What Does Fungal Nail Look Like
Usually, it first appears on the edge of your nail, under the tip, as a white or yellow streak. This streak gradually spreads down the side of your nail to the base.
Eventually, your nail becomes brittle, discoloured, thickened and distorted. It can become so thick that it hurts when pressed against the side of a shoe.
The nail may end up crumbling and splitting, and separating from the skin. It often turns yellow or brown.
The surrounding skin may also become infected and may itch, crack, form a blister, or appear white especially between the toes. Its important to act quickly if you notice any of these symptoms. If you don’t treat the infection, there’s a chance it will worsen and spread to other nails.
Clean Socks And Shoes
Regularly changing your socks and shoes can also cut down on the growth of unwanted foot fungus. Both socks and athletic shoes can also be washed in hot water to rid the growth of yeasts and fungi that may be growing on the fabric. Some shoes can be machine dried. Drying shoes in the sun is another option when cleaning footwear.
Adding a half-cup of baking soda or one cup of vinegar to the washing machine can help eliminate bacteria or fungus on socks or shoes.
Boots and other footwear that are not machine washable could be wiped out with a vinegar and water solution or sprayed with an over-the-counter antifungal spray. Medicated powders are also helpful in treating shoes for foot fungus.
Allowing the feet to breathe by taking off shoes and socks when possible can prevent fungal growth. Protect your feet by wearing breathable footwear and clean socks. Antimicrobial socks and shoes made from bamboo, copper, or specialty fabrics are also available. They can help reduce unwanted bacteria and yeast from growing in your footwear.
A proactive approach to keeping your feet clean and dry can prevent the spread of toenail fungus. You can wash or soak feet with warm soapy water or a foot bath using everyday household items. Soaking your feet in an all-natural, homeopathic concoction can be beneficial in reducing or eliminating toenail fungus.
What Is The Treatment For Fungal Nails
Oral antifungal therapy has a high cure rate, depending on the medication. It can take nine to 12 months to see if it has worked or not, because that is how long it takes for the nail to grow out. Even when therapy works, the fungus may come back. Currently, an oral antifungal therapy is considered the best treatment for toenail fungus because of higher cure rates and shorter treatment duration compared to topical therapy.
Prescription oral medications that are effective against nail fungus include the following:
There are several innovative treatments that are still being tested:
- Laser therapy or uses application of light-activated agents onto the nail followed by shining light of a proper wavelength on the nail.
- Use of electrical current to help absorption of topical antifungal medications into the nail: This is also called iontophoresis.
- Use of a special nail lacquer that changes the micro-climate of the nail to make it inhospitable for the fungus to grow: If this works, it may be an inexpensive way to treat this problem in the future.
One way to definitively get rid of toenail fungus is by surgery. Surgical treatment of onychomycosis involves nail removal. However, this often only provides temporary relief, and recurrence is common unless additional antifungal medication is simultaneously used. However, surgical removal may be warranted when the affected nail is associated with other factors such as trauma and or infection.
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Nail Removal Home Remedies And Laser Treatment
In the most serious instances of toenail fungus infection, the toenail may be removed surgically or dissolved with acid. This can be done to just a portion of the nail in the hope that the remaining nail will grow back healthy. In cases where the entire toenail has to be removed, artificial nails and products using light-cured resins to form a temporary covering can be used to protect the underlying tissue until the nail grows back.
If you prefer to go the home-remedy route, such as applying tea tree oil or Vicks VapoRub to your nails, keep in mind that the effectiveness of these products for treating toenail fungus hasn’t been well studied, and they are not recommended by podiatrists.
Finally, the Food and Drug Administration has approved several laser devices for temporary increase in clear nails in patients with onychomycosis. But while laser treatments are vigorously marketed, clinical trials of lasers have reported mixed results, and the treatments may not be covered by health insurance. If you wish to try laser treatment of toenail fungus, speak to your doctor about what to expect from the treatment, and call your insurance carrier to find out whether the treatment will be covered.
Additional reporting by Susan Jara.
What About The Cost Of Oral Medications For Fungal Nails
A further consideration is cost. Because newer oral antifungal agents are very expensive, some insurance companies balk at paying for what they consider a “cosmetic issue,” unless nail fungus causes pain or other functional symptoms. Terbinafine and fluconazole are now available as generic drugs and are quite inexpensive.
