Which nail disorder is too serious for a nail specialist to work on and should be referred to a physician?

Onychophagy, which refers to the habit of nail biting, is considered a serious condition that can lead to infections, damage to the nail bed, and other complications. Nail technicians are trained to recognize when a condition exceeds their scope of practice. In the case of onychophagy, the risk of associated infections and the potential for further trauma to the nails make it important for a trained physician to assess the situation and provide appropriate treatment options.

Referring clients with onychophagy to a physician ensures that any underlying issues, such as psychological stressors or skin infections, are properly addressed. This increases the likelihood of effective resolution and protects both the client's health and the nail specialist's professional responsibilities.

The other conditions listed, such as onychorrhexis (brittle nails), onychauxis (thickened nails), and onychoptosis (shedding of the nails), while they may require attention or treatment, do not present the same level of risk that necessitates referral to a physician. Nail technicians can often manage these issues within their scope of practice, offering appropriate services or guidance to clients for care.