Which nails are thick? Toenails or fingernails? I go to a professional in order to get my nails done. They do use a file for some of it, but they tend to use a very soft one which doesn't bother me at all. If the file is to rough it can cause bad sensation.
As for bleeding under the nails, I might suggest that you soak his fingers in a basin for about 10 to 15 minutes. It would also be a good idea to try to exfoliate all of dead skin off of the hands. There is some really good tools which have a rubber end on them (most manicurist have them available in my give one to you if you explain what you need it for) so you can clean under the nails in order to get all the debris out without causing bleeding. I have problems with bleeding also, but I tend to use lotion under the nails in order to keep the fingertips from being too dry. If you can find a really good manicurist, they can really help with the nails and get them whether not so crusty. Lately I've had to have a pedicure done because I was having some difficulty with fungus. It has helped considerably, but you need to find a manicurist who understands English and is willing not to be too aggressive on the feet. Also I might recommend soaking the fingers before you cut the nails and then using the smallest clippers you can get. There also baby nail clippers which might help you out. Sometimes I have to close my eyes and try not to think about the nails when they are cleaning out the bottom of them because I am sensitive to that also. It drives me up a wall, but I would rather have my nails clean and fungus free, so I put up with the discomfort for a little while. Good luck. And the suggestion about a podiatrist is a good one especially when it comes to toenails. From my experience are pretty aggressive though. Q On Thu, Mar 3, 2016 at 12:47 AM, Gail Overton <[email protected]> wrote: > My husband is a quadriplegic but with full sensory feeling from head to > toe. As his caregiver, I am frustrated because the only way I was taught to > trim and file nails is by using a nail file. His nails are so thick and he > is so sensitive that he cannot stand a file and so I tried to use a dremel > tool with grit bit but more often I make him bleed. Does anyone know how to > trim a quad’s finger and toenails? He doesn’t want to go to a manicurist > because they would probably file them too…………….. >

