What Exactly Is Toenail Fungus
Some people see a little thickening of their toenails and might not think twice about it. Then, suddenly, the nail starts crumbling and you can see a discoloration. Theres usually little discomfort with this issue, which is why it often goes unnoticed and untreated until it is severe. Fortunately, for those who are paying attention, its fairly easy to identify.
If this fungus doesnt get treated, it could spread to other nails or eventually lead to pain and discomfort when you are walking. Some rare cases may go away on their own over time, but its always best to err on the side of caution and consider natural remedies or other treatment options.
How Can I Treat Toenail Fungus At Home
If you visit the drugstore, you can choose from a variety of over-the-counter antifungal medications. You may decide to use those or ask Dr. Yamini for his recommendations. Keep your nails clean and trimmed to help the medication penetrate.
Urea-containing creams may help you thin thickened nails so you can trim them.
Should I Cut Off My Fungus Toenail
If you do have a toenail fungus, your doctor will likely recommend one or more of the following treatment options: Trimming the Toenail Trimming the toenail is usually combined with medication, but having a podiatrist periodically trim the nail down is helpful and allows the medication to work better, says Sundling.
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Why Does It Develop
A fungal nail infection occurs from the overgrowth of fungi in, under, or on the nail. Fungi thrive in warm, moist environments, so this type of environment can cause them to naturally overpopulate. The same fungi that cause jock itch, athletes foot, and ringworm can cause nail infections.
Fungi that are already present in or on your body can cause nail infections. If you have come in contact with someone else who has a fungal infection, you may have contracted it as well. Fungal infections affect toenails more commonly than fingernails, likely because your toes are usually confined to shoes, where theyre in a warm, moist environment.
If you get a manicure or pedicure at a nail salon, be sure to ask how the staff disinfects their tools and how often they do it. Tools, such as emery boards and nail clippers, can spread fungal infections from person to person if theyre not sanitized.
Preventative Steps To Take
While you cant always help your risk factors for toenail fungus, there are some preventive steps you can take:
- Bring your own sterilized instruments, such as nail clippers, to a nail salon.
- Keep your toenails short and clean to prevent nail trauma that can lead to cracking. If you have difficulty trimming your own toenails, your doctor may recommend seeing a podiatrist to help.
- Dont share personal care items like fingernail clippers or pumice stones with another person.
- Throw away or treat potentially infected footwear.
- Wear clean socks and wash socks after use.
- Wear sandals when walking in a locker room, public shower, or any other places where fungus is likely to grow.
Toenail fungal infections have a high rate of recurrence, even after youve treated them. Thats why its important to couple treatment measures with preventive ones to give yourself the best chance for keeping your toenails healthy in appearance.
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What Can I Expect If I Have A Toenail Fungus
While toenail fungus is common, its usually not harmful. Symptoms mostly affect the look of your toenail.
Toenail fungus may spread to the skin between your toes or other areas of your body. When getting dressed, put your socks on first to reduce the chance of spread.
Treating toenail fungus takes a long time, and it doesnt always work. Even then, toenail fungus often returns. Discuss the pros and cons of treating toenail fungus with your healthcare provider to determine whats best for you.
Practicing good hygiene and foot care reduces the chance toenail fungus will come back. If you have diabetes, getting regular foot exams may help you address foot problems before they get serious.
What Are Treatments For Toenail Fungus
Do you need to treat your nail fungus? Maybe it doesn’t hurt, and the yellow, thick nails don’t bother you.
But nail fungus doesn’t go away by itself. And if you don’t treat it, there’s a chance it could get worse. It could spread to other nails or through your body. It could cause pain when you walk.
There are a number of ways to take care of it, including:
Nonprescription options. You can buy antifungal creams, gels, and nail polish at the store and online without a prescription. You might want to try one of them first if the infection doesn’t look bad. Some people also swear by home remedies like menthol rub, tea tree oil, mouthwash, or snakeroot extract — but studies show mixed results.
Prescription polish and creams. Your foot doctor will likely trim your nail and file away its dead layers. They may also take a piece of your nail and send it to the lab to make sure itâs really a fungus and to find out what type it is.
The doctor might suggest an antifungal drug that you paint on your nails. This may work on its own, or they may suggest you take it with antifungal pills.
Prescription medications. One of several antifungal pills may help. They work, but it may take many months to do the job. They also come with side effects like nausea, vomiting, and headaches. They may cause liver damage too, so your doctor will watch you closely while you take them. Be sure to tell them about any other meds youâre taking — some antifungal pills might not work well with them.
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What Is The Outcome For Someone Who Has Nail Fungus
With treatment, many people can get rid of nail fungus. Even when the fungus clears, your nail may look unhealthy until the infected nail grows out. A fingernail grows out in 4 to 6 months and a toenail in 12 to 18 months.
