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Can Dermatologist Treat Toenail Fungus

What Are The Symptoms Of A Fungal Infection

Dr. Sherry Ingraham on Toenail Fungus

On the surface, fungal infections on the skin may have no symptoms at all or they may be itchy, red, scaly. Infections of the nail may cause the nail to become thickened and uncomfortable.

Dermatologists can typically diagnose fungal infections immediately by their characteristic appearance. Suspected fungal infections should be confirmed by scrapping a few flakes of skin off the affected areas to examine under a microscope. If its a fungal infection, we can often identify the fungal organisms without need of a real biopsy.

Deeper infections can look like bumps that may be tender or rapidly growing they generally have a different appearance and often require a biopsy for accurate diagnosis.

If we suspect a deeper fungal infection, we will biopsy the area. The lab will either try to grow the organism to identify it, or the pathologist will stain the sample to highlight the organism under the microscope. These results can vary showing deep fungal infections, inoculation from a thorn, or other types of injuries.

What Happens If I Dont Treat Toenail Fungus

According to Dr. Wagenseller, In many cases, it is not necessary to treat toenail fungus, and the condition is more often a cosmetic concern. If the appearance of your toenails is your biggest concern, you may want to forego medications that can have serious side effects. If the fungal infection is more serious and you notice a foul-smelling discharge or other signs of infection, treatment is necessary to ensure your whole body health and safety. Otherwise, determining whether or not to treat toenail fungus is really a matter of personal preference.

What Should I Ask My Healthcare Provider About Toenail Fungus

If you have toenail fungus, you may find it helpful to ask your provider:

  • What type of infection do I have?
  • Do you recommend I treat it? Why or why not?
  • How long will I need treatment?
  • What steps can I take to stop it from coming back?
  • Should I be aware of any potentially serious complications or treatment side effects?

A note from Cleveland Clinic

Toenail fungus is an incredibly common infection that can be difficult to treat. The condition usually isnt painful, but it may make you feel self-conscious about how your foot looks. If it bothers you, talk to your provider about your treatment options. A trained specialist can provide guidance on whats most likely to address your concerns while protecting your overall health.

Last reviewed by a Cleveland Clinic medical professional on 12/17/2020.


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The Danger Of Waiting To Treat The Fungus

The greatest danger of not treating the foot or toenail fungus is that it can spread to other parts of the body, such as the hands and groin.

If for some reason you cant treat your toenails or your feet right away, at least use an antifungal topical cream on the surrounding skin, Dr. Ng says. That will help keep it from spreading and keep the skin intact.

Suggested Treatments For Nail Fungal Infections

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  • Topical Anti-fungal Solutions
  • Topical solutions are widely used to treat nail fungus because they are easily available as over-the-counter medicines. Topical remedies that contain undecylenic acid and tea tree oil are seen to effectively treat nail fungal infection. Prolonged and regular application can result to ultimately killing the nail fungus and preventing reinfection.
  • Prescription Treatments
  • Prescription treatments may come in either oral or topical forms. A physician will look into the severity of your nail problem, and when the infection becomes serious, the need for prescription anti-fungal medicines may be considered. Oral and topical prescriptions, though effective, do not provide quick relief from nail fungus and may take as long as a year to show results. They also cause side effects that may be harmful for pregnant and lactating women or those with liver diseases. Close supervision with a physician is a must so that it may not lead to further complication.
  • Surgical Treatment
  • A painful and damaged nail may require mechanical treatments, such as surgical nail removal. Commonly, this is done for people suffering from painful and stubborn onychomycosis that do not respond well to the previous forms of treatment mentioned. Postoperative, antibacterials, and anti-fungal medications will be prescribed to prevent recurrence.
  • Laser Treatment
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    What Are Foot And Toenail Fungus

    Foot fungus is commonly known as athletes foot and is a fungal infection of the skin. While foot fungus most often occurs between the toes, it can also affect the entire sole of the foot. Toenail fungus, referred to as onychomycosis in the medical community, is a fungal infection that occurs in the toenails. These two infections are caused by the same fungi.

    Foot fungus symptoms include:

    • White marks and/or yellow streaks on nails
    • Brittle, crumbling nails
    • Thick, hard to trim nails
    • A bad smell

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    What Is An Ingrown Nail

    When the corner of a nail curves downward into the skin, it causes an ingrown nail. Ingrown nails are most common on the big toe. An ingrown nail may be caused by not cutting the nail straight across, tight shoes, poor hygiene, injury or even a genetic predisposition.

    An ingrown nail can be painful and can become infected. Treatment can help these problems.

