
Toenail fungus is a common condition that causes the nail to thicken, discolour and become fragile. It is caused by fungal organisms that thrive in warm, dark, and moist environments, such as sweaty shoes and socks. The infection can spread to other nails and, in some cases, may require surgical removal of the nail. However, even after surgical removal, the nail usually grows back within a year, although it may grow back thickened. While the nail is growing back, antifungal treatments such as creams, gels, sprays, and patches can be used to prevent further infection.
| Characteristics | Values |
|---|---|
| Will the toenail grow back after a fungal infection? | Yes, a new nail usually grows back after a fungal infection, but it might take a year or longer. |
| Toenail removal | Toenail removal may be recommended if the toenail is thickened and painful. |
| Treatment during toenail regrowth | Doctors will likely recommend a cream or other treatment to be applied to the nail bed to prevent further infection. |
| Preventing fungal infections | Preventative measures include disinfecting shoes, rotating shoes, choosing breathable fabrics for socks and shoes, keeping toenails neatly trimmed, and avoiding excessive nail polish. |
| Treatment options | Treatment options include antifungal creams, gels, sprays, patches, and tablets. Natural remedies such as vinegar, baking soda, and tea tree oil have shown mixed results. |
| Fungal nail infection characteristics | Nail becomes thick, discolored, and fragile, with white, brown, or yellow spots. |
| Cause of fungal nail infections | Fungal nail infections are caused by fungi that thrive in warm, dark, and moist environments, such as sweaty shoes and communal spaces like pool decks and locker rooms. |
| Recurrence of fungal infections | Incomplete or ineffective prior treatment can lead to the recurrence of fungal infections. Fungi can remain in shoes and infect the same nails repeatedly. |
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What You'll Learn

Toenail removal
Toenail fungus, or onychomycosis, is a common condition that results in thickened, discoloured, and fragile nails. It is caused by fungal organisms that thrive in warm, dark, and moist environments, such as sweaty shoes and communal spaces like pool decks and locker rooms. While there are various treatments available, such as antifungal creams, gels, and oral medications, some cases may require toenail removal.
Exposing the nail bed through toenail removal allows topical medications to penetrate the area more effectively. However, there is a possibility that the nail may grow back thickened. In rare cases, permanent nail removal may be considered depending on the patient's circumstances.
After toenail removal, it can take up to a year or more for the nail to grow back completely. During this time, your doctor will likely prescribe a cream or other treatment to prevent fungal infections and promote healthy nail growth. It is important to follow your doctor's instructions and continue the recommended treatment until advised to stop.
To prevent fungal nail infections, it is crucial to maintain good foot hygiene, keep your feet and nails clean and dry, and avoid walking barefoot in communal areas. Additionally, disinfecting shoes, rotating their use, and choosing breathable footwear can help create an unfavourable environment for fungi.
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Antifungal treatments
Toenail fungus, or onychomycosis, is a common condition that results in unsightly white, brown, or yellow spots on the toenail. Over time, the nail may thicken and even start to lift from the toe. Fungal toenail infections do not go away on their own, and if left untreated, they can worsen, causing pain and spreading to other nails or the rest of the body.
There are several antifungal treatment options available for toenail fungus, ranging from over-the-counter remedies to prescription medications and surgical procedures:
Topical Antifungals
Topical antifungals are creams, gels, sprays, or patches that are applied directly to the affected nail. These include clotrimazole (Lotrimin) and terbinafine (Lamisil). While these treatments are easily accessible without a prescription, they are most effective for mild toenail fungus and may take months to show results. It is important to follow the recommended instructions, such as trimming and filing the nails, soaking them in water, and drying them before applying the medication.
Prescription Topical Antifungals
For more severe or persistent infections, a dermatologist or podiatrist may prescribe stronger topical antifungals. These medications can be applied directly to the nails or used as a nail lacquer. Prescription topical antifungals have a higher success rate and are often effective in treating mild to moderate toenail fungus. In some cases, doctors may temporarily remove or thin the infected nail to enhance the penetration of the medication into the nail bed.
Oral Antifungal Medication
For more serious or difficult-to-treat infections, oral antifungal medication may be prescribed. Examples include fluconazole and terbinafine. These medications are taken by mouth and have a higher success rate than topical treatments, usually clearing infections within two to three months. Oral antifungals work faster than topical treatments, but they may still require some time to completely eliminate toenail fungus.
Surgical Nail Removal
In rare cases, if other treatments are ineffective or the patient is experiencing significant pain, a doctor may recommend surgical removal of the infected nail. This procedure exposes the nail bed, allowing topical medications to penetrate more effectively as the new nail grows back. Surgical nail removal is typically performed in the doctor's office or clinic and does not require hospitalization. The regrowth of the nail can take more than a year, and there is a possibility that the new nail may also thicken.
It is important to consult a healthcare provider, such as a dermatologist or podiatrist, to determine the most appropriate treatment option for toenail fungus. While over-the-counter remedies are accessible, they may not always be strong enough to eradicate the infection completely. With proper treatment and patience, it is possible for a healthy toenail to grow back after a fungal infection.
