Embedded Files
Fungal nails, medically known as onychomycosis, are a frequent issue we encounter in podiatry. This condition arises when fungi infect the toenail and surrounding skin, typically beginning in the nail bed or underneath the nail plate. The infection can lead to discoloration, thickening, brittleness, and distortion of the toenail. Treatment may vary depending on the severity of the infection.
MANAGING FUNGAL NAILS
One common frustration with topical treatments for fungal nails is their limited effectiveness due to the infection’s depth within the nail bed and the challenge of maintaining compliance over a prolonged treatment period. Depending on the severity, your podiatrist may employ various approaches to manage the condition. Often, treatment options are combined to enhance effectiveness.
FUNGAL NAILS TREATMENT OPTIONS
Extensive nail filing and debridement
Filing or debriding the nail helps to remove the thickened, infected layers of nail tissue where fungi thrive, making it easier for antifungal treatments to penetrate and reach the source of the infection. By reducing the thickness of the nail, topical antifungal medications can be more effective because they can better penetrate the nail bed and target the fungus directly.
Photodynamic Light Therapy (PACT)
Photodynamic light therapy for fungal nails involves using a combination of light and a photosensitizing agent to treat fungal infections. This method works by applying a photosensitizer to the affected nails, which is then activated by a specific wavelength of light. The activated photosensitizer generates reactive oxygen species that target and destroy the fungal organisms. PACT treatments typically require multiple sessions to be effective. After treatment, it's important to maintain good foot hygiene and nail care to prevent reinfection.
✔️ Pain-free
✔️ Do not need local anaesthesia
✔️ No downtime
✔️ Able to resume normal activities immediately after each session
Total Nail Avulsion
In severe cases of fungal nail infection, total nail removal may be necessary to fully expose the infected area. After the nail is removed, additional in-clinic treatments can be applied to enhance effectiveness and ensure better results.
Frequently Asked Questions
How long does it take for a fungal toenail to improve with treatment?
How long does it take for a fungal toenail to improve with treatment?
Improvement can take several months, as toenails grow slowly. Depending on the rate of growth, it may take 6 to 12 months to show noticeable results.
Why have I not responded to topical treatments for my fungal toenails?
Why have I not responded to topical treatments for my fungal toenails?
Topical treatments can be effective, but they are often less successful on their own, especially for deep or severe infections. The fungus may be deeply embedded in the nail bed, making it difficult for topical treatments to penetrate. If the infection persists, it is recommended to see a podiatrist for advice and management.
Can fungal toenail infections come back after treatment?
Can fungal toenail infections come back after treatment?
Yes, fungal infections can recur, particularly if proper foot hygiene isn’t maintained or if you're exposed to fungus again in warm, moist environments. Ongoing care and preventive measures are important to reduce the risk of reinfection.
Can I continue to wear nail polish during treatment?
Can I continue to wear nail polish during treatment?
It's generally recommended to avoid nail polish during treatment, as it can interfere with the effectiveness and penetration of topical antifungal treatments.
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