To clear the fungus, its important to:
-
Use the treatment exactly as prescribed
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Apply the medicine for as long as prescribed
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Keep all follow-up appointments with your dermatologist
Nail fungus can be stubborn. If you had a severe infection, its possible to clear the infection. A healthy looking nail, however, may be unrealistic, but you can expect the nail to look better and feel more comfortable.
Even with clearing, nail fungus can return. Youll find steps to reduce your risk in Tips: 12 ways to prevent another nail infection.
ImageGetty Images
ReferenceGold LFS and Rosen T. Onychomycosis: Diagnosis, treatment, and prevention strategies. Dermatology News . March 2016:2-15.
How To Prepare To See Your Doctor
- List any symptoms, even ones that you feel are not likely related to your nail condition. This can affect your doctors treatment choices.
- List any medications that you are currently taking. Some nail fungus treatments may have interactions with other drugs. List any allergies or other personal information that may be relevant.
- Inform the doctor of any other health problems that you have. Conditions like cancer, diabetes and psoriasis can make you more vulnerable to infection or could make certain treatment options not good for you.
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What Is The Most Effective Treatment For Toenail Fungus
The most effective toenail fungus treatment for you will largely depend on your symptoms and situation. Your healthcare provider will consider several factors before recommending a treatment plan. Theyll customize a treatment plan for you.
Overall, oral antifungal medications may offer the most treatment potential. Pairing oral drugs with topical antifungal medication may make treatment more effective.
How To Get Rid Of Toe Fungus
This article was co-authored by . Dr. Mark Co is a Podiatrist who runs his own private practice in San Francisco, California. Dr. Co specializes in treatments for bunions, ingrown toenails, toenail fungus, warts, plantar fasciitis and other causes of foot pain. He also offers custom orthotics for the treatment and prevention of foot and ankle issues. Dr. Co completed a Master of Business Administration at New York University and an MA in Electrical Engineering and Computer Science at Johns Hopkins University. Dr. Co also completed his DPM at the California School of Podiatric Medicine and a residency and internship at the Kaiser Permanente Medical Center, Santa Clara, California. Dr. Co was awarded San Francisco’s “Top 3 Podiatrists” in 2018, 2019, and 2020. Dr. Co is also a member of the CPMA .There are 15 references cited in this article, which can be found at the bottom of the page.wikiHow marks an article as reader-approved once it receives enough positive feedback. In this case, 96% of readers who voted found the article helpful, earning it our reader-approved status. This article has been viewed 1,505,070 times.
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Fungal Toenails Prevention Tips
To avoid getting a fungal infection, its important that you wash your feet daily with soap and water, making sure to get in between your toes, and dry the feet well. When cutting your toenails, make sure the clippers youre using are clean and that youre cutting straight across. Its also important that you wear shoes in areas where fungus can thrive, such as wet public places like swimming pools or locker rooms.
Toenail fungus can also be treated with certain over-the-counter antifungal creams and ointments. To remove pressure from the nails, keep them cut at a short length. Oral antifungal drugs, medicated nail cream, or medicated nail polish may also be prescribed by your podiatrist if simpler treatments do not prove successful. In some cases, your podiatrist may also recommend laser treatment to eradicate toenail fungus.
Patients should visit their local podiatrist if they suspect they have toenail fungus. In its more severe stages, toenail fungus can become very painful. Other infections can develop from toenail fungus that can spread to other parts of the body. Upon examination for fungus, your podiatrist may scrape your nails if he or she finds debris. This sample will be sent to a lab to determine what fungus is causing the condition.
If you believe youre experiencing a fungal toenail infection, we recommend that you speak with a as soon as possible for a proper diagnosis and suggested plan for treatment.
Dangers Of Using Bleach For Toenail Fungus
Bleach may actually cause toenail fungus to worsen and increase the likelihood of a toenail infection.
According to an article in the Asian Journal of Research in Dermatological Science, use of topical bleach can increase the risks for fungal infections because it can damage the skin and nails. This allows opportunistic fungus to come in through the damaged skin or nail and cause an infection.
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Sets With Creams And A Nail Scraper
Treatment sets that contain two creams and a nail scraper can also be used for the topical treatment of nail fungus:
- One cream has urea in it, which softens the nail so it can be removed.
- The other cream contains bifonazole, which has an antifungal effect.
For this treatment, the affected toe or finger first has to be soaked in warm water for ten minutes and then dried. After that, the urea-based cream is applied to the nail, and the nail is covered with an adhesive bandage. After 24 hours, the bandage is removed and the toe or finger is held in warm water again. The softened layer of the nail is then scraped off using a spatula, the cream is applied again and the nail is covered with a new bandage. This treatment is carried out over 14 days. Once the infected part of the nail has been scraped away completely, the skin beneath is treated for another four weeks with a bifonazole cream.
