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.
Your podiatrist can help you take care of not only your feet and ankles, but also your toenails. One very common condition that podiatrists treat are fungal toenail infections.
These drugs are often the first choice. One option is itraconazole (Sporanox). These drugs help a new nail grow free of infection, slowly replacing the infected part. You typically take this type of drug daily for 6 to 12 weeks.
Medicare Part B will cover "medically necessary" services, including doctor visits and care in an outpatient setting for toenail fungus diagnosis and treatment.
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.
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.
Vicks Vaporub softens and lightens toenails. This makes it look like the fungus is being treated. Vicks may have some antifungal qualities, but it is unable to penetrate the toenail well enough to cure the infection. Many topical antifungal medications have this issue.
For patients without health insurance, fungus treatment typically costs less than $20 for over-the-counter topical medications or generic oral medications to less than $100 for prescription topical medications and up to $500 or more for brand-name oral antifungal medications.
If your fungus doesn't clear up at home, you should check in with a dermatologist (a skin, hair, and nail specialist) or podiatrist (a foot doctor.) They may gently scrape under your nail to get rid of some of the fungus or send it to the lab for diagnosis. They can also prescribe stronger medicines.
Effective products include efinaconazole (Jublia), tavaborole (Kerydin) and ciclopirox (Penlac). All require daily applications, and it may take as long as a year to see noticeable improvement. These products may work for early, superficial fungal infections because they kill fungi on the surface of the nail.
“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…”
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.
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.
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.
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.
It can take months to clear up these infections. If you get a nail fungal infection, you may still be able to wear nail polish, but you should not wear artificial nails because it will be hard for your doctor to monitor your improvement.
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.
A pharmacist can help with fungal nail infections
nail-softening cream – it's used for 2 weeks to soften the nail so the infected part can be scraped off.
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.
Having a minor skin or nail injury. Having a skin condition that affects the nails, such as psoriasis. Having diabetes, blood flow problems or a weakened immune system.