Fungal
Toenails (Onychomycosis)
Fungus infection of toenails
afflicts approximately 30 million Americans. It is most prevalent after age 40,
but may also infect younger individuals and children. Often, people are not
aware of the fungal infection, because the condition is generally painless, and
it takes many years for the nails to become deformed.
Some fungal toenails
begin after trauma causes bleeding under the nail. Another cause is chronic athlete’s
foot, which is a fungal infection of skin. The skin fungus eventually spreads
to the nails. Once the nails are infected, they become a reservoir of the
fungus, leading to persistent athlete’s foot. Factors that increase
susceptibility to fungal toenails are hot humid weather, sweaty feet, poor
circulation, diabetes and immunocompromised states.
Signs
of onychomycosis
Ř
Separation
of the end of the nail from the nail bed
Ř
Malodorous,
soft, yellow material beneath the nail
Ř
Thickened,
yellow nails
Ř
Chronic
athlete’s foot
Onychomycosis
is contagious and should be treated. It will not resolve by itself. Although
fungal nails were difficult to treat in the past, current medications and
treatment protocols can successfully cure the condition.
The
doctors of The North Shore Podiatry Group employ a three pronged
approach that is nearly 100% effective:
- The
fungal portions of the nail are painlessly trimmed away and ground smooth.
- A
topical fungicide is applied twice daily at home.
- An
oral medication is taken once daily for 90 days.
Oral
anti-fungal drugs have revolutionized the way we treat fungus infections of the
nails. Based on extensive experience with available oral fungicides, our
doctors have chosen to prescribe Lamisil® tablets, because Lamisil®
offers our patients a very high success rate and an extremely low incidence of
side effects and drug interactions
There is good news for patients who polish their nails. The newest advance in the treatment of fungal nails is a prescription fungicidal nail polish which treats the condition while it hides the discoloration and thickening of fungal toenails. The doctors of The North Shore Podiatry Group dispense Nova Nail RX Anti-fungal Nail Polish for treatment of fungal nails, and to prevent recurrence. The polish is available in a clear coat, and in four colors..
Good
foot hygiene can help you avoid fungus infection of the toenails.
Ř
Do
not walk barefoot in public areas such as pools, showers or locker rooms.
Ř
Keep
the toenails trimmed short so the fungus cannot latch on to unattached portions
of nail.
Ř
Keep
the feet dry. Dry carefully between the toes after bathing and use a foot
powder if your feet sweat a lot.
Ř
Wash
the feet daily, especially between the toes.
If
you have questions
or would like to discuss the treatment of toenail fungus, please contact The
North Shore Podiatry Group.