When Are The Different Treatments Considered
Most doctors recommend treating nail fungus with nail polish or cream if
- not much more than half of the nail is affected by the fungus,
- the base of the nail is not infected, and
- only some nails are affected.
Topical treatment is also usually recommended for children. One reason for this is that most oral medications arent suitable for children. Another reason is that children have thinner nails that grow more quickly, so its assumed that treatment with nail polish or creams is more likely to work in children than in adults. White superficial onychomycosis is also often treated with a nail polish or cream.
If several nails are infected by the fungus, or if the infection has spread out more on the affected nails, its usually necessary to take oral medication. And if the infection started at the base of the nail, its highly likely that only tablets will help.
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The Podiatrist’s Take On Home Remedies
While home remedies are unlikely to cause any harm in themselves, Dr. Hinkes urges caution when relying on them when looking for how to get rid of toenail fungus. “Resorting to folk remedies can be dangerous because it could keep the patient from getting a legitimate diagnosis and treatment,” he says. “Now in some people, this could be a critical thing, because it can be contagiousyou can pass it to other people and you can pass it to other parts of your body. So it’s really not something you want to fool with.” Dr. Hinkes’ advice is clear: Visit a foot care specialist. This could be a podiatrist, but foot care nurses also offer an excellent and affordable service as an alternative. And if neither of those is available, try a dermatologist. Left untreated, this condition won’t go away on its own and can cause serious pain, deformity, and even lead to further complications. Podiatrists recommend seeking expert helpyou’re better safe than sorry. If you’re desperate, though, try these DIY foot and toenail fungus treatments.
How Effective Are Tablets In Treating Nail Fungus
Tablets for the treatment of nail fungus have been tested in several studies. All participants had an infection on their toenails caused by a skin fungus. Overall, the study results showed that tablets are considerably more effective than nail polishes or creams.
One year after a three-month treatment with terbinafine:
- About 17 out of 100 people who didnt have this treatment no longer had a detectable fungal nail infection.
- About 76 out of 100 people who had this treatment no longer had a detectable fungal nail infection.
In other words, the treatment with terbinafine got rid of the fungal infection in about 59 out of 100 people.
Itraconazole also proved to be effective. After one year,
- 7 out of 100 people who didnt have this treatment no longer had a detectable fungal nail infection.
- About 43 out of 100 people who had this treatment no longer had a detectable fungal nail infection.
In other words, the treatment with itraconazole got rid of the fungal infection in about 36 out of 100 people.
Some studies directly compared itraconazole and terbinafine with each other. They confirm that terbinafine is somewhat more effective than itraconazole.
Treatment with breaks is thought to be about as effective as continuous treatment. But that has only been looked into in a few studies.
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How Much Is Laser Toenail Fungus Removal
While laser toenail fungus treatment is FDA approved, very effective, and very successful, most insurance companies, unfortunately, do not cover it.
- See us for a no-obligation consultation to see if it is the right choice for you, as there are numerous options for toenail fungus treatment.
- See a toenail specialist like a podiatrist to see if this is the best option for you!
Unsafe Home Remedies For Toenail Fungus
Although there are many effective home remedies for toenail fungus, there are still some natural and household products that can cause more harm than good. For example, you should never use bleach to get rid of toenail fungus. Its use may be toxic to the skin and cause severe skin irritation when not used properly.
Additionally, you should never use overly hot water when performing the variety of foot soaks mentioned above. Excessive heat to the nails and skin will not kill fungusand extreme temperatures may injure the skin causing burns, blisters, and sometimes permanent skin damage. Always use lukewarm water for soaking.
Urine is another home remedy that should be avoided. Previously, it had been believed to be effective against fungal infections due to its urea contents. While urea can help soften the nail bed to make it easier for antifungal medication to be absorbed, urine does not contain enough urea to be effective.
And, finally, do not remove or excessively trim toenails at home. Fungal toenails should be properly trimmed and maintained on a regular basis, but do not remove too much nail. If toenail clipping or removal is not done properly, damage to the nail bed may cause additional injury to the nail, which can be irreversible. There also is the risk of causing bacterial infections when the damaged nail is not removed properly.
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Toenail Fungus Home Care
Sometimes itâs possible to treat your toenail fungus at home. You can try:
- Over the counter antifungal creams or ointments. File or cut off any white markings on your nails. Soak your nails in water and dry off before you put on the medicated cream.
- Special nail care. If you keep your nails trimmed, it can reduce the pressure and pain you feel. You can also thin your nail bed by filing it down. This can help antifungal creams get to the problem easier.