    Fungal nail infection

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    Best Spices To Cure Toenail Fungus In 2021

    Treating toenail fungus at home has always been effective. However, it depends on the type of remedies, and the ingredients or tools used. A slight change can change the effect, and the time required for the complete cure.

    In many countries, people mostly rely on spices for the treatment of different types of skin infections, including the toenail infection. These spices are far more effective and active they are known to cure different aspects of a persons health.

    If you also wish to cure the toenail fungus at home, then we are here to guide you, and help you choose the most effective methods. As there would be a different technique and mixture to use each particular type of spice.

    There are more than five spices that can cure the toenail fungus, but here we will only highlight the five most useful and easily available spices. You can try any of these. However, before you do so, do not forget to check your overall health conditions.

    Suppose you are a diabetic patient, then using some spices might not do any good. It can harm your pancreases, or imbalance the sugar level. So it is imperative to do a detailed analysis of the effects of that spice before using it for the toenail fungus treatment.


  • 5 Conclusion
  • How To Treat Toenail Fungus In Diabetics Can A Dermatologist Treat Toenail Fungus

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    Home Remedies For Nail Fungus: Summary


    Follow the directions on the bottle.

    When to Call a Doctor

    If home remedies arent working, it may be time for a second opinion. If you notice your nail turning brown or black and you are experiencing more pain, you should call your doctor. As mentioned previously, people with diabetes are particularly at risk and should get any infection checked out immediately.

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    Why Are Spices Good For Health And Toenail Fungus

    Before we study each spice separately, it would be better to let you understand how useful spices are. Here we have given a general account about spices as many people doubt their value.

    Cure inflation

    According to researches, spices are great in tackling the issue of inflammation. Herbs and spices, like mint, and cinnamon are great to cure any kind of inflammation in your body. As toenail fungus can also cause inflammation on your thumb thus, it would be wise to add these spices to your diet.

    Moreover, ginger is also an anti-inflammatory spice, you can use it in powder form to fight inflammation.


    These spices that would be discussed later contain phytochemicals that are good for the overall health. These are known to treat inflammation, strengthen the immune system, and inhibit the production of cancerous cells.

    Regulates hormones

    As hormones, such as androgens, cortisol, and other stress hormones make our bodies receptive for the toenail fungus and other skin infections, thus it is necessary to take food that can help regulate hormone production. Spices and herbs are quite efficient in doing so.

    How To Get Rid Of Toenail Fungus

    Best Nail Fungus Dermatologist in NJ

    All treatments can take up to a year to work, so you need to be consistent and commit to following the treatment plan for the long haul.

    These infections are hard to treat because its difficult for medications to get into the keratin that makes up nails and the blood vessels dont connect to the nail. Many people find it hard to continue to use the medications for as long as is needed and may give up after months or even weeks.

    Sometimes the nail will start to look better, but the fungus is still there. Your toenail fungus isnt cured until your doctor cant detect the fungus in your toenail clippings.

    Pro Tip

    There are a lot of folk remedies and over-the-counter topical treatments, but if you really want to get rid of this infection, youre probably going to need to take oral medication. Dr. Jacobsen

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    Ways To Cure Fingernail Fungus From Artificial Nails

    Nail fungus is one of the most common nail diseases. Many people associate it only with toenails. But, it can also be common with fingernails. This becomes even truer when you have artificial or acrylic nails.

    So, why does it happen? Fingernail fungus often occurs when moisture gets trapped under the nail bed. Fungus thrives and grows in hot, humid environments. When your real nails are covered by artificial nails, youre creating the perfect growing environment for fungus.

    Artificial nails can sometimes make it difficult to notice fungus right away. You may not be able to recognize the early signs. Unfortunately, once a fungus gets out of hand, it can take a long time to treat.

    There are several ways to cure fingernail fungus. Recognizing the symptoms is important. You also need to make sure youre not dealing with a different type of nail disease. Once youve determined you have fungus, you should start treating fingernail fungus as quickly as possible.

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    Are Fungal Infections Dangerous

    For a majority of the fungi we treat at the dermatologist office, the answer is no.

    Nail fungus is risky if you have certain comorbidities such as diabetes, swollen legs, nerve problems , or if veins have been removed in a coronary bypass surgery. Each of these conditions tend to increase the risk for infection the legs. Fungal toenails magnify the risk of a potentially significant infection when these other conditions are present.

    Otherwise, nail fungus is cosmetic we can treat it, but there are no serious risks if we dont.

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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 provider will consider several factors before recommending a treatment plan thats customized to you.

