Toenail fungal infection
Caring for a toenail fungal infection is a combination of good hygiene practices, topical treatments, and sometimes, medical intervention.
Main podiatrist toenail fungal infection treatment options include:
- Lacuna method of puncturing holes in the nails
- Laser Treatment
- Total nail removal and application of antifungal
- Terbinafine oral tablets
- Total nail removal
Here are some important steps to follow to obtain the best results with any fungal toenail treatment:
1. Keep Your Feet Clean and Dry:
- Wash your feet regularly with anti-fungal soap and water, paying special attention to the affected toenails. We recommend Defence Soap
- Dry your feet thoroughly, including between the toes. Apply methylated spirits or antifungal solution if needed
- If you have very sweaty feet (hyperhidrosis) we recommend regular footbaths using potassium permanganate crystals every 3 days
- Trim your toenails cutting away any area that is not attached to the nail bed
- Use clean and sanitized nail clippers.
- Keeping nails trimmed helps avoid more damage to the nail
- Avoid using nail polishes
3. Antifungal Medications:
- Over-the-counter terbinafine sprays can be applied to the affected toenail. We recommend Lamasil.
- Applying antifungal (terbinafine) creams around the rest of the foot following product instructions
4. Footwear rules for toenail fungal infection:
- Wear breathable footwear to reduce moisture and create an environment less conducive to fungal growth.
- Change socks regularly, especially if they become damp. Make sure they are good breathable socks
- Avoid walking barefoot / thongs / open shoes in public places where the risk of infection is higher.
- Clean your footwear regularly using cold water and antiseptic/antifungal wash such as Canesten wash
- Let your shoes dry out each time before putting them on
- Avoid being barefoot in enclosed shoes.
- Always wear clean socks.
- Make sure they are good breathable socks that contain antimicrobials. We recommend lightfeet
- Make sure you have laced-up shoes with a finger width between the end of your longest toe and the end of the shoe. Should be measured when standing.
5. Patience and Persistence:
- Nail fungal infection can take time to resolve. Be patient and consistent with your care routine. To see maximum effect you should be following treatment for 6-12 months.
6. Nail Damage:
- It’s important to note that fungal infections can cause irreversible damage to the toenail. Once the fungal infection has gone it may still not look 100% better.No treatment is guaranteed.
7. Your Health:
- Your medical history has a big impact on your feet and your nails. Make sure you have regular blood tests and stay on top of your health.
- Exercise regularly to maintain good blood flow to your feet and legs
- Maintain a good diet to help keep your immune system at its best.
- A reduced immune system, poor blood flow and a big medical history will reduce the results of treatment.