Fungal Nails

What is a Fungal Nail?

It is an infection of the nail caused by various types of fungi. A group of fungi known as Dermatophytes are the most common cause of nail fungal infection. Once the nail is infected by the organism, the effected nails become thick, discolored. If left untreated, the nail becomes brittle, thicker, and can spread to other nails or skin structures.

Fungi are opportunistic organisms. They are more prominent in individuals with compromised immune systems such as the elderly, and those who suffer from diabetes, circulatory disorders, or immune deficiency disorders. Fungal tend to thrive in dark and moist environments such as swimming pools, showers, locker rooms and anywhere else that people tend to walk barefooted. Most common place for fungal nail infections are nail salons. In these establishments, improper cleaning of the instruments can lead to spread of fungus from one person to the other.

Prevention

Fungus are everywhere including on our skin. They often may be present for months before they find the right opportunity to strike. The best prevention for preventing fungal nail infections is proper foot hygiene. Feet should be washed with soap and water daily and dried properly specially between the toes. Proper foot wear must be worn when ever in public areas. Shoes and socks should be changed daily. Nails should be clipped straight across and not extend beyond the tip of the toe. If you visit nail salons regularly, it is wise to invest a few dollars and buying your own instruments and take them with you during your visits. After each visit, make sure to clean your instruments to prepare them for your next visit.

Treatment

The treatment of fungi depends on the nature and severity of the infection. Over the counter antifungal medications may be used for mild cases of fungal infection. However, even the best antifungal medication may not prevent the fungal infection from reoccurring. If no improvements are noted within 2 to 3 months, it is time to call us for your personal consultation.

We can detect fungal infections by appropriate culture and biopsy and determine a suitable treatment plan. Treatment plan for fungal infections include debridement of the nail and debris underneath the nail and prescription of appropriate antifungal medication. Currently, there are two forms of medications for fungal infections, topical medications and oral medications.

Newer oral antifungal medications may be the most effective treatment options. They require shorter treatment time and better effectiveness. However, not everyone is a good candidate for oral antifungal. We will help you determine which treatment option is best for you. Treatment for fungus may take 3 to 12 months, and often the results may not appear for up to 18 months.