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What Is The Outlook For Someone With 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 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.
Treatment Options For Fungal Nail
Treatment options, some of which can be prescribed by your GP and the others found at your local pharmacy, include:
Antifungal nail creams or paints
These are applied directly to the nail over several months and are most effective when used at the early stages of the infection. They aren’t generally considered to be as effective as tablets because it can be difficult for the product to reach the deep layers of the nail. Some people choose them over tablets because side effects are less common. These are available over the counter.
A paste is applied to soften the infected area. This is then covered with a plaster for 24 hours. The next day, the paste is washed off and the softened nail gently scraped away.
This process has to be repeated every day for two to three weeks. When no more of the infected nail can be removed, an antifungal paint is applied to prevent re-infection as the nail grows over the next few months. These kits are available from your pharmacist.
These are only available on prescription and need to be taken for several months, before the infection has completely cleared up. Some tablets are unsuitable for people taking certain medicines, and some people may experience side effects. Always see your doctor or pharmacist for advice about medicines.
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Toenail Fungus Treatment Complications
Here are some things to think about when deciding on a nail fungus treatment.
If you have a disease like diabetes, your doctor will make sure you treat nail fungus. This illness often makes you more likely to have other problems from minor foot issues.
You may not be able to take antifungal pills because of side effects or because they donât work well with other drugs you take. If that’s the case, try a product that goes onto your nail. Your doctor will call this a topical treatment.
Be patient. Your nails may not look “normal” after treatment. It can take as long as a year to 18 months for your nail to grow out a fungus.
How To Treat Nail Fungus Effectively My
The fungus spreads quickest in warm and moist areas, so that is really what youre seeking to avoid.
Vicks is mostly used as an over-the-counter rub to relieve a stuffy nose and coughing due to allergies. It has not been clinically tested as a cure for nail fungus. Vicks has become a well-liked therapy for nail fungus as a result of many people have claimed to were cured by it. Materials akin to oils are utilized in the construction of this product. Vicks includes a must-have oils equivalent to nutmeg, cedar leaf, and eucalyptus. Vicks also comprises menthol and camphor oils, among other additives.
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How Is Toenail Fungus Treated
Toenail fungus is notoriously tricky to treat. You may need to treat the condition for several months to get rid of the fungus. Still, toenail fungus often comes back.
A dermatologist or podiatrist can explain your treatment options. If you have a mild case that doesnt bother you, your provider may recommend no treatment.
Toenail fungus treatment options include:
- Oral antifungal medication: You take prescribed medication, such terbinafine , itraconazole and fluconazole , to treat the fungi. You will need to take this medication every day for several months . Your provider may use blood tests to check for potential medication side effects. These medications can affect the liver and interact with other medications, so oral antifungals are not for everyone.
- Topical medication: You regularly apply a medication right on the nail. The medication treats the fungi over time. Topical medications are most effective when paired with oral medications.
- Laser treatments: Your provider directs a high-tech laser beam and special lights at the toenail to treat the fungus. Lasers are FDA approved for temporary increase of clear nail in nail fungus but is not a cure. Cure rates for laser treatment are lower than oral and topical mediations so they are not typically used as first-line treatments for nail fungus.
What Is The Prognosis Of Fungal Nails
Curing fungal nails can be difficult and treatment can take up to 18 months. Relapse and reinfection are common. Trying to remove or modify your risk factors, if possible, is essential to preventing reinfection. People who have medical illnesses that predispose them to fungal nails can have an even more difficult time eradicating the fungus.
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Cover The Affected Area In Oregano Oil
Believe it or not, the tasty herb can also work wonders for treating toenail fungus at home. According to a 2020 study published in the Journal of Skin Appendage Disorders, researchers found that oreganos antibacterial properties are able to inhibit fungal growth in nails when included in an essential oil blend.
While the effectiveness of oregano oil has only been known anecdotally, thymola common component of oregano oilhas been reviewed to be an effective antibacterial and antifungal agent, Hayag says. People with toenail fungus can apply the product to affected areas twice daily and can expect no improvement, partial improvement, or complete improvement of their toenail fungus after using oregano oil. That said, she mentioned that oregano oil is quite potent and can cause an adverse reaction if you have particularly sensitive skin. For this reason, she recommends starting with a patch test. Additionally, to prevent an adverse reaction, consider mixing oregano oil with a carrier oil, such as olive or avocado oils, to dilute its potency.
