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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: 05/25/2018 9:32 AM,

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What WE DID WELL

(Answers:674)

Everyone was helpful. The appointment time was met and the service was wonderful.

#12012-12-04 12:12:44

The ample amount of time that the dr spent talking to me

#22018-05-31

Everything was great.

#32010-11-10 10:00:27

I liked how the doctor gave me the prices of procedures that we discussed. Every doctor should do that!!

#42018-02-09

Friendliness of the receptionist and Dr. Ringpfeil's expertise

#52017-12-24

Climate and environment

#62018-03-03

Doctor is extremely efficient and knowledgeable, and even discussed treatment for another condition -- my oral canker sores -- which nobody had ever mentioned previously. Also, the office is really lovely with nice music, rather than pical office music.

#72018-04-15

informative and efficient

#82012-09-05 09:52:41

Friendly attentive staff and very nice ambience (love the art work!)

#92018-08-29

The doctor and assistant were wonderful!!! So friendly and warm. I am so used to doctors being rushed AND condescending. This was a great change!!

#102018-11-23

What can we do better?

(answers:373)

Can't think of anything. I feel good about this visit.

#12010-09-09 11:47:56

Completely satisfied

#22010-10-20 09:59:20

I wish the aesthetician was available earlier in the morning or later in the afternoon to accomodate working women.

#32018-01-30

I thought everyone was fantastic and very helpful-no suggestions had a great experience

#42018-06-01

Keep it up!

#52018-06-26

Complimentary BMW with first visit

#62018-01-31

More chairs in the waiting room. More parking spaces.

#72010-09-15 12:08:01

This was a great experience and I would not change anything

#82018-11-24

So far, everything is great. Looking forward to future visits.

#92018-01-05

I am new here, so I don't have any suggestions at this time

#102018-03-01
Customer Rating : 4.8

Based on 4 ratings