There's a chance toenail fungus will go away on its own, but most often, early treatment is key. The longer you wait to seek treatment, the more pronounced your symptoms will become. Early on, Dr. Rhinehart might recommend oral medication, a topical antifungal ointment or cream, or a medicated nail polish.
If toenail fungus is left untreated, it can spread to the surrounding skin on the foot, causing another condition known as athlete's foot. An athlete's foot is a condition resulting in itchy, red, and cracked skin, which can become very uncomfortable.
Toenail fungus can be tough to get rid of because it can get into and in between those layers. It may also sit on top of the nail or grow underneath it. In some cases, fungus can get into the cells that make the nail, called the nail matrix.
Fungal nail infections can be difficult to cure, and treatment is most successful when started early. Fungal nail infections typically don't go away on their own, and the best treatment is usually prescription antifungal pills taken by mouth. In severe cases, a healthcare professional might remove the nail completely.
If you do have a toenail fungus, your doctor will likely recommend one or more of the following treatment options: Trimming the Toenail Trimming the toenail is usually combined with medication, but having a podiatrist periodically trim the nail down is helpful and allows the medication to work better, says Sundling.
Nail fungus is not a health risk to most people. But anyone with a compromised immune system, such as a diabetic who contracts nail fungus, is at risk of developing serious complications like foot ulcers.
There are several risk factors for developing nail fungus: tight shoes; damaged nails; walking barefoot in moist areas like swimming pools, saunas, and public showers; poor blood circulation in your legs; a weakened immune system; and other skin conditions, such as psoriasis.
What causes nail fungus? Tiny, microscopic organisms called fungi (the plural of fungus) cause a fungal nail infection. Many people pick up the fungi when they have skin-to-skin contact with someone who has a fungal infection such as athlete's foot or ringworm on their hands.
Many times, the color on the nail indicating fungus (yellow, black, brown, etc.) will begin to diminish as it grows out and dissipates. Delineation. Over time, the yellowing of the nail should be restricted to the part of the nail that's growing out, giving way to a clear nail at the base of the nail bed.
The best pill for toenail fungus is terbinafine. Evidence suggests it works better than the alternatives with the fewest side effects. Terbinafine results in resolution of toenail fungus 76% of the time.
Terbinafine and itraconazole are the 2 medicines most commonly prescribed for fungal nail infections. These usually need to be taken once or twice a day for several months to ensure the infection has completely cleared up. If you stop taking the medication too early, the infection may return.
It has been used topically as an antiseptic and to treat a variety of skin conditions including psoriasis, eczema and acne. Not surprisingly, it has antifungal activity, which might account for why it could be useful against nail fungus.
If a toenail fungus spreads to the skin and causes it to crack, bacteria can get in. This may cause cellulitis, a condition that produces swollen, red, tender skin and must be treated with antibiotics, according to the U.S. National Library of Medicine.
Clinical studies show that the laser kills toenail fungus and promotes clear nail growth with a single treatment in better than 80% of cases. The laser treatment is safe, effective, and most patients improve usually after their first treatment.
Ioli, who is chief of the podiatry service at Harvard-affiliated Brigham and Women's Hospital, suggested that daily applications of Vicks VapoRub might be at least as effective as most of the topical treatments for toenail fungus that are available by prescription or over the counter.
Podiatrists will treat toenail fungus by using topical creams, removing part of the nail, and or using more modern methods like laser therapy to eliminate the infection.
The fastest way to eliminate the infection is through toenail laser treatment. Laser nail therapy specifically targets the microorganisms under your nail while leaving the keratin intact. In just a few treatments, the infection can be entirely eliminated.
If your nail gets brittle and breaks easily, it's a sign the fungal infection is changing the composition of the nail. If it becomes soft and chalky and starts to crumble away, the infection is starting to become severe.
It may be hard to imagine anything remedying the situation. Outright removing your toenails, however, is the absolute last resort option for treating toenail fungus, and only performed in very rare cases.
The wound should heal within a few weeks. Fingernails may take 6 months to grow back. Toenails may take 12 to 18 months to grow back.
Antifungal nail polish can be covered with non-medicated nail polish. But, it's recommended to completely avoid non-medicated nail paint if you want your fungal infection to go away. Antifungal treatment will permeate the nails more slowly if non-medicated nail polish is used.
The best type of vinegar to treat toenail fungus is apple cider vinegar, a very acidic and strong solution that destroys toenail fungus at the source. To take full advantage of this, mix one cup of apple cider vinegar with at least 2 cups of water – this will dilute the vinegar so that it won't burn your skin.