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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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Last updated: 11/19/2020 5:15 PM

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What WE DID WELL

(Answers:674)

I liked the fact that they took me in right away and everyone was very pleasant.

#12011-11-02 12:13:13

The entire staff was friendly and attentive to my childs needs. Thank you!

#22020-07-09

I thought the waiting room was very nice and all the employees were very kind and took their time during the appointment. Our last dernatologist that we visited for the first time made us wait an hour and a halve for a five minute appoitment.....so we were pretty happy this time!

#32020-05-31

dr. ringpfiel's fabulous jewelry.

#42011-01-20 10:35:40

The computer registration

#52020-06-06

THE STAFF AND THE PAINTINGS - lINDA WAS A GOOD LISTENER AND EXPLAINED EVERYTHINF IN DETAIL - SHE DID MOT RUSH ME - I LIKE THAT - ERIN WAS PLEASANT AND VERY PROFESSIONAL . I WAS A GOOD VISIT- THNKA YOU

#62011-04-01 14:05:41

cleanliness of office, layout of facility, short wait time to see physician, communication skills of physician and medical asst.

#72020-03-25

very comfortable, pleasant office setting

#82020-04-08

How competent and smart and nice the Dr. is. I was struck by that immediately.

#92020-03-04

The staff was thorough and extremely friendly, I felt welcomed and well informed.

#102011-12-01 14:56:48

What can we do better?

(answers:373)

A follow up, even if its an email, after the apt. could help!

#12010-08-23 16:38:55

Keep doing the same thing.

#22020-08-25

No room for improvement

#32020-10-19

Top rate service. A great total experience.

#42020-10-21

Have some toys or children books in the waiting room

#52020-04-13

nothing just keep up the good work.

#62020-02-11

Waiting time in reception area was too long.

#72020-07-11

less waiting time in the room

#82020-03-17

no complains

#92020-10-16

How about a smile to greet a brand new patient? How about explaining that I need to go and fill out info on the computer instead of pointing over there you need to complete things. I felt like walking out by the rudeness. The medical assistant and phys asst were extremely kind, thorough and helpful. I realized that I was here to seek help for my child and received amazing medical help. Thank you.

#102011-07-11 11:52:49
Customer Rating : 4.5

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