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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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SKIN

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Last updated: 05/18/2017 4:45 PM,

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Overall doctor performance

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The doctor listened to you attentively

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The doctor took time to answer your questions

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The doctor explained treatment options

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The doctor explained treatment options

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Front desk performance

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Aesthetician performance

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Office comfort

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What WE DID WELL

(Answers:674)

Honesty.

#12011-01-05 16:01:31

very professional

#22010-11-30 07:53:54

I appreciated having a conversation with the Physician, as well as developing a plan together. Accentuating the positive when there is so much negative really helps in enthusiastically executing the plan.

#32017-04-07

Excellent service; thanks for not making me wait to be seen, like I do in every other doctor's office!

#42011-06-08 09:39:58

I especially liked the friendliness of the staff and doctor. Also, this office is beautiful. I've never seen a doctor's office that compares with this one.

#52016-12-12

The information provided by the physician was very helpful and useful. I would gladly do what she recommended.

#62016-12-20

dr. ringpfiel's fabulous jewelry.

#72011-01-20 10:35:40

The entire staff was extremely pleasant and I appreciate being able to see the doctor on such short notice. Everything was top notch!

#82017-03-16

Jennifer was very helpful and professional. I really appreciated her advice on my skincare.

#92011-10-19 17:13:56

Using a computer to fill out the new patient forms!

#102017-07-09

What can we do better?

(answers:373)

Can't think of anything staff were very helpful

#12017-10-05

I have a suggestion: I noticed that two of the lovely rugs pose hazards to patients using walkers or who may have other mobility issues. The large rug placed at an angle and the narrow rug placed in front of the reception desk leave no room for these individuals to safely manuveur around the reception area and are likely to contribute to fall risks. I would suggest leaving these areas clear.

#22010-10-04 12:14:56

Thank you

#32011-02-23 17:11:29

?water cooler in the waiting room?

#42017-08-18

No complaints at all. Excellent experience

#52010-09-30 10:38:51

I was served perfectly

#62011-02-14 08:46:29

Do no change

#72010-08-19 14:48:13

Don't change anything, it's excellent.

#82010-11-08 15:17:21

No changes needed.

#92017-02-20

it's a little thing, but when you enter an office and ask the receptionist attending to you how are you, she say fine, but does not inquire how you are, and is not engaging, I just think its rude.

#102017-07-01
Customer Rating : 4.3

Based on 33 ratings