Toenail Fungus Can Be Treated
Nail infections generally wonât go away on their own, but treatment options are available. Itâs important to see a doctor, who will suggest the treatment that best suits you.
Both prescription and non-prescription treatment options are available for treating toenail fungus infections.
A toenail fungus infection is a real health issue.
Does Jublia Work For Toenail Fungus
Podiatrists call it Onychomycosis, but you may recognize this infection by a more familiar name, Toenail Fungus. Call it what you like, Toenail Fungus is a fungal infection that effects the toenail and the surrounding skin and can be very embarrassing and painful if left untreated.There are various treatments out there, but one topical solution has risen to popularity in recent years. Its called Jublia and if youve seen the advertisements this prescribed topical solution claims to treat the site of the fungus at the nail or the skin surrounding the nail.
Insurance Coverage For Fungal And Thick Nail Treatment
If you have thick, fungal or painful toenails, your evaluation visit is usually a covered benefit under most traditional insurance plans. At that visit, we can let you know if there are any services or treatments for your nails that would likely not be covered.
Laser treatment cost and coverage information can be found on ourGuide to Laser Treatment page.
Coverage of lab testing to see if you have a fungal infection is between the lab and your insurance company. If you would like to check ahead of time, contact your insurance carrier and ask if they cover billing code 88312 and 88305 . You will also want to find out how much of your deductible has been met.
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What Oral Medications Are Available
To treat fungal nail infections from inside the body, you can take tablets that inhibit the growth of fungi or kill them. They are all prescription-only. Terbinafine and itraconazole are typically used for this purpose.
- Terbinafine is preferred if the nail fungus is caused by a skin fungus . This is usually the case.
- Itraconazole is generally used if the nail infection is caused by yeast or mold.
Itraconazole and terbinafine tablets can both be taken either continuously or with breaks between treatments. But they are used differently:
Treating Toenail Fungus With Laser
It is important to note that the toenail does not instantly become clear after getting any treatment. However, the fungus will die, and the results of this procedure will become more apparent when the new nail grows out. In many cases, people only need to get one treatment before they get the results they want. Some people have to return to Beaver Valley Foot Clinic for a follow-up treatment in order to ensure the fungus is gone.
Laser treatments for toenail fungus removal can typically completed within 15 minutes. There is no drugs or anesthesia required for this treatment. Laser treatment is also painless. Additionally, laser treatment is very safe.
Even though laser treatment is effective for killing fungus, a new fungal infection may still develop. People who are genetically predisposed to this disease are very likely to develop a new fungal infection. Patients with aggressive toenail fungus are often required to get periodic treatments.
Laser treatment is considered a cosmetic procedure. That is why it is not covered by most health insurance plans. The cost of laser treatment can vary greatly.
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Combining Oral Medication And Laser Therapy
A 2014 study published in Dermatologic Surgery noted that using both laser and oral medication may work better than either treatment alone1.
In this study of 53 patients who were treated with either oral terbinafine, laser or both, the group that received both treatments had significantly higher rates of clearance than those of the terbinfine group or the laser group at at Weeks 4, 8, 12, 16, and 24. So far this is the only study we have found that evaluates the combined treatment of laser and oral terbinafine . We hope to see additional studies in the future that will back up this information.
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The Secret Society Of Sufferers
Even though its so easy to catch, toenail fungus embarrasses people. Its a hush-hush topic and only a fraction of the estimated 55 million Americans who have the condition seek treatment in a doctors office.
Im part of this secret society of tonail fungus sufferers. We can, like, band together and have meetings or something, said Liz, a Philadelphia mom in her thirties. She doesnt want to use her full name for this interview. It looks terrible if you dont maintain it, and I mean toenail fungus? That is the grossest thing!
It started about 10 years ago when Liz cracked her big toe nail. After that, the nail started to look funny and became discolored. Then it spread to three more toes on that foot. When Liz realized she had nail fungus, she was faced with another unpleasant fact: Its really hard to treat.
The toenails have the smallest blood vessels, explained podiatrist Tracey Vlahovic. They are the furthest away from the heart. Its going to take anywhere from six months to a year, to even two years for some people, for the nail to grow from cuticle to the tip of the nail.
An Abundance Of Pseudoscience
A tough problem that embarrasses people makes for a fertile breeding ground for pseudoscience and old wives tales which Liz found when researching online.
