How I Kept My Nails Strong and Healthy During Chemotherapy

I never thought I’d be writing a post like this but earlier this year I was diagnosed with breast cancer at age 24. It was unexpected and scary, but it taught me many valuable lessons. When I was told I would need chemotherapy, I was devastated. However, I was determined to support my body in every way possible while going through cancer treatment. Physical appearance seems unimportant when facing something that threatens your life, but it adds to the trauma and burden of the disease. I underwent twelve rounds of chemotherapy and I never looked sick. Having a full head of hair and pretty nails boosted my self-esteem which I believe contributed to my healing. So, here is what I did to keep my nails strong and healthy during chemotherapy.

I am happy to announce I have fully healed from cancer and will be sharing everything I did in my healing journey. From mindset shifts, and emotional healing, to nutritional changes and more.

How chemotherapy affects the body

Chemotherapy was designed to target rapidly dividing cells, since cancer cells by nature divide and multiply faster than healthy cells. The downside to chemotherapy is that while it might its primary goal is to attack cancer cells, it also affects other rapidly growing cells, including those in your nails and hair. This can lead to various nail changes, such as discoloration, brittleness, ridging, and in some cases, nail loss. Chemotherapy disrupts the growth cycle of nail cells, making them more fragile and susceptible to damage.

However, remember that just because it is a potential side effect does not mean it will happen to you. Side effects depend on the chemotherapy drug, so ask your oncologist. Some drugs can cause nail damage and neuropathy, others don’t.

Chemotherapy affects the body in many different ways, so I highly recommend you research online, by reading books and asking specialists. If you only take one advice from this whole article, it is to be your own advocate. You might have the best doctors, but no one will fight for your life and well-being as fiercely as you will. Knowledge is power.

I underwent twelve rounds of paclitaxel and carboplatin and was told one of the side effects was nail loss – nails turn black and with time they fall off. I didn’t accept this as part of my journey and I took proactive steps to prevent this. Here are some practical tips to help you care for your nails during chemotherapy.

Signs of nail damage

While undergoing chemotherapy, it’s essential to monitor your well-being. You want to look for signs of nail damage, as early detection can help prevent more severe issues. Here are some things to watch out for:

• Color changes: nails turning black, brown, or yellow
• Brittle or splitting nails, along with ridges or indentations, may also be a sign that your nails are becoming weakened
• Increased thickness
• Unusual sensitivity around your nails
• Lifting of the nail from the nail bed,
• Pain, redness, swelling, or pus around the nails should be taken seriously. This could indicate an infection, which can be concerning when your immune system is compromised during treatment.

If you experience any of these symptoms, reach out to your healthcare provider. Especially if it feels painful. When it comes to cancer treatment, it is best to reach out even for small things since chemotherapy can make you immunocompromised.

Another tip is to ask your chemotherapy nurse what side effects and signs you should look out for. Chemotherapy nurses see cancer patients going through treatment every single day, unlike oncologists. So they often have more tips on how to avoid side effects, and things other patients are doing, etc.

How to keep your nails strong and healthy during chemotherapy

For reference, this is how my nails looked two weeks ofter my last chemotherapy round.

Icing during treatments

The side effects depend on the chemotherapy drug being administered. Some chemo drugs can potentially cause neuropathy in addition to nail damage. Neuropathy is a condition characterized by damage or dysfunction of the nerves, often resulting in symptoms such as pain, tingling, numbness, or weakness, typically in the hands and feet. This is a common side effect of the chemo drugs I was given. To prevent both, neuropathy and nail damage, I was recommended to ice my hands and feet for 15 minutes before the drug was administered, during the treatment, and 15 minutes after.

Many people opt out of icing because it can be uncomfortable and even painful in some cases. But I recommend you give it a try, it gets easier with time. I was icing my hands, feet, and scalp for almost 4 hours every treatment and I am so glad I did. It was hard, and it can be a bit painful but it was worth it. If icing is hard for you, I recommend breathwork. It is all in the breathing and it can help make it easier. Also, you will probably be given Benadryl to prevent any bad reactions, so time will go by faster and you’ll be sleeping.

Keep your nails short

Chemotherapy can make your nails brittle, which increases the risk of breakage or splitting. Keeping your nails trimmed short reduces the chances of them snagging on something and breaking.

Take a break from nail polish

I used to do my nails almost every week, but I stopped as soon as I started my treatment. It is beneficial to give your nails a break from cosmetic products. Especially because regular nail polish is toxic, and don’t get me started on manicures. Dip powder and acrylic manicures are not good for your health. They add to your toxic load and you’re already going through a harsh treatment. During this time focus on reducing your toxic load and supporting your body.

