Fungal Nails Won’t Go Away? Here’s a Smarter Way to Treat Them

If you've been struggling with fungal nails, you're not alone. At Foot & Ankle Associates of Southern NH in Derry, New Hampshire, we understand how persistent and frustrating this condition can be. Fungal nail infections, also known as onychomycosis, can cause discoloration, thickening, and even separation of the nail from the nail bed. If these symptoms resonate with you, let’s explore the underlying causes, effective treatments, and tips for prevention.

What Causes Fungal Nails?

Fungal nails are typically caused by dermatophytes, a group of fungi that thrive in warm and moist environments. Here are some key factors that contribute to the development of this condition:

• Warm, Moist Conditions: Fungi flourish in damp environments, so wearing damp socks or shoes can increase your risk.
• Injured Nails: Nail injuries can make it easier for fungi to invade the nail bed.
• Diabetes and Circulatory Problems: Individuals with diabetes or poor circulation are more susceptible to fungal infections.
• Weakened Immune System: Conditions that compromise the immune system can increase the likelihood of developing fungal nails.
• Poor Foot Hygiene: Infrequent washing and drying of feet can lead to fungal growth.

How Can I Treat Fungal Nails Effectively?

Treating fungal nails can be challenging, but several options include:

1. Topical Antifungal Treatments

Over-the-counter antifungal nail lacquers and creams can be effective for mild cases of fungal nails. Ingredients like clotrimazole and terbinafine are common. However, consistency is crucial—these treatments may require months of daily application.

2. Oral Antifungal Medications

For moderate to severe cases, prescription oral antifungals such as terbinafine or itraconazole may be necessary. These medications help clear the infection from the inside out but can have potential side effects, so your doctor will closely monitor your health while you take them.

3. Laser Therapy

Innovative laser treatments have emerged as a promising option for treating stubborn fungal nails. By targeting the fungi with focused light, lasers diminish the infection without damaging surrounding tissues. Clinical studies have shown encouraging results with this method, making it a potentially ideal choice for many patients.

4. Nail Debridement

This procedure involves trimming and thinning the infected nail to improve the effectiveness of topical treatments. Board-certified podiatrists, such as those at Foot & Ankle Associates of Southern NH, can perform this safely and effectively.

5. Surgical Removal

In chronic or particularly severe cases, surgical removal of the infected nail might be necessary. While this is more invasive, it can provide immediate relief and allow for new, healthy nail growth.

What Can I Do to Prevent Fungal Nails?

Preventing fungal nail infections involves practicing good foot hygiene and making some lifestyle changes, including:

• Keep Feet Dry: Ensure your feet are dried thoroughly after bathing.
• Wear Breathable Shoes: Choose shoes made of breathable materials to reduce moisture accumulation.
• Change Socks Regularly: If your socks become damp, change them immediately to keep feet dry.
• Avoid Walking Barefoot in Public Places: Use flip-flops in communal showers or locker rooms.
• Regular Nail Care: Keep nails trimmed and file down thickened areas to prevent fungal growth.

When Should I See a Podiatrist?

If the appearance of your nails is changing or you're experiencing discomfort, it's essential to schedule an appointment with a qualified podiatrist. Early intervention can prevent the infection from worsening and reduce the risk of complications, especially if you're diabetic or have any underlying health issues.

FAQs about Fungal Nails

• Can I treat fungal nails with home remedies? While some home remedies may help, they are generally less effective than professional treatments. Consult a podiatrist for reliable options.
• How long does treatment for fungal nails take? Treatment duration varies; topical treatments might take up to 12 months, while oral medications usually require 6-12 weeks.
• Is fungal nail infection contagious? Fungal infections can spread through direct contact or by sharing shoes and nail clippers, so it's best to maintain proper hygiene.
• What if my treatment isn’t working? If your current treatment isn’t effective, consult us at Foot & Ankle Associates of Southern NH to discuss alternative options.
• Are there any side effects to oral antifungals? Yes, potential side effects may include liver damage and skin reactions. Doctor supervision is essential during treatment.

At Foot & Ankle Associates of Southern NH, we specialize in diagnosing and treating various foot conditions, including stubborn fungal nails. If your fungal nails won’t go away, don't hesitate to reach out for expert advice tailored to your needs.

Schedule an appointment today and take the first step toward healthier, fungal-free nails.