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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)

speed of the apt. Dr. Took time to share thoughts

#12017-09-17

Everyone was very pleasant and I very much appreciated the fact that there was no waiting for either the medical assistant or the doctor. Thank you!

#22017-05-01

The bedside manner of Dr. Ringpfeil.

#32017-09-06

I was very pleased with the service that was provided during my visit. No waiting, excellent service, thorough exam. Overall, it was a pleasure - not usually the case with most doctor's visits these days!

#42017-05-30

Climate and environment

#52017-08-04

Patience and Politiness

#62017-01-30

I liked that Dr.Ringpfeil answered all of my questions, and spent time with me going over all the problems.She is very helpful and knowlegable.

#72017-04-27

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

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respectful and relaxing

#92016-12-26

That I was seen by the doctor and did not feel rushed.

#102017-07-11

What can we do better?

(answers:373)

shorter wait time for new patient appointment.

#12017-02-07

just continue listening which is so important

#22017-08-03

I cannot think of a thing that would make the visit any better.

#32010-11-03 15:36:43

You were amazing

#42010-09-28 09:24:38

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#52017-07-31

move closer to home

#62010-11-08 09:51:29

Nothing I can think of

#72017-05-02

Everything was well above my expecatations.

#82017-03-18

Service was excellent, keep up your service as is.

#92017-01-17

JUST THE WAY YOU SERVE ME NOW...........WITH GREAT RESPECT AND i REALLY APPRECIATE IT.

#102010-11-11 10:41:38
Customer Rating : 4.2

Based on 35 ratings