Laser Treatment For Toenail Fungus
At Weil Foot & Ankle Institute, we understand that many of our patients come through our doors experiencing discomfort due to toenail fungus. We are dedicated to providing our patients with the industrys leading and highest quality treatment options. We offer two patented, state-of-the-art laser treatments for toenail fungus removal.
The Erchonia Lunula Laser device is a Low-Level Laser Light that is specifically designed for treating toenail fungus. This laser uses a unique dual-diode approach to target the root causes of fungal infection and improve the bodys natural defense mechanisms. A so-called cold laser, this treatment does not cause any sensation of heat, is FDA approved, and has a proven track record of successful fungus treatment.
The PinPointe FootLaser® is a carefully designed device that uses a laser beam to go through the nail plate to eliminate the infection that causes nail deformity at its source. The laser heats and kills the germs causing the fungus without harming healthy tissue. The treatment is virtually painless, can be done in the office without anesthesia, and is extremely effective for stubborn nail fungus cases. Over 80% of patients treated with PinPointe have shown substantial improvement and most fungal nails are completely cured!
Toenail fungus is of greater concern if you have diabetes, poor circulation, or another condition which inhibits your bodys ability to fight infection.
Why Do My Toenails Curl
Toenails curl for many reasons. It could be the result of an ingrown nail or pincer nail. Or it could be because of genetics, infection, or cutting your toenails improperly. Occasionally, it could be something more serious, such as in response to a health condition or medications, that course abnormality to the nails.
If youve noticed your nails curling, theres a good chance that youre very concerned.
After all, when things dont grow correctly, there can be pain involved.
Or you may just be worried about the way that it looks.
Its not unusual, and its something that can be concerning.
However, the causes are almost always something relatively minor.
So you can relax!
First, look at how your nails are curling. That can separate the different causes.
Foot Hygiene For Lasting Results
Using medications or procedures can vastly improve the appearance of your toenails if you have a fungal infection. However, for lasting results, you need to step up your foot hygiene habits. Remember, there is always a chance of reinfection because the fungus is present everywhere in the environment.
Here are some suggestions:
- Be nicer to your feet by wearing comfortable well-fitting shoes. Dispose of your oldest footwear and use an antifungal power in other footwear.
- Keep your feet clean and dry with daily washing with soap and thorough drying with a clean towel. Wear cotton socks, or none at all if youre in a warm, humid climate.
- Keep your toenails trimmed and regularly disinfect all tools you use to cut, file, or otherwise attend to your feet.
- Never share your footwear with others and wear something on your feet whenever you go to a swimming pool, gym, or another warm place where people walk around barefoot.
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How To Prevent Toenail Fungus
Because fungi are everywhere , they can be present months before they find opportunities to strike and before signs of infection appear. By following certain precautions, including proper hygiene and regular inspection of the feet and toes, chances of the problem occurring can be significantly reduced.
- Regularly clean and dry feet to resist disease. Follow a strict regimen of washing the feet with soap and water.
- Change socks and hosiery daily and change out shoes on a regular basis.
- Clip toenails straight across so the nail doesnt extend beyond the tip of your finger or toenails.
- Wear socks that are made of synthetic fiber to wick away moisture. Cotton and wool socks dont wick away moisture as fast as synthetic fiber does. This can be helpful in denying a hospitable environment for the fungi to grow in.
Best Soak: Purely Northwest Tea Tree Oil Foot & Body Soak
Relaxes muscles with Epsom and sea salts
Essential oils may be potential allergens
If youre looking for an all-natural route to treat toenail fungus, then this foot soak could be for you. Not only is a foot soak a relaxing way to end your day, but the ingredients used in Purely Northwests soak include Epsom salt, sea salt, tea tree oil, and other oils. These ingredients soothe the skin while addressing foot and toenail fungus.
The combined ingredients work to dry out the fungus to prevent it from spreading. Benefits of the soak also include healing cracked feet and soothing aches.
This US-made product has no dyes or synthetic fragrances, making it a great all-natural solution. But results, depending on severity, might take longer to show when using the soak over prescription or over-the-counter treatments.
Active Ingredients: Epsom salt, Dead Sea salt, MSM, and Therapeutic-grade essential oils | Dose: Add 1.5 tablespoons of foot soak mix for every gallon of water. Mix with hands until the salt dissolved. Add additional salts for a more stronger or aromatic foot bath. Soak your feet for About 15-20 minutes. | Uses: Treats fungus all over feet eliminates food odor and aches
Great for athletes and gym goers
Cleanses and deodorizes
Also treats acne, candida, and rashes
Fragrant oils may be overwhelming
Tea tree and lavender sooth skin
Money back guarantee
Results can take several weeks
Only for toe and fingernail fungus
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How To Get Rid Of An Ingrown Toenail
By Kyra Oliver
If youve ever had an ingrown toenail, you know the pain that it can cause. Not only that, but its annoying we use our toes in some way or another as part of our usual daily movement, and this use and constant knocking seems to aggravate the nail even more. It makes the pain more noticeable and seems to last forever!
