting checked out if you're concerned."

🩺 What the NHS says about nail changes

The NHS confirms that:

“Most nail problems—including brittleness, fissures, and discoloration—do not indicate a serious medical condition.”

But they also advise:

If your nails suddenly change or start to hurt, consult your GP.

If the nail falls off without injury, seek help.

If your toenails become too thick to cut, consult a podiatrist.

Early detection can prevent complications – especially in people with diabetes or circulatory problems.

💡 How to keep your nails healthy 

✅Moisturize daily

To prevent dry skin, use hand cream or cuticle oil. 

✅Stay hydrated

Drink plenty of water – your nails reflect your overall hydration level 

✅Eat a balanced diet

Protein, iron, vitamins A, B12 and biotin support nail strength

✅Gloves should be worn when cleaning.

Protect your nails from harmful chemicals

✅Avoid biting or picking your nails

Prevents injuries and infections

💬 Summary: Your nails are a mirror, but not a crystal ball

We look for signals in our bodies—in our skin, hair, and nails—to learn about our health.

Although nail ridges are usually a sign of the passage of time, sometimes they can be a sign of deeper problems.

So if you see:

Subtle vertical lines?

→ Probably aging. Moisturize and move on.

Sudden, profound or painful changes?

→ Time to see a doctor.

Because sometimes the difference between “just getting old” and “something to check”…

It's not on the back.

It's in the formula.

What happens when you start paying attention?

You can detect something early – before it becomes serious.

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