Hydrogen peroxide, bleach. I mostly use tea tree oil and lavender, she said.
The abundance of miracle cures touted online makes Tracey Vlahovics life difficult at times.
Oh, dont get me started. If I had a dollar for everything I had heard, Id be a millionaire at this point, she said. From benign treatments such as essential oil, vinegars and mouthwash to the noxious bleach option, Vlahovic has seen it all. Its not just about applying something to the nail, it has to be something that will get through the nail plate and into the nail bed where the infection is. So, it doesnt matter what you use, it has to be able to penetrate.
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Is There Any Hope
So is this story just a total bummer for toenail-fungus sufferers like poor Liz?
Im just so over it, she said with a deep sigh, admitting that she has toenail envy when she sees people who have pretty, freshly pedicured feet.
No, says Tracey Vlahovic. In fact, the FDA has just approved a new topical treatment for fungus, the brand name is Jublia. Canadian drugmaker Valeant Pharmaceuticals expects sales of $800 million in the U.S. And another product will come out shortly.
Its a class of antifungals were all familiar with, Vlahovic said. The data there is very nice, its beautiful, and I think that patients will really like the further topical options that are coming out.
The new topicals have higher cure rates than topical options currently on the market and they can be used under nail polish, something thats very important to many women who have nail fungus.
Vlahovic says there is currently a lot of movement in this field, which has been stagnant for a while but even with better treatments, patients have to accept one bitter truth: There is no quick fix for this.
Nothing is going to work within a week. Nothing is going to work within a month, you must give things time, Vlahovic said.
So, if any person or product promises you to cure this thing quickly just dont buy it.
How Does Pact Work
PACT kills fungi by causing severe oxidative damage to fungal cells. Light photons of a specific wavelength interact with intracellular photosensitizing molecules that are applied as a dye to the cell wall of fungal cells. This dye is harmless to human cells but makes the fungal cells hypersensitive to a specific wavelength of light.
Once the light absorbs into the tissue and interacts with photosensitive molecules in the dye, this interaction causes the production of free radicals, which cause irreversible cellular damage in the targeted fungal cellsbut pose no danger to human cells.
As an antifungal, PACT is considered an emerging science. Most research has focused on lasers however, high-powered LED light sources offer the necessary light power output to ensure enough light photons will absorb into the toenail as well as the tissue around and under it.
A 2004 study of nine patients with a condition known as interdigital mycosis, which is infections between the toes caused by dermatophytes, yeasts, or bacteria, revealed that topical delivery of a specific acid called 5aminolevulinic acid, along with red light, led to recovery in six out of nine patients after one to four treatments. Since there were no follow-up treatments, researchers noted the recurrence of infection after four weeks in fewer than half of the patients.
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What You Need To Know About Onychomycosis
Onychomycosis is the scientific name for nail fungus. The condition can be caused by a number of things, such as an injury to the nail. A weakened immune system makes it difficult to fight off the fungi. Diabetes also increases the risk of fungal nail infections. These treatments are often painful and require several months of treatment. Usually, the best option for treating nail fungus is to consult a doctor and seek treatment.
One of the first things to do is visit your primary care physician, who can prescribe a prescription for an anti-fungal medication. The medication can be applied to the affected area and is designed to work on the infected area. However, it is recommended that people with a serious infection consult a medical practitioner before starting the treatment. Topical medications require daily application and can affect other medical conditions. The best treatment is a combination of oral and topical medications.
If you have a fungal infection, you must avoid wearing shoes or socks. While you should not walk while wearing shoes, you should avoid using artificial nails. If your toe is impacted, it is important to have your nail trimmed straight across. If possible, wear comfortable socks and change your shoes in public places. A doctor will often send the clippings to a lab for identification. Changing your socks and wearing sneakers is also recommended.
What Are The Most Effective Treatments For Toenail Fungus
The experts at Easton Dermatology Associates offer treatment customized to your exact situation, whether youve just noticed an irregularity with your toenail or youve been battling fungus for a while. Treatment options include:
- Prescription oral antifungal medications
- Topical nail cream
- Special antifungal nail polish that allows your nails to breathe
No matter what treatment you adopt, patience is key. It can take several months to clear up toenail fungus because even nails that grow at an average rate dont grow rapidly. We treat your fungus until its a thing of the past, and we also advise you on how to prevent a recurrence.
Its much easier to solve the problem when youre in the early stages of infection, before it becomes too advanced.
