FUNGAL TOENAILS

Toenail fungus is one of the most common nail problems we see in podiatry. It often starts small, maybe just a white or yellow spot near the tip of the nail, and slowly worsens over time. As the fungus spreads beneath the nail, it can cause the nail to become thick, brittle, discolored, and difficult to trim.

Fungal toenails may not always hurt at first, but they can become painful, embarrassing, and even lead to secondary infections if ignored. People with diabetes, circulation issues, or weakened immune systems are especially at risk, which makes treatment and prevention even more important.

What Causes Toenail Fungus?

Toenail fungus thrives in warm, moist environments such as:

  • Sweaty shoes or socks

  • Locker rooms, public showers, and pool areas

  • Nail salons with improper sterilization

  • Repeated trauma to the toenails (like running or tight shoes)

Signs & Symptoms of Toenail Fungus

You may have a fungal toenail infection if you notice:

  • Nails that are yellow, brown, or white

  • Nails that become thick, brittle, or crumbly

  • Nails that lift or separate from the nail bed

  • A foul odor from the nail

  • Pain, irritation, or difficulty trimming the nail

How We Treat Fungal Toenails?

Toenails grow slowly, so visible improvement can take several months as new, healthy nail replaces the old infected nail. Consistency is key! Skipping treatment often leads to recurrence

TOPICAL ANTI-FUNGAL SOLUTIONS

Applied directly to the nail to target surface fungus

ORAL ANTI-FUNGAL THERAPY

Work from the inside out to fight fungus more aggressively

DEBRIDMENT / DEBULKING

Helps reduce thickness and discomfort while treatment takes effect.

LIFESTYLE GUIDANCE & AT-HOME SUPPORT

Along with medical treatment, daily habits and proper foot care play a big role in clearing fungal nails and preventing reinfection:

  • Foot hygiene – wash feet daily, dry thoroughly (especially between toes).

  • Moisture control – wear breathable shoes and moisture-wicking socks; rotate shoes to allow them to dry completely.

  • Antifungal sprays/powders – use inside shoes and on feet to reduce fungal growth.

  • Disinfection – consider UV shoe sanitizers or antifungal shoe sprays to kill spores inside footwear.

  • Nail care – trim nails straight across, avoid salon pedicures that don’t sterilize instruments.

  • Over-the-counter support – certain medicated nail solutions, antifungal creams, or foot soaks may help alongside podiatry care.

Frequently Asked Questions About Toenail Fungus

  • Yes. Toenail fungus can spread from person to person or even from one toe to another. It thrives in warm, damp environments like locker rooms, pools, and shared showers. That’s why it’s important to wear shower shoes, avoid sharing nail clippers, and disinfect footwear regularly.

  • Toenails grow slowly, so visible improvement can take several months. While some patients notice changes in a few weeks, full clearing often requires patience as a new, healthy nail grows out to replace the damaged portion.

  • Unfortunately, toenail fungus rarely clears without treatment. In fact, it often worsens over time, leading to thicker, more brittle, and painful nails if left untreated. Early treatment provides the best results.

  • Good foot hygiene is key. Wash and dry your feet daily, wear moisture-wicking socks, rotate your shoes, and use antifungal sprays or powders. Disinfect your nail clippers and avoid barefoot walking in public places like locker rooms or pools.

  • Most insurance plans cover visits and exams related to toenail fungus since it is a medical condition.

Disclaimer: The information on this website is for educational purposes only and should not replace professional medical advice, diagnosis, or treatment. Always consult your doctor with any questions about your health.