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Real members of myRAteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A myRAteam Member asked a question 💭
Chicago, IL

Hi RA friends,

Has anyone here experienced both vertical and horizontal ridges or tiny indents (holes) in their nails?
I started noticing horizontal ridges on my thumbnails in fall of 2016—I went to my GP and my rheumatologist, neither of them were concerned (said they couldn't even see them!).

Since then, I've developed vertical ridges, horizontal ridges on a few other nails, and occasionally tiny holes on one or two nails. They're light but noticeable to me.

If you experience these nail… read more

February 2, 2018
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Answer Summary

Members confirmed that nail ridges and RA are connected, with many sharing that their rheumatologists noticed the ridges as a visible sign of... Read more

Members confirmed that nail ridges and RA are connected, with many sharing that their rheumatologists noticed the ridges as a visible sign of the disease and medications affecting nail growth patterns. Several members offered practical solutions, including checking iron and hemoglobin levels (since ridges can signal iron deficiency anemia), using ridge-filling polishes like Essie Ridge Filler, applying cuticle oil daily to strengthen nails and reduce ridging, and consulting a dermatologist to rule out other health concerns. A recurring theme was that nail changes often coincide with flares or medication adjustments, and while the ridges may not fully disappear, they can improve with proper care and attention to overall health.

A myRAteam Member

As an Aesthetician for 17 years, used oil everyday, and found my nails grew stronger and faster than ever before. I make my own, grapeseed oil, jojoba, seabuckthorn, borage, vitamin E. Make grapeseed 1.5 oz. your base, adding 4 drops of the others, except seabuckthorn which is 1 drop only. If you wish to make a soothing oil FOR JOINT PAIN,add some wintergreen, peppermint, or any other penetrating oil with strong vapors. I use Olblas Oil from Swiss Formula. It is the stongest, and you can use 15 drops in your base. You can find these at any health food store. If they don't have Olblas, ask them to order it for you. It's a combination of penetrating oils. This is my own formulation, not intended to sell anything. Many Blessings on you!

March 7, 2018
A myRAteam Member

I have arthritis and I'm a nail artist and technician, I find cuticle oil has solved my issues with my nails. They're a lot stronger and grow more, the ridges and dents don't appear as often and not as bad

February 23, 2018
A myRAteam Member

Yup, my rheumy told me long ago it was due to health and meds. I also notice that there are times when the nails are more apt to break than at other times - usually when I'm about to go into a bad flare. It's nice to have the warning, but I dread the flare!

February 3, 2018
A myRAteam Member

As a nail tech for a couple decades, I can tell you that your health and medications definitely affect the growth patterns of your nails... Psoriasis, pregnancy, trauma, and medications can affect the nail matrix...Some of these changes in nail growth patterns may grow out and the nail return to normal when you discontinue medications.

February 2, 2018 (edited)
A myRAteam Member

Have you had your iron levels and hemoglobin checked recently? Ridges on the nails can be a side effect of iron deficiency anemia.

February 2, 2018

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