Ava Monroe
Toenail fungus is a common and stubborn problem, often requiring more than just over-the-counter treatments. In severe cases, a podiatrist may recommend a surgical procedure to remove the affected nail, either partially or completely. This procedure involves loosening the skin around the nail and removing the diseased portion or the entire nail. Post-surgery, proper wound care is crucial, including keeping the area clean and dry to prevent infection. Additionally, maintaining good foot hygiene and taking preventive measures can help reduce the chances of recurrence. While surgical toenail removal is a last resort, it can be an effective solution for those struggling with persistent toenail fungus.
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What You'll Learn
Surgical toenail removal
The decision to remove the entire nail or only a part of it is made based on the extent of the infection and the level of pain it is causing. If a significant portion of the nail is diseased or causing severe pain, the entire nail may need to be removed.
After the nail is removed, a chemical solution may be applied to the nail matrix to prevent regrowth and future fungal infections. The wound is then treated with ointment and covered with gauze and tape. Proper wound care is essential for optimal healing. This includes gently washing the area with clean water and avoiding harsh substances like hydrogen peroxide or alcohol, which can slow the healing process.
Healing typically takes a few weeks, and toenails usually grow back within a year to 18 months. It is important to note that surgical toenail removal is generally reserved for cases where conservative treatments have failed or when the infection is severe or causing significant pain. If you are considering surgical toenail removal, it is essential to consult with a podiatrist or a doctor to determine the best treatment plan for your specific case.
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Preventing regrowth
To care for the wound after surgery, gently wash the area with clean water and avoid harsh substances like hydrogen peroxide or alcohol, which can slow healing. An ointment can be applied to the wound, followed by gauze and tape. Petroleum jelly and a non-stick bandage can also be used to protect the wound. The wound should heal within a few weeks, and toenails typically grow back within a year to 18 months.
To prevent toenail fungus from occurring in the first place, it is important to maintain good foot hygiene and practice preventive measures. Wash your feet with soap and water regularly, and dry them thoroughly, especially between the toes. Trim your toenails straight across instead of in a rounded shape. Avoid covering discoloured nails with nail polish, as this prevents the nail from breathing.
Additionally, avoid creating environments that promote fungal growth. Damp, sweaty environments, tight or non-breathable shoes, and sharing shoes or nail instruments can all contribute to the spread of toenail fungus. Always use personal, sterilised nail care tools, and be consistent with antifungal treatments.
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Topical treatments
There are a variety of topical treatments available, both over-the-counter and by prescription. Over-the-counter antifungal creams, gels, sprays, and patches can be purchased at drugstores or online without a prescription. These include clotrimazole (Lotrimin) and terbinafine (Lamisil). Prescription-strength antifungal creams may also be prescribed by a doctor. It is important to note that over-the-counter products designed for athlete's foot are typically not effective in treating toenail fungus.
In addition to commercial products, there are several home remedies that can be used as topical treatments. These include tea tree oil, eucalyptus oil, ozonized sunflower oil, baking soda, and Vicks VapoRub. Tea tree oil and eucalyptus oil have antifungal properties and have been found to be as effective as some over-the-counter and prescription treatments. A paste made of baking soda and water can be applied directly to the affected nail and left to sit for at least 10 minutes before rinsing. Vicks VapoRub, while designed for cough suppression, has active ingredients such as camphor and eucalyptus oil that may help treat toenail fungus.
It is important to consult a doctor or podiatrist if you have any underlying health conditions, such as diabetes, an immune disorder, or poor circulation, before starting any treatment. They can advise on the most suitable treatment plan and provide prescription medications if necessary.
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Laser treatment
Toenail fungus, or onychomycosis, is a fungal infection that affects the nail bed, nail plate, and surrounding skin. It causes the nail to thicken, separate, become distorted, and discoloured, and can even cause the nail to crumble away. It thrives in damp, dark places and feeds on keratin, the material that makes up nails, hair, and eyelashes.
During the procedure, a powerful laser is directed at the toenail and penetrates through to reach the fungal infection underneath. It is believed that the light is absorbed by the fungus, causing damage or death to the fungus cells. The treatment typically takes about 30 minutes, and most people do not feel any discomfort or require any recovery time. Results may take a few months to appear as you will need to wait for your nails to grow out.
Before undergoing laser treatment, it is important to consult with a board-certified dermatologist or podiatrist who has experience in performing this procedure. They will examine your infection, discuss your goals, and explain what to expect from the treatment. It may be recommended to use topical creams or antifungal treatments in conjunction with the laser therapy.
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Maintaining good foot hygiene
Wash your feet regularly with soap and water, especially after swimming or engaging in activities that cause sweating. Ensure you dry your feet thoroughly, paying extra attention to the areas between your toes. Moisture can create an inviting environment for fungi to thrive, so keeping your feet clean and dry is crucial.
When trimming your toenails, cut them straight across instead of rounding the corners. This simple practice helps prevent ingrown toenails and reduces the risk of nail damage, making it less susceptible to fungal infections.
Avoid covering discolored or infected nails with nail polish. Nails need to "'breathe,"' and applying polish can trap moisture and create an ideal environment for fungi to flourish. Instead, focus on keeping your nails bare, clean, and dry.
Disinfect your nail clippers and home pedicure tools regularly. If you visit a salon for pedicures, ensure they maintain proper disinfection procedures. Additionally, always wash and dry your feet when you return home to minimize the chances of transferring any fungi that may be present in the salon environment.
Lastly, take extra precautions in communal areas such as public showers, locker rooms, and swimming pools. Avoid going barefoot in these places as most people pick up fungi from damp surfaces. Wear flip-flops or shower shoes to create a protective barrier and reduce direct contact with potentially contaminated floors.
By following these foot hygiene practices, you can significantly reduce the chances of toenail fungus and maintain healthy and happy feet.
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Frequently asked questions
Toenail fungus is a common issue that can cause thickening, distortion, and permanent damage to the nail. It thrives in damp, sweaty environments and can be spread by sharing shoes or nail instruments.
Treatment options include topical ointments, oral antifungal medications, and surgical removal in severe cases. It is important to follow your doctor's instructions for wound care after surgical removal to prevent infection and promote healing.
Maintaining good foot hygiene and preventive measures can reduce the chances of recurrence. This includes washing your feet with soap and water, drying them thoroughly, especially between the toes, and trimming your toenails straight across.
Surgical toenail removal is typically a last resort when other treatments have failed. It may be recommended by a podiatrist in severe cases where a significant portion of the nail is diseased or causing severe pain.
