Understanding Fungal Nails – Causes, Prevention, and Treatment
As podiatrists, we often see patients concerned about thickened, discoloured, or brittle toenails. In many cases, these changes are caused by onychomycosis – a fungal infection of the nail. Fungal nails are not only a cosmetic concern; if left untreated, they can become uncomfortable, spread to other nails, and make walking or wearing shoes more difficult.
What Causes Fungal Nails?
Fungal nail infections often start with tinea pedis (athlete’s foot), a fungal skin infection that can spread from the skin to the nail. The fungus thrives in warm, moist environments, which is why activities such as using public swimming pools, communal showers, and change rooms can increase the risk of infection. Sharing nail clippers or wearing occlusive footwear for long periods can also contribute to the spread.
The fungus enters the nail through tiny cracks or separations, and because toenails grow slowly, the infection can be stubborn and persistent. People with reduced immunity, diabetes, or poor circulation are at higher risk.
How Podiatrists Can Help
At your podiatry appointment, we will first confirm whether your nail changes are caused by fungus, as other conditions can mimic its appearance. Once diagnosed, we can offer a tailored treatment plan that may include:
- Routine Nail Reduction– Using specialised instruments, we can safely thin and reduce the bulk of thickened nails. This not only improves comfort but also enhances the effectiveness of topical treatments by allowing antifungal medication to penetrate the nail more easily.
- Advice on Antifungal Treatments– We can recommend and guide you on the use of topical antifungal solutions or discuss the option of oral medication through your GP if appropriate.
- Prevention Strategies– This includes tips such as keeping feet dry, changing socks daily, disinfecting footwear, and wearing thongs in public showers or pool areas.
Early Action Is Key
Fungal nail infections rarely clear without treatment, and the longer the infection is present, the harder it is to eliminate. By addressing the issue early and following a consistent treatment plan, you can restore healthier, clearer nails and reduce the risk of reinfection.
If you are noticing changes to your toenails, book an appointment with Kirrilee – she’s here to help you put your best foot forward.
