Fungal toenail infections, or onychomycosis, account for approximately 50 percent of all nail diseases, particularly affecting toenails. Laboratory diagnosis through microscopy and culture of nail clippings is recommended before starting treatment to confirm the infection type. For patients requiring treatment of fungal toenails, oral antifungal medications are typically used for severe infections, while topical antifungals are suitable for superficial or minor cases and for those unable to take oral medications. The duration of treatment varies, with systemic medications typically requiring a few months and topical treatments possibly extending up to two years. Patients should be aware that treatment success rates vary, and nails may not return to a completely normal appearance even after successful therapy. Additionally, there is a risk of treatment failure or relapse, necessitating further diagnosis and possibly alternative treatment strategies. Ultimately, the decision to treat fungal nails should be individualized, considering the patient's overall health, risk factors such as diabetes or vascular disease, and the severity of the infection. If you have developed a fungal toenail infection, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment suggestions.

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 Dr. Kirk Sherris of Liberty Bay Foot & Ankle. Our doctor 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 feel free to contact our office located in Poulsbo, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.