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Natural remedies
Toenail fungus, or onychomycosis, is a common fungal infection characterised by white, brown, or yellow discolouration of the toenails. It may spread and cause the nails to thicken or crack. While there are prescription medications available to treat toenail fungus, natural remedies are also an option. However, it is important to note that home remedies may only treat the symptoms rather than the infection itself. Here are some natural remedies that you can try:
Tea Tree Oil
Tea tree oil is derived from the leaves of the tea tree, a plant native to Australia. It has been traditionally used as an antiseptic and has been studied for its effectiveness in treating skin conditions like acne. In one study, tea tree oil, when applied twice daily for six months, showed cure rates comparable to those of the cream clotrimazole. However, another study found no improvement with tea tree oil treatment, but it only lasted for eight weeks, so more time may be needed to see results.
Vicks VapoRub
Vicks VapoRub is a topical ointment typically used for cough suppression. Its active ingredients, camphor, eucalyptus oil, and menthol, possess antifungal properties. A 2011 study found that Vicks VapoRub had a positive clinical effect in treating toenail fungus, and these findings were confirmed by a 2016 study on individuals living with HIV. To use Vicks VapoRub for toenail fungus, apply a small amount to the affected area at least once daily.
Baking Soda
Baking soda has been found to be effective in preventing and reducing fungal growth. One small study showed that treating nail samples with baking soda stopped fungal growth in 79% of cases and reduced it in 17% of cases after seven days of treatment. You can create a foot soak with baking soda, make a paste to apply directly to the toe, or simply sprinkle it on your feet to absorb moisture.
Apple Cider Vinegar
Apple cider vinegar has antifungal properties, but there is a lack of research specifically on its effectiveness in treating toenail fungus. If you wish to try it, mix one part apple cider vinegar with three parts warm water and soak your feet for at least 10 minutes, with longer soaks being more beneficial.
It is important to remember that while these natural remedies may provide relief, they may not be as effective as prescription medications, and it may take longer to see results. If you suspect you have toenail fungus, it is recommended to consult with a doctor or healthcare professional to determine the best course of treatment.
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Preventative measures
Toenail fungus is a common condition, characterised by white, brown, or yellow spots on the toenail. Over time, the nail may thicken and lift from the toe. Fungal infections occur in warm, moist environments, such as sweaty shoes or wet pool decks. While it is not a serious infection, it can take a long time to treat—up to 12 to 18 months for a toenail to grow out completely.
- Keep your feet clean and dry: Wash your feet regularly and dry them thoroughly, especially between the toes, as fungi thrive in warm, moist environments.
- Wear appropriate footwear: Avoid walking barefoot in communal areas like pools, showers, and gyms, where fungal infections can spread from person to person. Wear shoes or sandals that protect your feet from direct contact with potentially contaminated surfaces.
- Practise good nail hygiene: Cut your nails straight across and file them regularly to keep them short and even. Avoid sharing nail clippers or files with others to reduce the risk of spreading an infection.
- Choose breathable shoes: Opt for shoes made of breathable materials, such as canvas or leather, to allow proper air circulation and prevent excessive sweating.
- Change socks regularly: If you tend to sweat a lot, change your socks frequently throughout the day to keep your feet dry and reduce moisture build-up in your shoes.
- Treat fungal infections promptly: If you notice any signs of a fungal infection, such as discolouration or thickening of the nail, seek treatment early. Over-the-counter antifungal creams, gels, sprays, and patches are available and can be effective for mild cases. For more severe infections, consult a doctor or pharmacist for prescription medication or other treatment options.
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Symptoms and diagnosis
A fungal nail infection usually affects the toenails, but it can also occur in the fingernails. It often starts at the edge of the nail, causing it to become thick, discoloured, and fragile. The nail may also develop cracks and holes, and it may crumble or break easily. In some cases, the whole nail can lift off or fall off, leading to swollen and painful skin underneath.
Fungal nail infections typically develop slowly and can spread to multiple nails. They are caused by a fungus that thrives in warm, dark, and moist environments, such as sweaty feet inside trainers or shoes. Walking barefoot in communal areas, such as showers and gyms, can also increase the risk of contracting a fungal nail infection.
If you suspect you have a fungal nail infection, it is recommended to consult a pharmacist or healthcare provider. They can diagnose the condition by examining the nail and discussing your symptoms with you. In some cases, they may take a sample of your nail for testing to determine the specific type of fungal infection.
Before starting treatment, your healthcare provider may perform a blood test to check your liver function, especially if you are prescribed antifungal tablets. Badly infected nails may require removal under local anaesthesia to expose the nail bed for more effective topical treatment. However, even with treatment, the nail may grow back thickened, and further options may need to be considered.
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Frequently asked questions
Yes, a new nail usually grows back after a fungal infection, but it might take up to a year or longer.
A toenail fungal infection often causes the nail to become thick, discoloured (white, brown, or yellow), and fragile. It may also lift from the toe and crumble or break easily.
There are various treatment options for toenail fungal infections, including antifungal creams, gels, sprays, patches, and tablets. In severe cases, toenail removal may be recommended, followed by the application of topical medications on the nail bed.
To prevent a toenail fungal infection from returning, it is important to complete the full course of prescribed medication. Additionally, maintaining good foot hygiene, wearing breathable shoes and socks, and disinfecting footwear can help reduce the chances of recurrence.











































