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One reason for one toenail growing on top of another is, as Alison suggested, a trauma to the toenail.

For example, my first toes are longer than the big toes. As a distance runner, even in properly fitted shoes, those two longer toes hit the inside of the toe box when I'm running downhill. The effect is known as "black toenails," the blackening caused by bloody blisters under the nails. The blisters will eventually heal, but the nail bed has been traumatized and the damaged nail will eventually drop off as the new nail grows underneath it.

Your podiatrist can help you determine the cause of your double growth. If it's caused by some repeated trauma to the toes, you may have to have your shoes fitted better.

Just one possibility.

May 13, 2009 - 4:35pm

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