FUNGAL NAILS

Fungal infection of toenails is a common foot health problem.  Many people do not realize the existence of this problem and the infection may be present for many years without ever causing pain.  The fungus is a common mold that triumphs in dark, warm, and moist areas.  On the feet it can grow on and between the toes as well as on the soles and toenails.  Fungal problems can be the result of environment (socks, shoes, heat, and humidity) or weakened immunity (diseases such as diabetes).  If the fungal infections are untreated, they can develop secondary bacterial infections and this may require antibiotics to treat.

Fungal nails are often caused by the spread of fungal infections like athlete's foot, or by the use of artifical nails or nail polish.  Injury to the nail may be another cause.  The fungal nails may be thickened, inflamed, or sensitive, and can turn unnatural colors.

EVALUATION

Since fungal problems may be related to other medical diseases, Dr. Honick will need to look at your medical history, examine your feet and skin and possibly do other tests.  During your foot examination, Dr. Honick will check for breaks in the skin, growths, and odor, which can be a sign of bacteria.  Your skin is examined for flaking or scaling and your nails are checked for color, thickness, and inflammation.  Dr. Honick may take a culture from the infected area.  This culture may be examined under a microscope or observed in a medium.  These tests can help to determine the cause of the problem by identifying the type of fungus.

Since fungal nails are usually more resistant and more difficult to treat than athlete's foot; topical or oral antifungal medicines may be prescribed.  Secondary bacterial infections may require antibacterial treatment.  Debridement of the nail may be suggested and involves trimming, filing, or grinding away the fungal part of the nail.  Permanent nail removal is another possible form of treatment.

PREVENTION

Your daily habits play a large part in helping to prevent fungal problems.  Alternating shoes daily helps prevent fungus and also try to wear shoes made of natural material like leather and canvas.

Dry your feet carefully.  Always dry your feet thoroughly after you bathe or shower.  Make sure you dry between your toes.  Foot powders can also help with excessive moisture.

Change socks.  Wear socks made of synthetic fibers, which tend to 'wick' away moisture better than cotton socks, especially for sports activities.

Be aware of bare feet.  Wear sandals or thongs in public areas such as pools, shower, or locker rooms.

This website is maintained to facilitate access to information about foot health and to provide information about footcare products. The content of this website, such as text, graphics, images and other material, are for informational purposes only and are not intended to replace the services of a trained health care professional or to be a substitute for medical advice provided by a qualified physician or other appropriate health care professional. You should consult your own physician or other appropriate health care provider on specific medical questions, including matters requiring diagnosis, treatment or medical assistance.