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Toenail Fungus Treatment

Advanced treatment options for toenail fungus (onychomycosis). From laser therapy to oral medications, we provide effective solutions to restore healthy nails.

Understanding Toenail Fungus

Toenail fungus, also known as onychomycosis, is a common fungal infection that affects millions of people. It occurs when fungi infect the nail bed and plate, causing the nail to become thickened, discolored, and brittle. While toenail fungus is primarily a cosmetic concern, it can cause pain and lead to more serious complications if left untreated.

The infection typically starts as a white or yellow spot under the tip of the toenail. As it spreads, the nail can become discolored, thickened, and may crumble at the edge. Toenail fungus is more common in toenails than fingernails because toes are often confined in warm, moist environments that promote fungal growth.

Signs and Symptoms

Common Symptoms

  • Thickened nails that are hard to trim
  • Discolored nails (white, yellow, or brown)
  • Brittle or crumbly nails
  • Distorted nail shape

Advanced Symptoms

  • Pain or discomfort in the toe
  • Foul odor from the infected nail
  • Separation of the nail from the nail bed
  • Spread of infection to surrounding skin

What Causes Toenail Fungus?

Fungal Types

  • Dermatophytes: Most common cause (90% of cases)
  • Yeasts: Candida species
  • Molds: Less common but can be stubborn

Risk Factors

  • Walking barefoot in public areas
  • Sharing nail clippers or shoes
  • Diabetes or poor circulation
  • Weakened immune system

Treatment Options

Topical Treatments

Antifungal Nail Lacquers

Ciclopirox (Penlac) or amorolfine applied daily to infected nails.

Benefits

Non-invasive, fewer side effects, good for mild cases.

Limitations

Lower cure rates (10-30%), takes 9-12 months.

Application

Requires nail debridement and daily application.

Oral Medications

Terbinafine (Lamisil)

3-month course, 70-80% cure rate for dermatophytes.

Itraconazole (Sporanox)

Pulse dosing regimen, effective for various fungi.

Monitoring Required

Liver function tests, potential drug interactions.

Side Effects

GI upset, rash, liver toxicity (rare).

Laser Therapy

How It Works

Pinpoint laser energy targets and destroys fungal organisms.

Treatment Protocol

3-4 sessions spaced 4-6 weeks apart, 30-45 minutes each.

Advantages

No systemic side effects, no downtime, can be combined with other treatments.

Success Rates

60-80% improvement, may require maintenance treatments.

Prevention Strategies

Daily Habits

  • Keep feet clean and dry
  • Wear breathable socks and shoes
  • Change socks daily
  • Use antifungal powder in shoes

Public Areas

  • Wear sandals in public showers/locker rooms
  • Don't share nail clippers or files
  • Disinfect pedicure tools
  • Avoid walking barefoot in public

Restore Healthy, Clear Nails

Don't let toenail fungus affect your confidence. Our advanced treatment options can help you achieve clearer, healthier nails. Contact us to discuss the best treatment approach for your specific situation.