What The Experts Say
The most common presentation of toenail fungus is a white/yellow discoloration of the nail that is thick and filled with yellow/white keratin debris. 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.”Orit Markowitz, MD, founder and CEO of OptiSkin treatment center in New York City.
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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.
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Preventing Toenail Fungus From Spreading
While you can’t avoid contact with the microscopic organisms that cause toenail fungus its present anywhere that is warm, dark, or moist keeping your feet clean and dry and clipping your nails properly can help prevent an infection.
For fungus to grow, there needs to be some type of trauma to the nail where the nail-skin junction, or natural barrier, is disrupted, says Sheth. For example, from a pedicure, ill-fitting shoes, or the repetitive trauma of running or hiking that causes the nail to lift or get pressed on from shoes or boots.
Still, some people are more vulnerable than others, she adds. Some people have it only on one toe or one foot, and some have lived with a partner who has it but they never get it,” Sheth says. “And for some you see it in their entire family. It’s not as straightforward as it seems, and it’s an annoying problem.
If you do get a toenail fungus infection, these measures can help stop it from spreading:
Getting rid of established toenail fungus can be difficult. Successfully eliminating it depends on careful adherence to a treatment plan.
“What happens over time is that the fungus breeds in the nail tissue and goes from being just a little bit on the nail, to a really discolored and thickened nail, to a nail that is totally embedded with fungus,” explains Marlene Reid, a doctor of podiatric medicine in Naperville, Illinois, and a spokesperson for the American Podiatric Medical Association.
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Treats discoloration, brittleness, and cracked nails
Easy, on-the-go treatment
Only works on nail plates
Treatment process can be slow
The Arishine Toenail Treatment has the design and convenience of a pencil. Perfect for storing in a bag or pocket while at work, the repair pencil allows you to use a paintable nail polish on your infected toenail three times a day with ease to treat a nail fungal issue.
The Arishine treatment uses two percent deacetylated chitin, three percent O-hydroxybenzoic acid, and Angelica dahurica as active ingredients to get rid of fungus and heal the damage. This solution can help treat discoloration, brittleness, split, rough, and cracked nails. Ultimately, this medicated nail polish can lead to stronger and healthier nails.
Arishine is made of natural ingredients and does not conduct animal testing. Treatment requires three applications a day and should be used for four to 12 weeks, although improvement may be visible in as few as two weeks. Arishine offers customers a satisfaction guarantee.
Active Ingredients: Deacetylated chitin , O-hydroxybenzoic acid , and Angelica dahurica | Dose: Applicator automatically delivers correct amount with two to three clicks. Apply around nail on cuticles and under nail bed. | Uses: Treats fungus infection on and around nails helps heal discolored, brittle nails
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How To Save On Hydrogen Peroxide
The manufacturers of Hydrogen Peroxide rarely offer Hydrogen Peroxide manufacturer coupons. As an over-the-counter and inexpensive product, Hydrogen Peroxide patient assistance programs are not available at this time.
Your SingleCare Hydrogen Peroxide coupon, though, is probably a better alternative to a Hydrogen Peroxide manufacturer coupon. Our current price for Hydrogen Peroxide with a prescription is only $2.82.
Distal And Lateral Subungual Onychomycosis:
Distal and lateral subungual onychomycosis are seen in majority of cases and is almost always due to dermatophyte infection. It affects the hyponychium, often at the lateral edges initially, and spreads proximally along the nail bed resulting in subungual hyperkeratosis and onycholysis although the nail plate is not initially affected. Distal and lateral subungual onychomycosis may be confined to one side of the nail or spread sideways to involve the whole of the nail bed, and progresses relentlessly until it reaches the posterior nail fold. Eventually the nail plate becomes friable and may break up, often due to trauma, although nail destruction may be related to invasion of the plate by dermatophytes that have keratolytic properties. Examination of the surrounding skin will nearly always reveal evidence of tinea pedis. Toenail infection is an almost inevitable precursor of fingernail dermatophytosis, which has a similar clinical appearance although nail thickening is not as common.
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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
Apply the medicine for as long as prescribed
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.
ReferenceGold LFS and Rosen T. Onychomycosis: Diagnosis, treatment, and prevention strategies. Dermatology News . March 2016:2-15.