Southwest Florida's Health and Wellness Magazine Health and Wellness Articles
By Eileen Rivero, DPM, ABPM
Toenail fungus, or onychomycosis, is a common and stubborn condition that affects many individuals. It can cause nails to become thick, discolored, brittle, and sometimes painful. While over-the-counter treatments are available, they often prove ineffective. For a more comprehensive and successful treatment, visiting a podiatrist is highly recommended. This article will explore the role of podiatrists in diagnosing and treating toenail fungus, offering insight into various treatment methods and preventative measures.
Understanding Toenail Fungus
Toenail fungus is caused by various types of fungi, including dermatophytes, yeasts, and molds. These fungi thrive in warm, moist environments, making feet an ideal breeding ground. Common risk factors for developing toenail fungus include:
• Wearing tight or non-breathable shoes
• Walking barefoot in public places like pools and gyms
• Having a history of athlete’s foot
• Reduced blood circulation in the feet
• Compromised immune system
Symptoms of toenail fungus can include yellow or brown discoloration of the nail, thickening of the nail, brittle or crumbly nails, and sometimes a foul odor.
The Podiatrist’s Role in Diagnosing Toenail Fungus
A podiatrist is a medical professional specializing in the diagnosis and treatment of foot and ankle conditions. When it comes to toenail fungus, their expertise is invaluable. Here’s what you can expect during a visit to the podiatrist:
1. Comprehensive Examination: The podiatrist will conduct a thorough examination of your nails and feet, looking for signs of infection and other potential issues.
2. Laboratory Testing: To confirm the diagnosis, the podiatrist may take a sample of the nail for laboratory testing. This helps identify the specific type of fungus causing the infection, ensuring appropriate treatment.
3. Medical History Review: Understanding your medical history, including any underlying conditions or medications, allows the podiatrist to tailor the treatment to your specific needs.
Treatment Options for Toenail Fungus
Once the diagnosis is confirmed, the podiatrist will discuss various treatment options based on the severity of the infection and your overall health. Here are some common treatments:
1. Topical Antifungal Medications: These are often prescribed for mild to moderate infections. Topical treatments include creams, ointments, and medicated nail lacquers. While they are convenient, they may take longer to show results and are generally less effective for severe infections.
2. Oral Antifungal Medications: For more severe or persistent infections, oral antifungal medications may be prescribed. These medications, such as terbinafine (Lamisil) and itraconazole (Sporanox), are more effective because they reach the infection through the bloodstream. However, they can have side effects and may not be suitable for everyone.
3. Laser Treatment: Laser therapy is a newer treatment option that uses focused light to destroy the fungus. It is non-invasive and generally well-tolerated, with minimal side effects. Multiple sessions may be required for optimal results.
4. Debridement: In some cases, the podiatrist may need to remove the infected portion of the nail. This process, called debridement, can help reduce pain and improve the effectiveness of topical treatments.
5. Nail Removal: For severe infections that do not respond to other treatments, the podiatrist may recommend removing the affected nail. This can be done surgically or chemically. After removal, antifungal treatments can be applied directly to the nail bed to prevent recurrence.
Preventing Toenail Fungus Recurrence
Preventing toenail fungus from returning is crucial once treatment is complete. Here are some tips to keep your nails healthy:
• Maintain Good Foot Hygiene: Wash your feet daily, dry them thoroughly, and keep your nails trimmed and clean.
• Wear Breathable Footwear: Choose shoes made from breathable materials and avoid wearing tight or damp shoes for extended periods.
• Use Antifungal Products: Consider using antifungal sprays or powders on your feet and inside your shoes to prevent reinfection.
• Protect Your Feet in Public Areas: Wear sandals or flip-flops in public places like pools, gyms, and locker rooms to reduce the risk of exposure to fungi.
• Regular Podiatrist Visits: Regular check-ups with your podiatrist can help monitor your nail health and catch any signs of reinfection early.
Toenail fungus can be a persistent and uncomfortable condition, but with the expertise of a podiatrist, effective treatment is within reach. By understanding the available treatment options and adopting preventative measures, you can achieve healthy, fungus-free nails. If you suspect you have toenail fungus, don’t hesitate to schedule an appointment with a podiatrist to start your journey toward better nail health.
Eileen Rivero, DPM, ABPM, is a Podiatrist at Family Foot & Leg Centers in Port Charlotte, FL. She is a Fellow of the American College of Foot & Ankle Surgeons. Call 239-430-3668 or visit www.NaplesPodiatrist.com to make an appointment. Visit FootHealthFacts.org to learn more about foot and ankle conditions.
3161 Harbor Blvd, Suite B
Port Charlotte, FL 33952
(239) 430 – 3668 (FOOT)
www.NaplesPodiatrist.com
Disclaimer: This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition.
