Advanced Nail Disorder Treatment

Your nails are more than just aesthetic features; they are often a window into your systemic health. From persistent fungal infections to painful structural deformities, nail disorders can significantly impact your quality of life.

Dr. Rohit Gupta specializes in the comprehensive diagnosis and management of complex nail conditions, offering both medical and surgical interventions tailored to the specific pathology of the nail unit.

Common Nail Conditions We Treat

• Onychomycosis (Fungal Nails): Utilizing a combination of systemic therapy and topical lacquers for high clearance rates.

• Paronychia: Immediate relief for acute or chronic inflammation of the nail folds.

• Nail Psoriasis: Advanced biologic and intralesional therapies to restore nail plate integrity.

• Onychocryptosis (Ingrown Nails): Permanent solutions for recurring pain and infection.

Dr. Rohit Gupta’s Specialized Techniques

Dr. Gupta employs a multi-modal approach to ensure long-term recovery and minimal recurrence:

1. Partial Nail Avulsion with Chemical Matricectomy: For chronic ingrown toenails, Dr. Gupta performs a precise surgical procedure using Phenol or Sodium Hydroxide to selectively destroy the offending nail matrix, preventing regrowth with a success rate of over 95%.

2. Intralesional Injections: For inflammatory conditions like nail lichen planus or psoriasis, medications are delivered directly into the nail matrix for maximum efficacy.

3. Nail Biopsy & Histopathology: To rule out malignancies like subungual melanoma or to confirm rare inflammatory disorders.

4. Urea Steep Grinding: A non-invasive technique used to debride thickened, dystrophic nails before initiating topical antifungal therapy.

Complex Case Highlight: Total Nail Dystrophy Recovery

The Challenge: A patient presented with 10-year chronic total nail dystrophy affecting all fingers, previously misdiagnosed as simple fungus. The nails were crumbly, thickened, and painful, leading to social withdrawal.

The Solution: Dr. Gupta performed a Nail Matrix Biopsy, identifying the condition as a rare presentation of Twenty-nail Syndrome (Trachyonychia).

The Result: By pivoting to a regimen of pulsed corticosteroid therapy and specialized nail lacquers, the patient saw 80% clear nail regrowth within 8 months. This case underscores the importance of a biopsy-led approach in "treatment-resistant" cases.