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Why You Should Never Let Toenail Fungus Go Untreated
Have you retired those adorable strappy sandals, even though theyre the perfect complement to your summery outfits? They definitely wont work with whats going on with your toenails so youve had to opt for a closed-toe option. Toenail fungus is definitely not a good look.
There are plenty of home remedies, but they dont seem to work. And nail fungus doesnt just go away on its own. Fortunately, the team at Easton Dermatology Associates can address any nail fungus issue you may have with a diverse menu of treatment options. We customize our approach to your particular infections history and severity.
How Can I Stop My Nail Fungus From Returning
Chances are, if youre exposing your feet to the same spaces in which they previously became infected, theyll likely get infected again. Instead of walking barefoot through communal areas like public pools and showers, try wearing flip-flops or other appropriate shower shoes. Just make sure you thoroughly clean and dry your feet afterward.
When you treat yourself to a pedicure, make sure the establishment is clean, licensed, and in accordance with state standards. Are the nail techs sterilizing their equipment between each use? If not, this could be why nail fungus keeps popping up on your toes. Time to find a new favorite spot!
If youve taken medication for nail fungus or used antifungal creams or polishes and stopped using them at the first sign of healthier nails, this could be why your nail fungus keeps coming back. Although it seems like the fungus is gone, some that isnt visible to the naked eye could remain. If treatment is stopped too early, some remnant fungus may continue to grow, which will lead to what is perceived to be another infection.
If your doctor gives you oral medication, make sure to finish it in accordance with your doctors recommendations. If youre using over-the-counter polish or cream, its recommended that you keep using it up to a couple of weeks after the appearance of a healthy nail.
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How Fungi Infect The Nail
Onchomycosis, or toenail fungal infection, is an invasion by a microscopic organism that thrives in warm, damp environments. Fungal spores are in the air, and they will grow if they land on a receptive surface like your toenail. They feed off the nail tissues, burrowing into the skin under the nail. Over time the nail thickens and may lift off the nail bed as fungal debris accumulates. Once your nail is raised off the nail bed, it won’t reattach, and a new nail won’t grow from that part of the nail bed. However, your nail will continue to grow from the root at the base.
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How Is A Toe Infection Treated
If bacteria caused the infection, an antibiotic cream or pill can clear up the problem. Fungal infections are treated with antifungal pills or cream. You can buy antifungal medicines over the counter or with a prescription from your doctor.
To treat an ingrown toenail, your doctor might lift the nail and place a piece of cotton or a splint underneath it. This will help the nail grow away from your skin. If lifting doesn’t work, the doctor can remove part or all of the affected nail.
Sometimes the infection can cause a pus-filled blister to form. Your doctor might have to drain the blister.
You can also try these remedies at home:
- Soak the toe for about 15 minutes in a bathtub or bucket filled with warm water and salt. Do this three to four times a day.
- Rub a medicated ointment on the toe and wrap it in a clean bandage.
- To treat an ingrown toenail, gently lift the corner of the nail. Place a small piece of cotton or waxed dental floss underneath to hold the nail away from your skin.
Youâll also want to protect your toe while it heals. To help it heal properly, wear loose, comfortable shoes that don’t rub. Keep your foot dry, and change your socks every day.
Your Options For Treating Toenail Fungus
If you think you may have toenail fungus, you should see a podiatrist or dermatologist, who will send a specimen or a piece of your nail to a lab. Different types of fungus are treated slightly differently, so its important to know which type you have, says Sundling.
Also, sometimes the root of the problem is not a fungus at all, but rather another condition, or some kind of trauma to the nail bed for instance, if you dropped something on your toe. There is no treatment for toenail trauma, but removing the nail may be an option if the nail is painful.
If you do have a toenail fungus, your doctor will likely recommend one or more of the following treatment options:
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Signs And Symptoms Of Foot Fungus
Itchy skin is an early sign of foot fungus, or scaly, peeling skin, or tiny blisters on the skin that will pop at times, says Sundling. The skin tends to break out in the shape of a moccasin, or the area of the foot that a moccasin would cover. You dont see foot fungus on the top of the foot very often. Its common to get a fungal infection between the toes as well, she adds.
How Do Dermatologists Treat A Fungal Nail Infection
Treatment usually begins with your dermatologist trimming your infected nail, cutting back each infected nail to the place where it attaches to your finger or toe. Your dermatologist may also scrape away debris under the nail. This helps get rid of some fungus.
To completely get rid of the infection, most people also need one or more of the following treatments:
Medicine you apply to the nail: If you have a mild infection, a medicine that you apply to your nails may get rid of the infection. This treatment helps keep new fungus out while the nails grow. Fingernails typically grow out in four to six months. Toenails take longer, usually takes 12 to 18 months.
Probably the most difficult part of this treatment is remembering to use it as often as prescribed. Some treatments must be applied every day. Others you apply once a week. To get the best results, its essential that you apply these medicines exactly as directed.
The US Food and Drug Administration has approved the following medicines that you apply to the nail to treat nail fungus:
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Amorolfine
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Efinaconazole
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Tavaborole
Side effects from these medicines are generally mild. Possible side effects include redness and swelling, an ingrown toenail, and stinging or burning when you apply the medicine. In clinical trials, none of these side effects caused patients to stop using the treatment.