An ingrown toenail, or onychocryptosis, may occur at any age and is one of the mostly common toenail problems. It can be a painful condition that can easily become infected without proper care. While more studies need to be conducted, there are a few that suggest a slightly higher male-to-female ratio, particularly in the 1425 age group however, it can affect patients of any age.
There are multiple reasons why an ingrown toenail develops, including:
- improper nail-cutting technique
- pressure from abutting digits caused by hallux valgus or lesser toe deformities
- the presence of a subungual exostosis
- occasionally, the use of isotretinoin in the treatment of severe acne
Something thats often forgotten is that toenail fungus can become part of the problem too. Usually, nail fungus occurs when fungus enters the nail through a small trauma, such as a cut or break in the nail. Though often a misconception, nail fungus is not caused by poor hygiene. However, if you have an ingrown toenail, you need to be conscious of keeping the area clean.
Medical Treatment Of Ingrown Toenails
Once your ingrown toenail has progressed past the first stage, you may need to seek medical help. There are various surgical treatments of ingrown toenails your podiatrist may recommend. All of these are standard, according to the American Academy of Orthopaedic Surgeons .
Wedge Resection: This involves the partial removal of the nail or a portion of it, after numbing your toe with a local anesthetic and draining any ingrown toenail infection. Your doctor can perform this procedure in the office and the recovery time is anywhere between two weeks to two months, depending on the size of the nail portion removed.
Matrixectomy: The matrixectomy procedure is also referred to as permanent or full nail avulsion. Unlike typical avulsions, which arent often practiced anymore , a matrixectomy happens when the physician removes the entire nail from your nail bed and then covers the nail matrix with a chemical that stops it from ever growing back.
Vandenbos Procedure: The Vandenbos procedure has been around since the late 1950s and involves removal of the skin directly underneath and on either side of the ingrown toenail. Recovery is longer with this procedure, but this is also the only procedure in which a doctor does not need to prescribe antibiotics for prevention of infections. It also seems to be the procedure most likely to prevent recurrences of ingrown nails.
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Facts You Should Know About Fungal Nails
Fungal infection of the nails sometimes makes the condition sound contagious or related to poor hygiene. In fact, up to 10% of all adults in Western countries have fungal infection of the nails. This percentage increases to 20% of adults who are age 60 or older. Toenail fungus is much more common than fingernail fungus.
In reality, abnormal-looking nails may be caused by a number of conditions including, but not limited to, fungal infection. There are many other reasons why your nails may look different.
Trim Your Toenails Short And Straight
Keeping your toenails neatly trimmed short and straight across can prevent sharp edges that could injure your nail bed or become ingrown, making your toes more susceptible to fungal infections. Always disinfect your nail clippers after each use, since fungus spreads easily, and only receive pedicures from reputable nail salons that disinfect their tools between customers.
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Why Trust Verywell Health
As a seasoned health writer, Danielle Zoellner knows the importance of finding just the right product to fit your medical needs. Throughout her career, Danielle has interviewed a variety of experts in the medical and health fields while reviewing dozens of products. Her experience and knowledge in the field work together to help readers like yourself find the best products for your daily life.
Additional reporting for this story by Jennifer Nied
For over 10 years, Jennifer Nied has reviewed products, interviewed experts, scrutinized ingredients, and pored over research studies and claims, to help readers like you understand what works for your specific conditions. Every product in this piece was selected taking into account recommendations from doctors, published research, and real customer reviews.
What To Watch For When Taking Oral Medication For Toenail Fungus Treatment
All of the pills for toenail fungus can cause liver toxicity. This is rare and is reversible after the medication is stopped. Still, liver function blood testing will be done before you start your treatment and again midway through your treatment.
Medications like Terbinafine and Itraconazole can also interact with certain drugs. Your healthcare provider will look at your medication list to make sure there arent any drug interactions.
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Home Remedies For Toenail Fungus
Toenail fungus, also known as onychomycosis or tinea unguium, is a common nail condition affecting millions of people in the United States. Fungal nail infections can develop on the nail from various organisms such as molds, yeasts, and fungi. This usually occurs after these organisms come into contact with a cracked nail or skin surrounding the nail as the opening provides a portal of entry for these organisms.
Kill The Fungus And A New Fungus Will Replace It
- If you attempt to eradicate the fungus, it wont help because the space underneath the nail will still be there.
- Eventually a new strain of fungus will just enter through the cracks in the tissue and continue to inflame and irritate the area under the nail.
- This opening and cracking under the nail is initially caused by microtrauma or a systemic disease.
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What Are Treatments For Toenail Fungus
Do you need to treat your nail fungus? Maybe it doesn’t hurt, and the yellow, thick nails don’t bother you.
But nail fungus doesn’t go away by itself. And if you don’t treat it, there’s a chance it could get worse. It could spread to other nails or through your body. It could cause pain when you walk.
