Nail Care Myths and Facts

By Anthony J. Jannetti

When it comes to caring for the nails, many of the tips taken for granted over the years may in fact be myths that can damage the nails.

Speaking at the American Academy of Dermatology's Academy Meeting, Marta J. VanBeek, MD, MPH, FAAD, assistant professor, department of dermatology, University of Iowa College of Medicine in Iowa City, Iowa, discussed the myths and facts of healthy nails. "Healthy, strong nails are important not just for their looks but for performing the tasks of daily life, like picking up objects," Dr. VanBeek said. "Most of us don't realize the importance of our nails until we have a problem with them. Misconceptions about nail care abound and it's important to know the facts to keep nails in top shape."

Myth: To get stronger nails, use polishes that contain hardeners or apply ingredients like gelatin.

Fact: While using polishes that contain strengthening ingredients may help make nails less prone to splitting, they also increase nail stiffness, causing the nails to break more frequently under trauma, because they become hard and inflexible. While some people swear that immersing their nails in gelatin makes them stronger, there is no scientific evidence that applying gelatin has any benefit.

The best way to grow strong nails is to make sure that they are kept moisturized. Because nails take a lot of abuse in daily life and are repeatedly exposed to harsh detergents and chemicals that can dry them out, it's important to keep them moisturized. Most nail polish removers are alcohol based, so it is especially important to moisturize after removing nail polish.

"Moisturizers that contain petrolatum or mineral oil to protect against evaporation are particularly good," Dr. VanBeek noted. "No special products are necessary as most hand creams contain one of these ingredients."

Myth: It's important to push your cuticles back to keep them healthy and help your nails grow.

Fact: Most people are aware that cutting the cuticle is never a good idea and it's much better to groom them by pushing them back. However, dermatologists recommend against this as well because it can create problems. "The cuticle is a barrier that protects the skin and the delicate nail matrix, or 'root' of the nail. Pushing back on the cuticle can injure it and expose the paronychium, or skin fold around the nail, to bacteria and result in infection," Dr. VanBeek said.

Myth: Nail salons are regularly inspected so I don't have to worry about safety.

Fact: Most nail salons take sanitation very seriously and follow strict cleanliness and disinfection guidelines, but consumers should not be afraid to ask how implements are cleaned.

"Look at the salon with cleanliness in mind and ask yourself these questions: Are the stations clean? Does the nail technician wash her hands between clients? Are there dirty implements lying around? If the salon does not appear clean, then move on," said Dr. VanBeek. "People who get frequent manicures and pedicures may want to purchase their own tools and implements to be used at the salon in order to protect against infection."

In addition to making sure that the implements used are sterilized properly, check that any foot baths that are used for pedicures are thoroughly disinfected before using them. If they are improperly cleaned, they can harbor bacteria and fungus which can lead to serious infections.

Myth: Artificial nails are the best solution for problem nails.

Fact: Covering up nail problems will not make them go away and may even make them worse. While artificial nails are not always a bad thing, they are not recommended for people who are prone to fungal infections or have brittle nails because they can actually make the condition worse.

"Artificial nails can trap moisture, providing an excellent environment for bacteria and fungus to grow," Dr. VanBeek said. "People with brittle nails should minimize the amount of trauma associated with removing or changing artificial nails. Chemicals used to dissolve the bond between artificial nails and the nail plate can dry out the nail and damage the nail if used too frequently. For people with healthy nails, artificial nails can be fine as long as they are not worn continuously."

Because the substances used in artificial nails can cause an allergic reaction in some people, Dr. VanBeek recommends that people know what products are used so that they can inform their dermatologist if they develop a rash or other reaction.

Myth: Always wearing dark nail polish can discolor your nails.

Fact: This is not a myth; it's true. For some people who use darker shades of nail polish on their fingers and toes, removing the color may reveal yellowed, discolored nails.

"Darker-colored polish, like blue, brown, burgundy and black, can temporarily stain the nail plate. The staining will resolve over several weeks if the same color of polish is not reapplied," said Dr. VanBeek. "The staining is neither bad nor harmful for your nails."

To prevent this from happening to unblemished nails, apply an extra layer of base coat first before using the nail color.

Myth: Fungal infections of the nail can be effectively treated with topical products.

Fact: Despite the wealth of over-the-counter products available that claim to treat fungal nail infections, the only way to cure an infection is to see a dermatologist.

"Over-the-counter topical medications don't penetrate the nail and therefore, aren't as effective as oral prescription medications," Dr. VanBeek said. "A dermatologist can prescribe the proper medication to eradicate the infection in most cases."

One of the best ways to deal with fungal nail infections is to prevent them from happening. Since nail fungus thrives in warm, damp environments, Dr. VanBeek recommends keeping feet clean and dry, refraining from sharing towels and wearing sandals in public shower areas.

Myth: Nail problems can be cleared up quickly.

Fact: Because nails grow slowly -- about 0.1 mm a day -- replacing the damaged or diseased nail may take many months. It's important to follow the instructions for the medications or treatment carefully to ensure that the new nail growth is healthy.

"When it comes to nails, there is no real quick fix so you have to be patient," said Dr. VanBeek. "Having beautiful nails is less a matter of luck and more a matter of caring for them correctly."

