Toenail fungus, also known as onychomycosis, can appear in several forms, each requiring careful treatment. The most common is distal subungual onychomycosis, which starts at the tip of the nail and spreads underneath, often treated with oral antifungal medications. White superficial onychomycosis affects the top layer of the nail, creating chalky white spots that can sometimes be managed with topical antifungal creams. Proximal subungual onychomycosis begins at the base of the nail and moves outward, and is more common in people with a weakened immune system. Treatment usually includes prescription antifungal therapy. Candida onychomycosis is caused by yeast rather than dermatophytes and can make nails thick, discolored, and painful, often requiring both oral and topical antifungals. Since toenail fungus can worsen if untreated, it is suggested that you visit a podiatrist to ensure an accurate diagnosis and obtain the most effective treatment for restoring healthy nails.

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 Akena Wannamaker, DPM of ASW Foot and 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 contact our office located in Richmond, VA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.