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Toenail Fungus

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Understanding Toenail Fungus: Causes & Treatment Options

Toenail fungus, also known as onychomycosis, is a common condition that affects approximately 36 million people in the U.S., particularly in humid areas like Louisiana. The fungus thrives in dark, moist environments, such as sweaty, enclosed shoes, making it more prevalent in regions with muggy climates.

While it might seem like a cosmetic issue, it can have significant impacts on one's self-esteem. Untreated fungal nail infections can worsen, making treatment more difficult and increasing the risk of complications.

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Causes, Symptoms, and Types of Toenail Fungus

Causes of Toenail Fungus

A toenail fungal infection, or onychomycosis, is not always related to hygiene. The fungi responsible, known as dermatophytes, thrive in warm, moist environments, such as sweaty shoes. These fungal spores are everywhere—in your shoes, carpets, and even the air. Fungal nail infections can affect anyone, and some people are more susceptible than others.

​Symptoms of Toenail Fungus

The symptoms you’ll experience depend on the type and severity of the infection:

  • Thickened nails: As the infection progresses, nails become thicker and more challenging to trim
  • Discoloration: Nails may turn yellow, white, or brown, with a laminated or layered appearance
  • Brittle nails: Affected nails often crumble or peel
  • Onycholysis: In severe cases, the nail may begin to lift and separate from the nail bed
  • Debris under the nail: The nails may become distorted in shape and accumulate debris underneat

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These symptoms can significantly affect your nail's appearance, making it essential to recognize and address them early.

​Diagnosing Toenail Fungus

Diagnosing toenail fungus typically involves a clinical examination of the affected area by a healthcare professional. Common signs, such as thickening and discoloration, are usually enough to confirm a fungal nail infection. In some cases, additional tests like blood tests or nail clippings may be taken to identify the specific type of fungus and rule out other conditions.

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Home Remedies, Medication, and Topical Treatments

Home Remedies

While home remedies aren't typically recommended by podiatrists, some people try them with varying degrees of success. Popular options include:

  • Vicks VapoRub: Contains camphor, menthol, and essential oils, which some believe is an effective treatment
  • Vinegar Soaks: A foot soak for toenail fungus using 50% vinegar and 50% water is thought to create an acidic environment that fungus dislikes
  • Listerine: Originally an antiseptic, Listerine contains thymol and eucalyptus oil, which have antifungal properties
  • Tea Tree Oil: Known for its strong antifungal properties, tea tree oil can be applied directly to the nail or added to foot soaks
  • Bleach: Some people try to dilute bleach for toenail fungus. This approach is not medically recommended

Topical Antifungals

Treating with topical medications or antifungal creams can be challenging. Many topical treatments, like Jublia and Ketoconazole cream, are designed to penetrate the nail and reach the fungus, but their effectiveness can be limited.

Toenail Fungus Medications

Oral toenail fungus treatments are an effective option for fungal toenails, but they have their own drawbacks, most notably, potential liver damage and drug interactions. In years past, Ketoconazole (Nizoral) and Griseofulvin (GrisPeg) were the two main oral medications for toenail fungus. These medications were effective but came with a higher risk of allergic reactions or liver and kidney damage. In addition, you’ll likely have to take these for up to a year.

At Gulf South Foot and Ankle, we offer a better solution…

Laser Treatment for Toenail Fungus

Laser treatment is a cutting-edge option for treating toenail fungus. This procedure uses an FDA-approved pulsed light wave that penetrates the nail to target the fungus directly. The laser energy heats and destroys the fungal particles without affecting the surrounding tissues. The procedure is painless, has no side effects, and typically takes about 30 minutes.

While laser treatment won’t clear the nail instantly, it kills the fungus, and healthy nail growth will appear over the next 6-12 months.

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Types of Lasers We May Use

  • PinPointe FootLaser: The first FDA-approved laser for toenail fungus, known for its effectiveness and safety
  • CoolBreeze: Originally designed for dermatology, this laser can be painful as it heats surrounding tissues
  • Genesis Plus Laser: Effective but requires precise technique to avoid tissue damage
  • Q-Clear Laser: A smaller, more affordable option, designed initially for dermatology

While laser treatment may cost more than other options, it is one of the most effective methods for eliminating toenail fungus. Stop just “pushing through” the pain and unsightlyness of your toenail fungus. Schedule with our expert team today for a safe, lasting, and effective treatment.

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Pictures of Toenail Fungus Before and After Laser Treatment

Does laser treatment sound too good to be true? Check out these before and after photos of toenail fungus treated by our revolutionary lasers.

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Preventing Infected Nails: Tips to Avoid Another Infection

Preventing infected nails and avoiding the recurrence of toenail fungus requires consistent care and attention to hygiene. Here are some practical tips to keep your nails healthy:

  • Keep your feet clean and dry
  • Wear breathable shoes and moisture-wicking socks
  • Avoid walking barefoot in public areas
  • Regularly trim and clean your nails
  • Disinfect nail tools

By following these steps, you can reduce the risk of developing or re-infecting your nails with toenail fungus.

Reclaim Your Confidence with Gulf South Foot and Ankle

Are you tired of hiding your feet because of infected nails? Toenail fungus can be painful, embarrassing, and persistent, but there's hope. Let us help you regain your confidence with our personalized treatment options.

Don't wait any longer—schedule your consultation today and take the first step towards reclaiming your healthy feet.

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Toenail Fungus FAQs

  1. What kills toenail fungus instantly? No treatment kills toenail fungus instantly. Oral medications, topical treatments, and laser therapy are effective but require time to see results.
  2. Can I use bleach for toenail fungus?
    While some people use bleach, it is not recommended because of the risk of skin irritation and limited effectiveness. Safer, proven treatments are available.
  3. Are toenail fungus OTC medications or ointments effective?
    OTC medications can be effective for mild cases, but they often require consistent use over several months. For severe infections, stronger treatments may be necessary.
  4. Do you ever have to remove the nail completely?
    In severe cases, removing the infected nail may be necessary to fully eliminate the fungus and promote healthy regrowth.
  5. Will the fungus come back after treatment?
    Yes, toenail fungus can return. Consistent follow-up care and preventive measures help reduce the risk of reinfection.
  6. Does insurance pay for toenail fungus laser treatment?
    Most insurance plans consider laser treatment for toenail fungus a cosmetic procedure, so it typically isn't covered. However, HSA or FSA funds may be used.
  7. What is the cost of fungal toenail laser treatment?
    The cost varies based on the laser used and the clinic. You can discuss pricing with your provider to understand your options.