You'll know that the medication is working and the toenail fungus is dying when your toenail changes back to its natural color, decreases in thickness, shows healthy new growth, and you see a clear delineation between the infected part of the toenail and your new nail growth.
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.
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.
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.
Anytime you think you have a fungal nail infection or any nail problem, and treating it at home doesn't help, see your doctor or podiatrist (foot doctor). The sooner you go, the sooner your doctor can help. Fungal nail infections can get worse over time.
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.
With laser therapy, topical medications, and oral antifungals in our arsenal, we almost never have to actually remove toenails to treat a fungal infection. It does still remain a rare possibility, however, if the case is extreme or continues to come back.
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.
“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…”
Best Overall
We chose the Lamisil Terbinafine Hydrochloride AntiFungal Cream as our top pick because it works to address a variety of infections, including toenail fungus. The prescription-strength cream comes highly recommended by Dr. Lipner because it can treat athlete's foot before it spreads to the toenails.
White Toenail Fungus
If the toenail fungus progresses, it can go deeper into the nail, causing discoloration, thick white stuff under the toenail (keratin debris), nail thickening and crumbling, and even transmission to surrounding nails.
One of the first signs that you may lose your toenail is the darkening of the toenail due to blood collecting underneath. Eventually, the toenail may separate from the nail bed and become uncomfortable before it finally falls off. Do not rip off the toenail or tear off the piece that is detaching.
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. Your nails are made up of keratin, a tough, fibrous protein. The same hard shell that protects your toes is giving shelter to the 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.
Soaking your feet and toes in a bath containing Epsom salts can help dry out fungal infections by killing fungal spores. Add 1–2 cups of Epsom salt to a footbath of warm water and soak for 30 minutes. Alternatively, you can add 2 tablespoons of Epsom salt to 2 cups of water and soak a cotton ball in it.
Treatment usually begins with your dermatologist trimming your infected nail(s), cutting back each infected nail to the place where it attaches to your finger or toe. Your dermatologist may also scrape away debris under the nail. This helps get rid of some fungus.
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.
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.
In rare cases, toenail fungus can cause an infection called cellulitis. Without prompt treatment, cellulitis may pose a serious danger to your health.
Treatment in these situations usually involves the topical medications mentioned earlier, as well as an oral antifungal drug, such as terbinafine or itraconazole. These drugs help a new nail grow free of infection, slowly replacing the infected part. You typically take this type of drug for six to 12 weeks.
Yes! The newer prescription topical antifungal medications do penetrate nail polish. You will get the best result if you start applying the medication without nail polish for a while. Then, you can begin wearing nail polish while using the topical medications.
A warm salt water bath will help relieve itching caused by a fungal infection.
Apple Cider Vinegar and Epsom Salt
Mix and soak your toes/feet for at least 30 minutes every day. Apple cider vinegar is also a good supplement to take internally for overall health and to promote healing of fungus and bacteria from the inside out.