Nail polish, especially if left on for long periods, can dry out your nails and weaken them further. If you want to paint your nails, opt for non-toxic nail polish, and remove them gently with an acetone-free remover.

Related: Why I Don’t Get Dip Powder & Acrylic Manicures + What I Do Instead

Avoid harsh chemicals

Your nails are more sensitive during chemotherapy, so it’s crucial to avoid exposure to harsh chemicals. This includes nail polish removers that contain acetone, as well as household cleaning products. If you must use cleaning products, wear gloves to protect your nails and skin. However, I highly recommend switching to non-toxic cleaning products as well.

Chemical-based cleaning products are harmful to your health because they can contain toxic ingredients that may irritate your skin, eyes, and respiratory system, and prolonged exposure to these chemicals can increase the risk of more serious health issues, such as hormonal imbalances, allergic reactions, and even long-term chronic conditions like asthma and even cancer.

Wear gloves when cleaning or gardening

In addition to protecting your nails from harsh chemicals, gloves can also prevent infections. Chemotherapy can weaken your immune system, making you more susceptible to infections, even through small cuts or scrapes on your nails and hands. When cleaning, gardening, or doing any activity that might expose your nails to dirt and bacteria, wear gloves to keep your hands safe.

Nourish your nails

Chemotherapy can lead to dry skin and nails. Keeping your nails and cuticles moisturized is essential to prevent them from becoming brittle and cracking. Opt for a gentle, fragrance-free moisturizer or cuticle oil that’s enriched with ingredients like vitamin E, jojoba oil, or shea butter. Apply it multiple times a day, especially after washing your hands.

Use tea tree oil

Known for its powerful antifungal, antibacterial, and anti-inflammatory properties, tea tree oil can help protect your nails from infections, which are more common during chemotherapy due to a weakened immune system. Applying diluted tea tree oil to your nails can help prevent fungal infections that can occur when nails are weakened or discolored by treatment. Additionally, it may soothe any inflammation around the nail bed and promote healthier nail growth. However, it’s essential to use tea tree oil sparingly and always dilute it with a carrier oil (like coconut or olive oil) to avoid irritation, especially if your skin is sensitive.

Maintain a healthy diet

One of the biggest lessons I have learned during my healing journey is that we truly are what we eat. When it comes to food and diet, it can get complex, controversial, and even uncomfortable so I’ll save it for another article. However, I highly advise against eating any ultra-processed foods – whether they’re candy, chips, hot dogs, etc.

Eating a balanced diet rich in vitamins and minerals, such as biotin, zinc, and iron, can help strengthen your nails from the inside out. Foods like eggs, nuts, leafy greens, and fish are great for promoting healthy nails. If your appetite is affected by chemotherapy, consider talking to a nutritionist who can help you find ways to get the nutrients you need. There are also many books you can read regarding this topic, one of my favorites is “The Metabolic Approach to Cancer” by Dr. Nasha Winters. And for recipes, I totally recommend “The Cancer-Fighting Kitchen“.

Stay hydrated

Hydration is key to maintaining overall health, including your nails. Chemotherapy can cause dehydration, which in turn can make your nails dry and brittle. Make sure you’re drinking plenty of water throughout the day to keep your nails and skin hydrated.

Be gentle with your nails

Avoid activities that put excessive pressure on your nails, such as opening cans. Treat your nails gently to avoid further weakening or damaging them.

Consider taking supplements

If your doctor approves, you might consider taking supplements that support nail health. Biotin, also known as vitamin B7, is often recommended for strengthening nails. Other supplements like collagen or silica can also promote nail health. However, always consult with your healthcare provider before adding any new supplements to your routine, especially during chemotherapy.

Oncologists often lack training in holistic practices, including the use of supplements. When I inquired about taking magnesium and vitamin D with my oncologist, they were confused and questioned why I would even consider these supplements. While it’s true that some supplements can interact with chemotherapy drugs, I firmly believe in a holistic approach to support the body during treatment. If you’re interested in taking supplements but your oncologist isn’t supportive, I recommend consulting with an integrative physician. I was fortunate enough to work with an integrative physician and I truly believe that addressing imbalances holistically helped me heal, but that is for another article.

For those seeking integrative care, here is a list of integrative practiciones certified by Dr. Nasha Winters.

By incorporating these tips into your routine, you can minimize the effects of chemotherapy on your nails and feel more comfortable throughout your treatment. Remember to listen to your body and consult your healthcare team for personalized advice. You’ve got this!

There are many changes I made in my journey of healing from breast cancer, including my diet, activity, mindset, and overall lifestyle. Stay tuned for more articles about the topic.