Early Treatment Is Key
When it comes to treating toenail infections, early diagnosis and proper treatment is key to eradicating the fungus as quickly as possible. Once one toenail is impacted, the infection can spread to your other toenails, making treatment more challenging. Even worse, untreated nail fungus easily spreads to other people.
At Family Foot & Ankle Center of South Jersey, we often begin treatment by cutting back the infected nail to where it attaches to the toe. We may scrape the area to help get rid of some of the fungus and prescribe an oral antifungal medication. Taken over the course of 6-12 week, this medication allows a new, fungus-free nail to grow and replace the infected nail. Because of the slow growth of toenails, it can take up to four months for the infection to be truly eradicated.
For those with minor cases, an antifungal topical treatment may be enough to fight the infection. Depending on each individual case, antifungal nail polish or cream may be recommended. These topical treatment approaches are effective, but they work slower than oral antifungal medications and can take as long as 12-18 months to totally do away with your fungal infection.
Toenail fungal infections can be stubborn, but when you stick with your treatment method and use them exactly as your doctor recommends, youll be ready for summer and sandal season before you know it!
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Why Does My Nail Fungus Keep Coming Back
A fungal infection starts out small enough usually a white or yellow spot appears on your toenail. All too soon, your entire nail is consumed by the fungus and your neighboring nails become infected, too. This leaves you with crumbling and unsightly toenails that youre forced to hide. These types of infections are notoriously difficult to get rid of, but not impossible, especially if you get the right treatment.
At Neuhaus Foot and Ankle, our team of foot health experts knows all too well how difficult it is to fight toenail fungus once it takes hold. Yet, with the right medical care, as well as patience on your part, we can not only prevail in your current battle against toenail fungus, we can prevent it from recurring in the future.
Can Toenail Fungus Be Black
Yes, certain types of black yeast and black bacterial infections can cause the toenails to turn black.
In our opinion, we see this much less frequently than dry blood underneath the toenail.
In roughly 99% of scenarios that we see: the thick fungal toenail detaches from the underlying skin, and dry blood forms underneath the toenail.
This prevents the toenail from reattaching to the skin and creates a thick black toenail that can cause pain.
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Nail Fungus: Polish Cream Or Tablets
Nail fungus can be very persistent. Topical treatment with nail polish may take up to one year. Tablets for treating fungal nail infections usually have to be taken for several weeks or months. They are much more effective than topical treatments, but they have more side effects.
Brittle nails and a whitish-yellowish or brownish discoloration are typical signs of nail fungus. The nails may also become thicker and change shape. The affected part of the nail sometimes detaches from the nail bed. The treatment options for nail fungus include nail polishes and creams as well as tablets. Nail polishes and creams are available in pharmacies without a prescription.
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What Are The Main Types Of Toenail And Fingernail Fungal Infections
There are many types of fungal nail infections that develop over time and can be caused by a different class of fungi. Since the development of infection is a gradual process so a slight change in the texture or look of the nail should be considered seriously before it gets much worse. Some of the most common types of fungal infections that affect majorly the areas surrounding fingernails and toenails are listed below. All these nail infections are sub-classes of onychomycosis.
Distal subungual onychomycosis
The most common type of fungal nail infection is DSO caused by the same fungi that are behind the Athletes foot. It is the infection that affects the nail and the skin present under the nail, known as the nail bed. The infection originates from the nail bed and partial nail turns yellow or white, which is the first indication of DSO. In this type of infection debris, bacterial dirt, broken nail fragments and pieces of dead skin accumulate under the nail and as the condition worsen the nail could also crumble and break. DSO is a lifelong infection that can be difficult to overcome and even harder to treat. Improper care and wearing tight shoes may worsen the condition.
