With laser therapy, topical medications, and oral antifungals in our arsenal, we almost never have to actually remove toenails to treat a fungal infection. It does still remain a rare possibility, however, if the case is extreme or continues to come back.
Toenail removal may be recommended if your toenail is thickened and painful. Sometimes, the doctor may recommend this as part of a complete fungal treatment plan. Toenail fungus actually lives not only on the nail but also on the nailbed itself.
Nail removal: If you have a severe infection or other treatments just don't work, your dermatologist may recommend removing the nail(s) to get rid of the infection.
A severe case of nail fungus can be painful and may cause permanent damage to your nails. And it may lead to other serious infections that spread beyond your feet if you have a suppressed immune system due to medication, diabetes or other conditions.
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.
Your health care provider might suggest temporary removal of the nail so that the antifungal drug can be applied directly to the infection under the nail. The most effective but least used option is surgery to permanently remove the nail and its root.
Toenail fungus treatment options
After a gentle evaluation of your nails, a podiatrist may prescribe an antifungal medication, administer laser therapy, or surgically remove affected nails. Medications could include a topical cream or nail lacquer, as well as prescription pills.
One type, distal subungual onychomycosis, can be a lifelong infection and hard to treat. Another type, white superficial onychomycosis, can be easily treated. Even after treatment, your nails may continue to look irregular in shape and appearance. It can take a year or longer before they return to normal.
Outright removing your toenails, however, is the absolute last resort option for treating toenail fungus, and only performed in very rare cases.
Toenail fungus isn't a pressing health problem. Yet a fungal infection can ruin the appearance of your nails and cause pain as it lifts the nail away from the nail bed. And fungal infections are notoriously difficult to get rid of.
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. It can take several months to a year for the infection to go away.
Toenails may take 12 to 18 months to grow back. The area exposed by the nail removal should be kept clean. You may cover the area with a thin layer of petroleum jelly, such as Vaseline, and a nonstick bandage. Apply more petroleum jelly and replace the bandage as needed.
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.
Nail polish gives fungus an environment to thrive in. Non-medicated nail polish can be applied over antifungal nail polish. But it is best to avoid non-medicated nail polish entirely when you want your fungal infection to clear up. Non-medicated nail polish will make the antifungal treatment penetrate the nails slower.
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.
Terbinafine and itraconazole are the two 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.
Medicare will cover treatment for fungus within your toenail. Another term for this treatment is nail debridement. To be eligible, you must have severe, debilitating pain. Evidence of several infections caused by the fungus may also qualify you.
Studies have shown that laser treatment can be very effective as it's uses energy to penetrate the nail bed and eliminate the infection from within. HOT laser – this is where the laser uses heat to destroy nail fungus by heating the nail plate.
If you have toenail fungus, and particularly if you have toenail fungus and diabetes, it is suggested that you see a podiatrist for treatment. If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away.
“Applying Vicks VapoRub to fungus-infected toenails can clear up the notoriously hard-to-treat condition. Michigan State University clinicians found that applying the product daily to the infected nail cleared the condition in 32 of 85 patients, though it took anywhere from 5 to 16 months…”
Lamisil Terbinafine Antifungal Cream treats fungus all over the body, including athlete's foot, making it the best overall choice.
Dr. 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.
Fungi can grow between your nail bed and toenail, eventually making your toenail fall off. Symptoms of a fungal toenail infection include: noticeably thicker toenails. white or yellowish-brown discoloration on your toenails.
As the fungus advances, the color may change from yellow to brown. In some cases, a really nasty nail fungus case may even turn black and start to crumble.
Fungus thrives in moist and dark places so give it some light. Keep them naturally dry by exposing them to the sun whenever you can.