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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

# of surveys: 3750
Last updated: 05/25/2018 9:32 AM,

PATIENT RATINGS

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definitely
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probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
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Overall doctor performance

excellent
94.2%
very good
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poor
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The doctor listened to you attentively

excellent
93.9%
very good
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poor
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The doctor took time to answer your questions

excellent
94.0%
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poor
0.02%
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The doctor explained treatment options

excellent
94.3%
very good
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good
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very poor
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The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
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Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
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very poor
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Aesthetician performance

excellent
88.6%
very good
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Office comfort

excellent
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Parking

excellent
66.4%
very good
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good
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poor
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0.9%

Friendliness of the staff during appointment

excellent
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good
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What WE DID WELL

(Answers:674)

Staff was friendly, attentive and polite. Dr Ringpfeild is the first Dr I seen that has been able to provide a viable resolution for my condition

#12018-10-04

Everyone was very nice!

#22018-09-19

Everyone was lovely and the office looks beautiful.

#32019-01-01

I particularly like the assertiveness that the office provided. Being in and out is a best for me.

#42018-03-02

The docotr was very nice and helpful!

#52018-11-05

You people are superb. The doctor and the assistant understand what they are doing. The doctor really talks like a professional - she knows it for sure.

#62018-04-26

Very relaxed and comforting environment. This was my first visit with a dermatologist and am quite happy with the experience.

#72018-09-27

I found this to be a very pleasant and professional appointment -- better than most .... I would absolutely recommend to others and will utilize the many services available at this office.

#82010-12-15 11:51:05

Dr. Ringpfeil took her time and was attentive to my concerns. Writing all options on paper was very helpful and will help me when I start my regimen

#92018-09-19

Everybody was friendly and helpfull.

#102018-10-14

What can we do better?

(answers:373)

Better parking?

#12019-01-21

clear directions to facility

#22018-08-08

please make a reminder call. I checked my cell for one and you hadn't.

#32018-02-18

I think the service provided fulfilled my expectations so at this time I do not have any suggestions for improvement.

#42019-02-10

The only downside is parking!

#52011-11-17 12:08:50

Just keep up the good work!

#62018-04-16

Impossible! Best medical office experience possible.

#72011-10-17 16:27:23

keep up what your doing

#82010-09-23 14:03:13

The service was great I don't see anything better u can do!

#92019-01-03

can't think of anything

#102011-12-12 10:13:47
Customer Rating : 4.8

Based on 4 ratings