White superficial onychomycosis
Tips For Prevention Of Fungal Nails
Nail fungus causes only 50% of abnormal-appearing nails. It can be hard to tell the difference between the different causes of discolored nails . Onychomycosis is often not treated. Reasons to receive treatment include
No one knows where a specific person catches the fungus, as it is everywhere. However, since the fungus does thrive in warm moist areas , there are certain areas one should avoid or use with caution. Shower floors, locker rooms, and swimming pools are suspected of being sources of the fungus, although there are no studies proving this fact. Nail polish and acrylic nails also make the nail less “breathable” and make the nail more susceptible to fungal infection. Fungi are everywhere — in the air, the dust, and the soil. Hygienic measures such as spraying socks and footgear sound sensible, and perhaps these measures can even help a little bit. However, avoiding tight, nonbreathing shoes or steering clear of athletic facility floors may very well be the best prevention available. Daily washing of the feet and drying between the toes can help to prevent nail fungus. The fungi carried on the coats of pets, like cats and dogs, don’t often cause nail fungus. Wearing white socks does not help.
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How To Trim Toenails With Fungus
This article was co-authored by . Marta Nagorska is a Nail Technician and Nail Art Blogger based in London, UK. She runs the blog, Furious Filer, where she gives tutorials on nail care and advanced nail art. She has been practicing nail art for over 5 years and graduated from Northampton College with distinction with a Nail Technician and Manicurist degree in 2017. She has been awarded the top spot in the OPI Nail Art Competition.There are 11 references cited in this article, which can be found at the bottom of the page. This article has been viewed 48,865 times.
Fungal infections can thicken your toenails, making them difficult to trim. You might also be worried about spreading the infection to your other nails during trimming. Fortunately, you can make the trimming process safer and easier by choosing the right tools and softening your nails before you trim them. You can also protect your healthy nails by properly disinfecting your nail care tools after each use.
How Do You Get Rid Of Black Toenail Fungus
- The best way to get rid of black toenail fungus is to trim the toenail and remove the dry blood underneath the toenail.
- A good healthy toenail should grow back over time if you can successfully get rid of the black toenail fungus.
- Our favorite way to do this is to use a strong toenail clipper and trim the black toenail.
- We would also strongly recommend coming to see us if you are in Michigan.
- We are podiatrists that specialized in treating black toenail fungus and ruling out black toenail cancer!
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Side Effects Of Toenail Fungus Medication
One of the many benefits of using a homeopathic remedy is that there are little to no adverse side effects. Topical treatments often prescribed to treat toenail fungus can potentially burn or blister the skin. Oral medications for treating onychomycosis can cause liver or gastrointestinal damage. Be sure to read your medications list of potential side effects. Consult your pharmacist, physician, or specialist if you are concerned about side effects of prescription drugs.
Treatment With Topical Creams
Topical creams are the most famous treatment for every nail and skin infections. They are effective but not completely. We cannot claim the topical creams as the best solution for nail fungal infection.
You can use the topical creams, when your diet is under check. Proper diet is extremely important for fast results. Otherwise, any probiotic supplement can also help along with the topical creams.
The best time to use topical creams for nail fungus, is the time you feel a slight redness or pain. The best topical creams for nail fungus will take almost 48 weeks. Users may feel it difficult to use topical creams.
The main side effects of topical creams are burning, and a slight itching, which is really uncomfortable for a lot of women.
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Thick Black Toenail Fungus Treatment:
- Thick black toenail fungus treatment is best performed by trimming and reducing the nail.
- Studies show that the best way to heal this is to remove the loose and detached toenail. This means that the blood flow is not reaching the toenail.
- This can cause it to decay and atrophy and start to create a bad odor.
If You Have Toenail Fungus Under Your Nails Remember
Once your diagnosis is confirmed, you have several options available to deal with it. You and your podiatrist can decide on the best course for you: anti-fungal pills, medicated nail polish, and/or laser therapy. The reason I prefer laser procedures is that theyre very safe and effective at improving the look of unsightly nails due to fungal infections.
Regardless of which method you use, for lasting results, its important that you follow-through with proper foot hygiene to reduce the risk of getting it again.
