Nail Fungus

What Causes Nail Fungus?

Nail fungus can occur on the fingers or toes. The nails usually thicken, discolor, disfigure, and/or split. While it can initially be a cosmetic problem, these infections can also cause pain and irritation as the toenails thicken and press against the inside of shoes.

Fungi, yeast, and moles typically cause this condition. Many contributing factors include trauma to the nails, the use of non-sterilized mani/pedi equipment, going barefoot in public locker rooms or showers, immunosuppression, diabetes, and more.

How Do We Address Nail Fungus?

Various treatment options range from topical to oral medications depending on the severity of the infection. Generally, nail fungus is not treated unless it is causing pain because of thickened nails.

Topical Medications

Topical anti-fungal lacquers, creams, or solutions can be prescribed to treat nails. These medications must be applied daily and take up to a year to work. The efficacy of topical medications depends on the severity.

Oral Medications

Oral medications are effective treatments for nail fungus; however, it is difficult to treat and often recurs because of continued exposure to the fungi through shoes, showers, etc. Oral medications also have disadvantages, including the risk of liver disease, nausea, and stomach pain. The use of these medications, therefore, is not an option for everyone. The use of oral medications also requires close monitoring with blood tests and follow-up appointments.

Surgery or Laser Treatment

Surgery to remove an infected fingernail or toenail is most effective when combined with oral and topical medications. Laser therapy can kill the pathogens causing fungus growth but can be mildly uncomfortable for the patient. We do not offer surgery or laser treatment for nail fungus; however, Dr. Lily does prescribe oral and topical medications.