Nail Fungus

What is Nail Fungus?

Nail fungus, or onychomycosis, is a common infection of the toenails caused by fungi that thrive in warm, moist environments. It often begins as a small white or yellow spot under the nail and may progress to affect the entire nail if untreated.

Over time, nail fungus can cause:

  • Thickened or brittle nails
  • Discoloration (yellow, brown, or white)
  • Crumbly, distorted nail shape
  • Separation of the nail from the nail bed (onycholysis)
  • Discomfort or embarrassment due to nail appearance

Diagnosis and Treatment

Because nail changes can sometimes resemble other conditions (such as psoriasis or trauma), a podiatrist will examine the nail and, if needed, obtain a sample for laboratory testing to confirm the diagnosis.

Treatment may include one or more of the following:

  • Topical antifungal medications. Applied directly to the nail, these are often used for mild cases.
    • Oral antifungal medications. Prescribed for more extensive infections, these medications can help clear the fungus from the inside out.
    • Debridement. Trimming and thinning of the infected nail can relieve discomfort and enhance the effectiveness of topical treatments.
    • Nail fungus can be stubborn and may take several months to fully resolve. Ongoing follow-up and proper foot hygiene are essential to reducing recurrence.

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