Im Dr. Kelly Geoghan, DPM, Board Certified Surgeon and Aesthetic Podiatry Specialist. If youre in the Baltimore area, contact me for an appointment for your personalized plan for flawless feet at:
- Lutherville: 753-4422
- Dundalk: 753-4422
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There Is A Wide Range Of Options With Varying Success Rates
Other than keeping your toenails trimmed and perhaps painted, you may not pay much attention to them unless a problem develops. Healthy toenails are pink, shiny and smooth, but a fungal infection can cause them to become discolored, thick, brittle and even painful.
Toenail fungal infection, known as onychomycosis, is a common but challenging condition toenail fungus treatments include a wide range of options with varying success rates.
Causes of toenail fungus
Fungal nail infections are usually caused by fungi called dermatophytes that infect the skin beneath the nail yeast is another common culprit. Toenails are especially vulnerable to infection when your bare feet contact damp surfaces such as showers, swimming pools and locker rooms. If you have athletes foot, the infection can spread to the nails.
Wearing closed shoes such as athletic shoes for extended periods also can contribute to infection if your shoes and/or socks are damp from perspiration or heat. Moreover, if your shoes fit snugly enough to put pressure on your toes, they can damage the nail bed, making it more susceptible to infection.
People with chronic diseases, such as diabetes or circulatory problems, also may be more prone to toenail infections.
Symptoms of toenail fungus
Toenail fungus symptoms can develop slowly over time and may go unnoticed at first. Symptoms can include:
Toenail fungus treatments
- Tolnaftate
- Terbinafine
When to see a doctor for toenail fungus
Preventing toenail fungus
How Do Doctors Diagnose Toenail Fungus
In most cases, doctors can diagnose toenail fungus by examining your nails. Sometimes, doctors take a nail clipping or scrape some nail debris to send to a lab. The lab will examine the sample and identify the specific organism causing the infection. This may be necessary to tell the difference between toenail fungus and skin conditions, such as , that can look similar.
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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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Laser Procedure For Toenail Fungus Under The Nails
Using a laser directly on the toenails helps to reach those areas underneath and inside the nail. This is because the type of light used can penetrate through the tough layers of the nails. Laser procedures are very convenient because they can be completed in under 10 minutes per foot.
The PinPointe foot laser is FDA-approved for the temporary increase of clear nail in patients with onychomycosis.
This machine can be used on almost all patients because it has virtually no side effects. In one study, over 83% of people who received three sessions with a laser and improved their foot hygiene had no fungi after 18-months.
Some people start to see visible improvement after just one visit, although you may need to return a small number of times for follow-up.
The laser works by targeting the fungi without hurting your skin and nails. Its designed to be at the right level to penetrate your nail and damage the infecting fungi, while not being too high to cause burning or pain for your feet. Most people dont feel anything, or they just feel a warming sensation.
At the time of the procedure, the toenail will usually not become instantly clearit takes time to grow out. As long as your infection is treated and you dont get re-infected, you should see new healthy, clear nail as it grows out within 12-18 months.
Top 12 Home Remedies To Get Rid Of Nail Fungus Naturally
Commonly known to the layman as fungal nail infection, Onychomycosis is an infection that occurs when fungus forms beneath the nails. The condition can develop as a result of poor foot hygiene, continuous exposure to moist environments, wearing unbreathable synthetic socks, accumulation of sweat in shoes, imbalanced pH levels of the skin, a compromised immune system, and conditions like diabetes that constricts blood flow.Upon infection, Onychomycosis will cause the nail to thicken, discolor, and eventually crumble into pieces. If left untreated, the condition can become painful. As the infection progresses, areas around the infected toenails or fingernails may swell and begin to give off a foul smell too.
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How Do I Get Rid Of Black Toenail Fungus
- The best way to get rid of black toenail fungus is to trim the toenail.
- It is also a good idea to clean out the underlying callus underneath the toenail.
- The key to curing black toenail fungus is to make sure the new toenail can grow back in safely without more fungus underneath it.
- A podiatrist can help you do this, and this can greatly help remove the toenail fungus.