There are a number of ways to take care of it, including:
Nonprescription options. You can buy antifungal creams, gels, and nail polish at the store and online without a prescription. You might want to try one of them first if the infection doesn’t look bad. Some people also swear by home remedies like menthol rub, tea tree oil, mouthwash, or snakeroot extract — but studies show mixed results.
Prescription polish and creams. Your foot doctor will likely trim your nail and file away its dead layers. They may also take a piece of your nail and send it to the lab to make sure itâs really a fungus and to find out what type it is.
The doctor might suggest an antifungal drug that you paint on your nails. This may work on its own, or they may suggest you take it with antifungal pills.
Prescription medications. One of several antifungal pills may help. They work, but it may take many months to do the job. They also come with side effects like nausea, vomiting, and headaches. They may cause liver damage too, so your doctor will watch you closely while you take them. Be sure to tell them about any other meds youâre taking — some antifungal pills might not work well with them.
When To See A Doctor About Toenail Fungus
If you are experiencing persistent toenail fungus or pain is present, you may need to see a specialist. A dermatologist or podiatrist may be able to assess your symptoms and send a small sample of the affected toenail or flesh to a laboratory to be analyzed as there are various types of fungi and yeasts that cause onychomycosis. Knowing the specific cause of your foot fungus can help identify what route to take to treat your condition.
Nail changes can also be caused by underlying conditions, like psoriasis and diabetes, so its important to seek professional medical advice if your condition persists or worsens. Bacterial and fungal infection of skin in diabetes patients often result in hospital admissions, and in severe cases, can result in amputations. If you are at a higher risk for infection, you should skip home remedies and seek professional medical treatment.
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If You Have Toenail Fungus Under Your Nails Remember
Once your diagnosis is confirmed, you have several options available to deal with it. You and your podiatrist can decide on the best course for you: anti-fungal pills, medicated nail polish, and/or laser therapy. The reason I prefer laser procedures is that theyre very safe and effective at improving the look of unsightly nails due to fungal infections.
Regardless of which method you use, for lasting results, its important that you follow-through with proper foot hygiene to reduce the risk of getting it again.
Im Dr. Kelly Geoghan, DPM, Board Certified Surgeon and Aesthetic Podiatry Specialist. If youre in the Baltimore area, contact me for an appointment for your personalized plan for flawless feet at:
- Lutherville: 753-4422
- Dundalk: 753-4422
Can Severe Toenail Fungus Be Cured
Yes but not by just topical medication!
- Many people with toenail fungus are never able to successful treat their toenail fungus.
- It is unfortunate because they desperately try every home remedy and buy expensive topical creams that state they are a miracle cure. But nothing ever works out.
- This is because they are treating the symptoms of the disease and not the cause.
- The toenail must become weak and the nail bed must be damaged before the fungus ever enters into the picture.
- According to current scientific literature, less than 30% of all deformed and thick nails were initially caused by toenail fungus.
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What Is The Treatment For Fungal Nails
Oral antifungal therapy has a high cure rate, depending on the medication. It can take nine to 12 months to see if it has worked or not, because that is how long it takes for the nail to grow out. Even when therapy works, the fungus may come back. Currently, an oral antifungal therapy is considered the best treatment for toenail fungus because of higher cure rates and shorter treatment duration compared to topical therapy.
Prescription oral medications that are effective against nail fungus include the following:
There are several innovative treatments that are still being tested:
- Laser therapy or uses application of light-activated agents onto the nail followed by shining light of a proper wavelength on the nail.
- Use of electrical current to help absorption of topical antifungal medications into the nail: This is also called iontophoresis.
- Use of a special nail lacquer that changes the micro-climate of the nail to make it inhospitable for the fungus to grow: If this works, it may be an inexpensive way to treat this problem in the future.
One way to definitively get rid of toenail fungus is by surgery. Surgical treatment of onychomycosis involves nail removal. However, this often only provides temporary relief, and recurrence is common unless additional antifungal medication is simultaneously used. However, surgical removal may be warranted when the affected nail is associated with other factors such as trauma and or infection.
Tips For Prevention Of Fungal Nails
Nail fungus causes only 50% of abnormal-appearing nails. It can be hard to tell the difference between the different causes of discolored nails . Onychomycosis is often not treated. Reasons to receive treatment include
No one knows where a specific person catches the fungus, as it is everywhere. However, since the fungus does thrive in warm moist areas , there are certain areas one should avoid or use with caution. Shower floors, locker rooms, and swimming pools are suspected of being sources of the fungus, although there are no studies proving this fact. Nail polish and acrylic nails also make the nail less “breathable” and make the nail more susceptible to fungal infection. Fungi are everywhere — in the air, the dust, and the soil. Hygienic measures such as spraying socks and footgear sound sensible, and perhaps these measures can even help a little bit. However, avoiding tight, nonbreathing shoes or steering clear of athletic facility floors may very well be the best prevention available. Daily washing of the feet and drying between the toes can help to prevent nail fungus. The fungi carried on the coats of pets, like cats and dogs, don’t often cause nail fungus. Wearing white socks does not help.
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