Toenail fungus is a fungal infection that affects the nail, the tissue beneath it, or both. Toenails are much more commonly affected than fingernails. The infection can cause a toenail to become thickened and develop yellow or white discoloration. Material may also collect underneath the nail, and the nail can begin separating from the nail bed. Several types of fungi can cause these infections. Risk factors include older age, previous nail damage, and athlete’s foot. Diabetes and poor circulation can also increase the likelihood of developing toenail fungus.
Toenail fungus does not always cause discomfort, especially during its earlier stages. However, changes in the appearance and structure of the nail may become more noticeable as the infection progresses. Some fungal infections begin near the end of the nail and cause thickening or yellowing. Others can create a chalky white appearance on the nail surface. Because other nail disorders can look similar, appearance alone is not always enough to confirm a fungal infection. Testing a sample from the affected nail can help determine whether fungus is actually responsible for the changes.
A podiatrist can examine an abnormal toenail and determine whether testing for toenail fungus is appropriate. Confirming the diagnosis is important because conditions like psoriasis can cause similar nail changes but require different treatment. Depending on the number of nails affected and the severity of the infection, professional treatment may include topical or oral antifungal medication. Toenails grow slowly, so a healthy-looking new nail may take 12 to 18 months to fully replace the affected nail. Treatment decisions can also depend on other medical conditions and the amount of discomfort caused by the infection. If you notice persistent toenail thickening, discoloration, or separation from the nail bed, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.
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. For more information about treatment, contact Deann Hofer Ogilvie, DPM of Ascend Foot & Ankle Center. Our practitioner can provide the care you need to keep you pain-free and on your feet.
Symptoms
- Warped or oddly shaped nails
- Yellowish nails
- Loose/separated nail
- Buildup of bits and pieces of nail fragments under the nail
- Brittle, broken, thickened nail
Treatment
If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.
Prevention
In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.
In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.
If you have any questions please contact our office located in Lafayette, CO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