The FDA has approved the following systemic medicines to treat nail fungus:
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Fluconazole
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Itraconazole
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Terbinafine
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Toenail Fungus: Causes And Risk Factors
Toenail fungus is a fungal infection in the toenail. It happens when a fungus anything from mold to yeast to other types of fungus gets in the nail bed from a cut or break in the nail or repetitive trauma to the nail, and penetrates the nail itself, says Dr. Sundling. The nail then continues to grow with the fungus. Once a nail plate is infected with fungus, it will never not be infected, and you must wait to see how it grows out and whether the new nail growing behind it is healthy. The new nail rarely grows in healthy without treatment, says Sundling.
Toenail fungus is very common 14 percent of people have it in North America, according to an article published in the journal PLoS Pathogens and its more common the older you get, adds Sundling. Wearing shoes that are too small can damage the nail and make it more vulnerable to fungus, as can having a fungal infection on the skin of the foot and not treating it, which could expose the nail to fungus. You may be more at risk to toenail fungus if you have diabetes, or a weaker immune system.
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How To Tell If Nail Fungus Is Going Away
This also depends on how bad your fungus has gotten. There are signs that the treatment is working, though. One is when the foul smell goes away if you have that smell. This means that the fungal infection is healing.
If you have swelling and an infection, that will go away also, along with the redness and tenderness, if you had any. The coloring may or may not change in the nail, but that nail will continue to grow out.
Another is the fact that you see new nail regrowth from your cuticle. This means that the fungus under your nail has gone away, and is no longer capable of damaging your nail.
To keep the fungus from coming back, you have to maintain a regular treatment. About once a month or so, use a treatment. Also, be sure to throw away your socks and shoes, because the fungus is still in them.
Many people have gotten rid of their nail fungus, and have been able to keep it away. The trick is to treat it often and correctly and to keep your nail or nails as dry as possible. When you have toenail fungus that wont go away, you have to keep on top of it and take preventative measures from here on out.
What Tests Might I Have For Toenail Fungus
Your provider will probably take a small sample from underneath your nail to further analyze it. Viewing the cells under a microscope can confirm a toenail fungus diagnosis. If the initial test is negative, a scraping can be sent to see if the fungus grows out in a culture. It also helps your provider identify the type of fungus.
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How Can I Prevent Toenail Fungus
Theres no way to guarantee that you wont get toenail fungus. But you can take several steps to help prevent it:
- Avoid going barefoot in communal areas such as hotel rooms / showers, public showers, locker rooms and swimming pools. Most people pick up fungus in these situations. It helps to wear flip flops in these public areas.
- If you have a family member with foot fungus or nail fungus, try to use different shower or wear flip flops in the shower to avoid coming in contact with it.
- Trauma due to accidental or aggressive clipping of the nails can turn into portals of entry for the fungus.
- Clean your nail trimmer before using it.
- Do not tear or rip your toenails on purpose.
- If you have diabetes, follow all foot care recommendations from your healthcare provider.
- Keep your feet dry. Make sure to fully dry your feet after a shower.
- Soak toenails in warm water before cutting them. Or you can cut your nails after a shower or bath.
- Trim toenails straight across .
- Wear shoes that fit correctly. They should not be too loose or tight around the toes.
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How To Spot A Nail Fungal Infection
Nail fungal infection, or onychomysis, is easy to spot. However, it is also easy to be mistaken for another nail disorder. Yellow nails, brittle nails, or blackened nails dont necessarily mean nail fungus they may be signs of other diseases or abnormalities. So what does a nail fungus look like? The infection starts with a fungusmost commonly dermatophytesthat infects one nail at first by getting in through the cracks of the nail. It is often painless, only making the nail look thickened and discolored. However, there are cases when the nail fungus infection can cause pain and discomfort. The nail may also begin to crumble from brittleness, or there may be white or yellow patches if the nail has been lifted from the skin underneath it . The fungus may also spread to and infect other nails.
As some of these symptoms can also be found in other nail and skin conditions, its recommended that the nail is assessed by a doctor. Proper diagnosis of the condition can mean proper treatment.
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.
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Take Care Of Your Toes
Use soap and water to wash your feet, and dry well, including between toes. Trim your toenails — straight across — to keep them shorter than the end of your toe. Make sure the tools you use are clean, too. Wash clippers and files with soap and water, then wipe with rubbing alcohol. You might be tempted to cover up discolored nails with polish, but don’t. Your nail bed can’t “breathe,” which keeps fungus from going away.
Causes Of Toenail Fungus
Your toenails are frequently being exposed to the pathogen that causes fungal infections.
In fact, fungus and bacteria can be found almost anywhere, from public pools and locker rooms to the inside of your own shoes warm, damp, and dark places are the perfect environment for fungus to thrive. And when it finds a home in which to fester, the fungus begins to damage the keratin in the nail and, in severe cases, even cause debilitating pain.
However, fungal toenails can also develop in other ways in some cases, the fungus is contracted after an initial injury to the nail bed. Something as simple as a stubbed toe or an ingrown toenail can make the area more susceptible to the development of this condition.
In other cases, toenail fungus is the result of other underlying conditions that may contribute to a person developing infections in general. A good example of this is diabetes if you are living with diabetes, then you are already at a higher risk of infection, so when fungi comes into the picture, it is likely to take hold of the nail quite quickly.
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