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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: 05/18/2017 4:45 PM,

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What WE DID WELL

(Answers:674)

the music and decor of the facility

#12017-02-21

The waiting room had interesting products and information. The staff were professional, kind and had a nice process.

#22010-11-10 12:28:11

Friendly, clean, and helpful.

#32010-11-29 14:01:40

n/a

#42016-11-19

easy to get appointment,great docs,great staff.

#52012-09-04 13:02:42

the cute scrubs:-) knowledge of the dr. and staff.

#62016-12-01

Professionalism

#72017-03-20

i was pleased that she knew the italian language,it helped me a lot!!!!

#82017-05-10

The help desk (reseptionist/m.a) was phenomenal!

#92016-12-24

I liked the staff, the office, decor, music and the overall atmosphere. I felt comfortable. I will definitely recommened this practice in the future.

#102016-10-06

What can we do better?

(answers:373)

Try to get enrolled as a provider in Tricare Prime!

#12016-08-31

Can't think of anything right now.

#22010-10-21 15:50:32

No changes needed.

#32017-05-13

Too Early

#42017-01-08

don't think you could!!

#52016-08-22

Only the 30 minute wait time really should be shortened.

#62016-08-31

your office was just as described to me, most impressive!

#72011-09-07 11:57:29

Ask patient if they have any pain before asking them to waiting three weeks for appointment

#82016-07-31

Everything to date that your office has performed has been done professionally and expeditiously. It's a pleasure to deal with all the staff.

#92017-03-25

I had problems with my insurance. Since you took my insurance information over the phone it might have been nice to know that before I came in so I could have fixed it.

#102011-05-19 10:14:50
Customer Rating : 4.50

Based on 31 ratings