Nail fungus is a common infection of the nail. It begins as a white or yellow-brown spot under the tip of your fingernail or toenail. As the fungal infection goes deeper, the nail may discolor, thicken and crumble at the edge. Nail fungus can affect several nails.
If the treatment is working, you should see a new healthy nail start to grow from the base of nail over the course of a few months. The old infected nail should begin to grow out and can be gradually clipped away. Antifungal treatments are thought to be effective in treating about 60 to 80% of fungal nail infections.
The toenail might slowly start getting less and less yellow, white, black, or brown. Additionally, another important sign to look for is the diminishing thickness of the toenail. Lastly, a sign that a case of toenail fungus is dying is that a new nail is growing in a healthy state.
If your nail gets brittle and breaks easily, it's a sign the fungal infection is changing the composition of the nail. If it becomes soft and chalky and starts to crumble away, the infection is starting to become severe.
If toenail fungus is left untreated, it can spread to the surrounding skin on the foot, causing another condition known as athlete's foot. An athlete's foot is a condition resulting in itchy, red, and cracked skin, which can become very uncomfortable.
Studies show that taking antifungal pills and applying medicine to your nails can be more effective than using either treatment alone. Nail removal: If you have a severe infection or other treatments just don't work, your dermatologist may recommend removing the nail(s) to get rid of the infection.
Fungal nail infections typically don't go away on their own, and the best treatment is usually prescription antifungal pills taken by mouth. In severe cases, a healthcare professional might remove the nail completely. It can take several months to a year for the infection to go away.
The fastest way to eliminate the infection is through toenail laser treatment. Laser nail therapy specifically targets the microorganisms under your nail while leaving the keratin intact. In just a few treatments, the infection can be entirely eliminated.
If a toenail fungus spreads to the skin and causes it to crack, bacteria can get in. This may cause cellulitis, a condition that produces swollen, red, tender skin and must be treated with antibiotics, according to the U.S. National Library of Medicine.
“Applying Vicks VapoRub to fungus-infected toenails can clear up the notoriously hard-to-treat condition. Michigan State University clinicians found that applying the product daily to the infected nail cleared the condition in 32 of 85 patients, though it took anywhere from 5 to 16 months…”
Vicks Vaporub softens and lightens toenails. This makes it look like the fungus is being treated. Vicks may have some antifungal qualities, but it is unable to penetrate the toenail well enough to cure the infection. Many topical antifungal medications have this issue.
Later Stage Toenail Fungus
In the final stage, the infected nail (or nails) will turn very thick and brittle and may begin to detach from the nail bed. In severe cases, the fungal infection can spread to the surrounding skin and nails.
When to see a doctor. You may want to see a health care provider if self-care steps haven't helped and the nail becomes increasingly discolored, thickened or misshapen. Also talk with your health care provider if you have: Diabetes and think you're developing nail fungus.
The best type of vinegar to treat toenail fungus is apple cider vinegar, a very acidic and strong solution that destroys toenail fungus at the source. To take full advantage of this, mix one cup of apple cider vinegar with at least 2 cups of water – this will dilute the vinegar so that it won't burn your skin.
What causes nail fungus? Tiny, microscopic organisms called fungi (the plural of fungus) cause a fungal nail infection. Many people pick up the fungi when they have skin-to-skin contact with someone who has a fungal infection such as athlete's foot or ringworm on their hands.
As the infection progresses, nails will often become thickened, crumbly and malformed. Although the fungus affects the appearance of the nails, it actually lives on the layer directly beneath the toenail. That's why it's so difficult to treat.
You can develop foot fungus with a healthy immune system, but your odds go up, especially of getting chronic or severe foot fungal infections, if your immune system is weaker. This is because your body has a more difficult time fighting off fungal spores and preventing them from developing into an infection.
Conditions That May Look Like Toenail Fungus
Several health conditions can affect the appearance of your toenails and may be mistaken for toenail fungus. Psoriasis Psoriasis can cause red, scaly patches on the skin. More than half of people with skin psoriasis also have it on their nails.
People with toenail fungus are at a higher risk of developing other fungal infections—including those that affect the heart. Toenail fungus can sneak up on you—especially if you're immunocompromised or have preexisting health conditions.
The best pill for toenail fungus is terbinafine. Evidence suggests it works better than the alternatives with the fewest side effects. Terbinafine results in resolution of toenail fungus 76% of the time.
When used topically, tea tree oil is believed to be antibacterial. Tea tree oil is commonly used to treat acne, athlete's foot, lice, nail fungus and insect bites.
A warm salt water bath will help relieve itching caused by a fungal infection.
The wound should heal within a few weeks. Fingernails may take 6 months to grow back. Toenails may take 12 to 18 months to grow back.
There are several risk factors for developing nail fungus: tight shoes; damaged nails; walking barefoot in moist areas like swimming pools, saunas, and public showers; poor blood circulation in your legs; a weakened immune system; and other skin conditions, such as psoriasis.