Source: Dermatology Nursing. Provided by ProQuest Information and Learning. Powered by Yellowbrix.

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Comment: Contagious Diseases in Beauty Procedures. Governments, the Media and the beauty care infections There is no explanation among specialists why health authorities are not tacking actions to reduce the rising number of infected people sharing tools in beauty care. The media does not divulgate these threats and most technicians do not understand enough how deadly viruses and other diseases are infecting their clients. It is a public health threat. Manicure, pedicure, podiatry, piercing, tattooing (ink), in less extend acne extractions and hair electrolysis treatments are still using incorrectly sterilized needles and instruments. These instruments when used for cutting, filing, lifting, pushing or do micro-lacerations on skin, cuticles or nails, they are cross contaminating people with the Hepatitis B, C, D, G virus and many ordinary diseases. If the sanitary rules would oblige only the use of autoclaved, personal or disposable tools, the number of infected people would be minimized. It is not understandable why prevention campaigns for these beauty cares are not connected to AIDS programs. There are already 400 million people infected with one of these hepatitis viruses and most contaminated people do not know that they are infected, and many are infecting others through poorly sterilized shared tools. These viruses are difficult to kill and the sterilizations or disinfection methods in use frequently infect people. How can hepatitis be traced to beauty treatments? Once a person is contaminated it is difficult to notice it at its early stages, making it very complicate to trace the virus back to its source. Physicians have to suppose a diagnosis, these viruses transferred through body fluids turn into an active disease some 20 years after contamination. Hospital, medical, dental procedures are obliged to sterilize their tools with autoclaves. Autoclave is the only method that kills these types of viruses, fungi, bacteria and their spores. But, unbelievably, beauty technicians are not required to use autoclaves and most beauty services are still using very unreliable means to sterilize or sanitize their tools. The disinfection and sanitation methods in use, including heat air oven are unsafe and the use of disposable, personal and autoclaved tools is very limited. The control of their sterilization efficiencies is rare, weak and lacking. Even the only safe medical grade method to sterilize these tools, the autoclave, when not correctly used the sterilization can easily fail. The autoclave’s long process of washing, packing, sterilizing and drying the tools is complicate, time consuming and expensive for a work that charges low payments, giving chances for failures These threats turn into real diseases. But they are not popularly known and no serious measures for prevention are being taken. There is no political interest in it and very few people know the risky consequences of sharing weakly sterilized tools. Millions are suffering from these contaminations and every day physicians confirm new infections. Worldwide, regulatory rules are lacking, they are not made for infected people, or for the new viruses and bacteria which appeared in the last years. Health authorities are not doing enough and there are no efficient campaigns to prevent these contaminations. State committees are lacking to use infectlogy concepts in their cosmetology rules and regulations. More research, alert campaigns, stronger and updated rules are necessary. The number of users is growing fast and so the number of new infected people. For the population to believe in this danger and to become aware of these threats more information through campaigns or advertisings is urgently necessary. Consumers need more protection. Health oriented politicians could use this prevention to create a political interest, it saves lives, reduces suffering, health treatment costs, treatment time and production loss. Prevention is cheaper than to treat diseases, where hepatitis will kill millions in the next years. This prevention, alerting campaigns can be made through boards exposed at stores, on tags fixed on the product, in web sites, through the media, medical articles, in trade shows and exhibitions. Thus, when a micro blood, lymph or serum contact from one person to another person occurs, the tools must have medical grade sterilization, be discharged or personalized. The best alternative and the cheapest solution for a reliable prevention is the use of only personal instruments. For manicure and pedicure there is a complete and cheap patented tool with 18 functions needing a manufacturer. THE TRANSMITTED DISEASES Scientific researches and physicians confirm these contaminations and none is taking them serious. People get infected much faster than we imagine and the economic crisis aggravates the problem. Less money means less autoclaved safe sterilized tools and less government investments in professionals and to organize the services. Beauty procedures they do produce infectious contagious diseases! They are still one of the few ensanguined and invasive work done on clients where micro particles of lymph, serum or blood frequently are not correctly sterilized and infect people. This occurs when; a tiny cut, a cracked or filed skin, a torn cuticle, a fluid leaks from the nail’s bed (by cutting nails to close to it), when skin micro-lacerations occur and when sick nails are treated. In brief, when the seal is broken on a fingertip, a cuticle, a sick nail or skin, infections are easily transmitted, as: mycosis (nail fungus, athlete’s foot, etc.), herpes, warts, paronychias, erysipelas, bacterial infections (Strepto, Staphylo and Pseudomonas), piogenic granuloma, and other viral infections, in some cases, with hepatitis. Certainly, if these ordinary diseases are infecting people, the Hepatitis B, C (discovered in 1989), D and G (discovered in 1995) viruses are also infecting users of shared tools and this in an increasing number. Always more people are carrying one of these mutating viruses and there is the mother to child transmission. How the super-bacteria MRSA, the Clostridium difficile and the Acinetobacter baumannii are infecting the blood stream through unsafe tools is not clear yet, more research is necessary. If you are interested or if you need more information, please, contact: Hans Mueller, fax: xx55 24 2242 0986 or by e-mail: mullerbrasil@yahoo.com.br
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