Do at either of our locations in Easton or Salisbury, Maryland, so we can start helping you eliminate embarrassing and persistent nail fungus problems ASAP. When next summer rolls around, you can be back in those oh-so-chic sandals!
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How Does Laser Nail Fungus Removal Work
Laser nail fungus treatment involves the use of a 1064nm wavelength laser. Depending on the type of laser, light or carbon dioxide heats the nailbed, killing fungi and any spores present.
Why does laser nail fungus removal work better than other treatment methods?
This modern solution targets infections deep within the nail bed. During treatment, you can help recovery progress by keeping your feet as dry as possible, wearing protective footwear in public showers and locker rooms, not sharing nail clippers, and paying attention to your blood sugar levels.
Make An Antifungal Foot Soak
Soaking your feet can also be a useful technique in reducing or eliminating toenail fungus. Many common household items can be used to make a healing antifungal foot bath. Mix one or more of the following with warm water and soak feet for 15 to 20 minutes. After foot bath, rinse feet with clean water and pat dry.
- Hydrogen peroxide
- Thieves oil
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Laser Treatment Of Nail Fungus
Laser treatment is used by many of our patients because it is safe, painless and has no potential liver side effects. The downside of the laser is that it is more expensive than oral medications and, while the laser is effective, it is not as well studied as the oral medications and probably not as effective . We will make sure you have all the information you need to decide if this is the treatment you want to try. Our definitive Guide to Laser Treatment of Fungal Toenails can be found here. Be sure to read this completely before you have laser treatment for nail fungus no matter where you have it done.
Using a combination of laser and oral medication may work better than either treatment alone according to a 2014 study.
Is There A Guarantee
The manufacturer has not provided any form of guarantee for customers who are not satisfied. The lack of guarantee is standard practice when it comes to prescription medications. We didnt come across any verified user comments or review to help us determine whether this product is cost effective or worth trying.
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Before Taking This Medicine
You should not use Jublia if you are allergic to efinaconazole.
It is not known whether efinaconazole will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medicine.
It is not known whether efinaconazole topical passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breastfeeding a baby.
Jublia solution is not approved for use by anyone younger than 6 years old.
S To Kill Mold With Uv Light
The first step towards killing mold with UV light is to obtain a UV-C lamp, of which there are many different types and sizes to account for a range of needs. Once youve purchased a UV-C lamp, your next step is to identify all of the surfaces that are currently infested with the mold fungus. Any surfaces you miss could allow the mold to live on and continue spreading throughout your home or business.
Once youve determined which surfaces have mold on them, you should keep the UV-C lamp around two inches away from the mold in question. Every other light source in the room will need to be turned off in order for the UV light to get rid of all of the mold. This includes any doors and windows that could let small amounts of light in. Leave the room for a period of 1-2 hours, after which the mold should be eliminated. Repeat this process for any surfaces where mold has been found.
Make sure that you avoid looking directly at the light once its turned on. While there are special UV glasses that will protect your eyes, your eyesight could be damaged if youre wearing standard eyeglasses. Whenever you handle a UV bulb, its important that you wear gloves of some sort to keep the bulb from damaging your skin.
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Toenail Fungus Treatment Options
Treatment of onychomycosis will vary, depending on the severity of the infection and the type of fungus that initially triggered the infection. Topical treatments like antifungal creams and medicated nail lacquers are among the most effective treatment options for toenail fungus.
Laser treatment or the surgical removal of the toenail may be necessary in more severe cases of toenail fungus. Over-the-counter products and home remedies are also methods used alone or in conjunction with prescription drugs to treat nail fungus and prevent reinfection.
Topical Treatment Of Nail Fungus
There are three topical medications on the market that are approved by the FDA for treatment of onychomycosis ciclopirox nail lacquer , tavaborole and efinaconazole . Topical treatments are safe but not very effective by themselves. In fact, when used alone, even the best topical medications only work 8 20% of the time. We do use these medications, however, to help prevent recurrence of nail fungus after treatment with laser or oral medications.
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How Can I Tell If I Have Toenail Fungus
Toenail fungus usually starts subtly, so you might not notice anything different with your nail immediately. After a while, though, you see some noticeable differences that indicate a fungal condition. Nails become:
Because a nail infected with a fungus is compromised, it can also break or split easily. As the condition progresses, itchiness and pain can occur, and the nail becomes separated from the nail bed.
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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