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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.

How can we help you?

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Last updated: 08/27/2020 2:06 PM

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What WE DID WELL

(Answers:674)

The information the doctor knew about all the medicines

#12011-01-24 14:33:36

Everything even your choice of music.

#22019-12-06

The staff were very professional and service was above those i have had in the past.

#32011-03-29 09:40:00

Doctor was very knowledgable.

#42019-12-10

Beautiful offfice. Doctor was thorough but quick, which was great

#52011-04-04 11:16:27

the stafff and doctor were extremely friendly

#62019-11-26

everyone was very nice.

#72020-06-01

Everybody was friendly and helpfull.

#82020-06-16

The time the Doctor spent talking to me about my problem. She did not rush.

#92011-12-15 12:54:52

Definitely the best overall dermatology practice I've seen (I've seen a lot). Very well run and obviously the Dr. is extremely expert and knowledgeable.

#102011-06-09 11:41:32

What can we do better?

(answers:373)

Coffee, Tea? only kidding. Hope I gave the reader a smile today.

#12011-02-21 10:56:55

I think you have done a great job.

#22011-02-21 16:01:23

No room for improvement

#32020-02-21

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.

#42011-02-14 14:14:53

nothing everything is fine as is.

#52020-05-06

Nothing missing.

#62020-02-28

This was my first visit and although i was uncomfortable with my problem which was addressing I was truly happy with everything else.

#72011-07-28 15:11:23

You can't improve upon excellence.

#82019-10-25

no suggestions, you are doing a good job

#92020-03-30

nothing just keep up the good work.

#102020-05-14
Customer Rating : 4.5

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