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Nail Fungus

in Holly Springs, NC

Toenail fungus is
4 times more
common than fingernail fungus
Nail fungus thrives
in warm, moist
, dark environments
Athletes & older patients
are at higher risk
for nail fungus
Nail fungus makes up
50% of nail
disorders and is very common

What is nail fungus?

Nail fungus is a fungal infection that develops under the body’s nails and is more common in toenails than in fingernails. This is because the feet are covered by shoes, which create the optimal environment for the growth of fungi.

The fungi that cause the development of nail fungus are called dermatophytes, which are microscopic organisms that thrive in warm, moist environments. Yeasts and mold are other, though less prominent, causes of nail fungus.

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What does nail fungus look like?

Nail fungus symptoms are usually easy to detect and include:

  • Debris beneath the nail
  • Spots under the nail, usually white or yellow
  • Darkening of the nail
  • Odor from the affected nail
  • Thickening nail
  • Pain in the nail

While these are common symptoms of nail fungus, not all nail problems are fungal. Conditions like psoriasis or trauma can mimic fungal infections. A dermatologist will examine the nail and may perform a lab test (e.g., nail scraping or culture) to confirm the presence of fungus.

What causes nail fungus?

Nail fungus has no ethnic, geographic or gender preference. It is generally contracted by people who walk barefoot in moist or wet areas such as swimming pools, locker rooms, showers, and other similar environments. Nail fungus can also be contracted at a nail salon if proper procedures are not followed. An injury to the nail can exacerbate the problem by providing the fungus with an easier entry point to the nail bed.

Excessive foot sweating inside closed-toe shoes creates the perfect warm, dark, and damp environment for fungi to grow. Others at risk for nail fungus include diabetics and those with circulatory problems.

How do you treat nail fungus?

Left untreated, nail fungus can worsen, leading to permanent nail damage or spreading to other nails or skin. Early intervention by a dermatologist improves treatment success rates and can help patients regain healthy, clear nails faster. Based on your case, your dermatologist may prescribe an oral medication, topical treatment, or a combination of both.
Contrary to what logic may dictate, a topical application to the fungal area is not always the first recommended option. Instead, your dermatologist may opt for an oral antifungal medication with proven effectiveness, such as terbinafine or itraconazole. Topical medications may be recommended; however, they are usually used in conjunction with an oral medication.

In cases of severe nail fungus, surgery may be in order. The chief indications for surgery include severe nail pain or nail fungus that has not responded to other treatment. Your Forefront dermatologist will make a diagnosis and discuss all treatment options with you.

Concerned about nail fungus symptoms? Find a Forefront location near you today.

1 Location in the Holly Springs, NC area

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