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Written by Dr. Ringpfeil

Nail Fungus (Onychomycosis)

nail fungus

Onychomycosis is a fungal infection of the nail. Either fingernails or toenails can be affected but the condition is more commonly seen in the toenails. People become aware of the condition because of the altered appearance of the nail or multiple nails. The nail can become yellowed, crumbly, thickened, lifted up from the nail bed or debris can be seen beneath the nail.

DIAGNOSIS

A definitive diagnosis is made by clipping a portion of the affected nail and sending it to the lab for analysis. Other clues to the diagnosis include rash on the feet or between the toes consistent with athlete's foot (tinea pedis). Longstanding athlete's foot infection can put individuals at risk for toenail fungus. Fungal infection of the skin of the hands (tinea manuum) can also be associated with onychomycosis of the fingernails.

TREATMENT

One of the most efficacious treatment options is treatment with an oral antifungal medication such as Lamisil. Fungal infection of the toenails requires treatment for a period of three months; fungal infection of the fingernails requires treatment for six weeks. Since the oral antifungals are metabolized through the liver, blood test monitoring of liver function is recommended when treatment for more than six weeks is required.

Another promising treatment alternative with a high percentage of effectiveness is treatment with the PinPointe laser. This laser can be found at some podiatrists' offices.

Topical treatment with antifungal solutions and creams is also available but treatment success is low and daily treatment for many months is required.

All treatments are hampered by the high recurrence rate for fungal nail infection. Even if treatment protocols are strictly followed and nail fungus is eradicated, there is a good chance that the problem will recur.

COPING

The dystrophic appearance of toenails infected with fungus can be improved through the use of topical keratolytics such as urea and by having the thickened nails filed down professionally by a podiatrist.

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What WE DID WELL

(Answers:674)

doctor

#12018-12-27

Attention to detail on part of doctor and assistant

#22019-01-19

Timeliness and attention.

#32019-03-03

I love the Edith Piaf music being piped in - that was an awesome touch.

#42019-01-16

The atmosphere was pleasent and during appointment, didnt feel judged about skin.

#52018-10-30

The Dr. was excellent in every way !

#62011-04-18 11:48:00

Everyone was friendly, office was nice and bright, bathrooom was clean.

#72019-04-17

the doctor was very nice and all the staff was very nice and answered all my questions i had.

#82019-03-05

Friendliness of the staff.

#92019-06-01

every thing was great.

#102018-07-28

What can we do better?

(answers:373)

Nothing - excellent.

#12011-01-25 12:57:52

The only (minor) thing that I was disappointed in was that when I booked the appt. via phone, I was told that in addition to my cosmetic questions and consult, the Dr. would also be able to do my full body check. It turned out that there was not enough time to do both.

#22011-07-27 15:04:39

Thank you

#32011-02-23 17:11:29

Everything was perfect today

#42010-10-05 10:42:21

Hard to say, this was a short visit and the service and treatment, as far as I can tell, were excellent

#52018-09-01

I was impressed with every step of making the appointment to seeing the physician.

#62010-12-16 12:26:48

I had an appointment for a consulation for sun damage. Unfortunately, I need to see either a doctor or PA for my issue and this was not included in my appointment, so I need to make another trip. It is difficult for me to carve time out of my work day to take care of personal needs, so this is creating an inconvenience for me. I would have preferred to had the complete consultation done in one appointment.

#72011-02-14 14:14:53

The entire visit was just perfect so I had no suggestions at this time.

#82010-10-05 12:14:11

Everything was good

#92011-03-08 15:22:54

Thank you for your help. I will definitely recommend Dr. Ringpfeil to friends.

#102018-11-21
Customer Rating : 4.8

Based on 4 ratings