    Overall, oral antifungal medications may offer the most treatment potential. Pairing oral drugs with topical antifungal medication may make treatment more effective.

    Using A Mixture With Vinegar

    DermTV – How To Treat Toenail Fungus [ Epi #131]

    Like in the previous case, you will have to use a bit weaker version of the product. Going with 3% H2O2 will do the trick. You will have to prepare the same items as before, but now, you will also need vinegar.

    Also read: How To Use Apple Cider Vinegar For Toenail Fungus?

    There are two approaches to this method. Generally speaking, experts recommend using the second method instead of the first. This is because, during the first method, you will directly mix vinegar and hydrogen peroxide which leads to the creation of peracetic acid, a substance that doesnt create proper results.

    • Method 1 can last anywhere from 1 to 10 minutes. You will have to mix water, vinegar, and hydrogen in a tub or a vessel. Stir the mixture and soak your feet. Although this method can take a few minutes, we recommend that you soak your feet for at least 10 minutes. Finish by properly drying your feet.

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    What Real Users Are Saying

    There is a lot of talk about using VICKS for toenail fungus and a lot of people recommending it online, HOWEVER, there is a lack of information coming from people who have actually used it to treat such.

    Most of the information I have found comes from sources saying things like “it can be used for this”, “it has been used for that”, and things like this.

    It would be nice to see some more good evidence of it working, but at the same time, the lack of good evidence doesn’t mean that it doesn’t work.

    I was able to find a small number of reviews on Amazon. Of course there weren’t many because most people’s reviews talk about other things since treating toenail fungus isn’t the reason most people buy it.

    *If you do have your own success story with VICKS VapoRub be sure to leave it in the comment section below for others to see!

    Soaps & Creams For Skin Fungus

    • Important: skin fungus may cause your skin to be very sensitive and easily irritated. Pay extra attention before using any skin product to avoid additional irritation and further complications.

    If you currently have fungus of skin issues such as skin rash, dry itchy skin, eczema, athletes foot, and looking for a relief, using Ozonated olive oil moisturizer on the affected areas after the shower has shown to be very effective in easing the unpleasant discomforts of fungal skin infections. Based on our practice working with a very large number of skin fungus issues, Ozonated olive oil is one of the most effective and safe natural fungal infection cream, especially where fast relief is needed. Learn more

    Using all natural kelp-coconut soap has also shown to help provide relief. Note that many soaps, moisturizers and other skin care products contain toxic chemicals, synthetic ingredients and allergens that can irritate your skin and should be avoided.

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    Verywell / Sabrina Jiang

    Toenail fungus is a common fungal condition that often starts after a rash on the foot spreads to the nails. When mild, it looks like white and yellow spots growing under the nail beds. But if left untreated, the fungus can grow severely by hardening the nails and spreading to other toes.

    The fungus often begins in the form of athlete’s foot between the toes or on the soles of the feet. At this stage, the fungal infection is easier to treat with over-the-counter medication. But Shari Lipner, MD, a board-certified dermatologist at New York-Presbyterian Hospital/Weill Cornell Medicine, told Verywell Health toenail fungus can be difficult to treat because of how slow the nails grow. The more severe the toenail fungus, the thicker the nail, and the more nails involved makes it that much harder to treat the nails even with effective therapies, she says.

    Diagnosing the fungal infection early is key to make treatments effective. Dr. Lipner recommends visiting a board-certified dermatologist to properly treat the infection if it grows to be too severe.

    Here are a few of the best over-the-counter toenail fungus treatments on the market.

    What Should You Expect During Treatment

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    Treatment varies based on the exact type of fungal infection. For skin infections, a topical cream can begin to relieve the itch in a few days.

    It will typically take 14 to 28 days to get rid of the fungus, depending on the area of skin that is affected. The thicker the skin the longer that you need to apply the medication.

    Its important to remember that the anti-fungal medications we have just prevent the fungus from growing, and the skin has to slough off the fungus to get rid of it. Sometimes adding a topical Urea cream can be helpful to turn the skin cell over more quickly.

    For nail fungus, patients will notice a gradual cleaning of the nail as the nail grows out over the period of a year. A rim of a normal nail will start to emerge as it grows out from the skin. The new, healthy nail will replace the old, infected nail. However, its important to realize that even if you kill the fungus, the nail does not always return to its normal appearance.

    It can take up to six months for a fingernail and up to a year for a toenail to shed the fungus. So, pulse-dosing the oral anti-fungal medication can be helpful to reduce the exposure to the medication. We often recommend that after taking the oral medication daily for the first month, patients take it daily for one week each month over the next year.

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