Nail Anatomy And Onychomycosis Infection
Figure 1 shows the composition of the nail, including the nail plate , nail bed and nail matrix.
Figure 1: Nail anatomy and physiology
The nail plate and nail bed are joined by layers of hard, translucent, keratinised cells. The nail bed and nail matrix are vascular components of the nail, with nail cells located within the nail matrix where the nail plate is formed. The thickness of the nail plate determines the length of the matrix
- Apply cosmetic nail varnishes or artificial nails
- Walk without footwear in public areas
- Cut nails too short.
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What Is A Fungal Nail Infection
Facts You Should Know About Fungal Nail Infections
Half of all nail disorders are caused by onychomycosis, and it is the most common nail disease in adults. Toenails are much more likely to be infected than fingernails. The incidence of onychomycosis has been increasing and is associated with diabetes, a suppressed immune system, and increasing age. Adults, especially the elderly, are more likely to have onychomycosis than children.
Fungal nail infection is divided into subtypes. The main subtypes of onychomycosis are as follows:
- Distal lateral subungual onychomycosis
- Candidal onychomycosis
When To See A Doctor About Toenail Fungus
If you are experiencing persistent toenail fungus or pain is present, you may need to see a specialist. A dermatologist or podiatrist may be able to assess your symptoms and send a small sample of the affected toenail or flesh to a laboratory to be analyzed as there are various types of fungi and yeasts that cause onychomycosis. Knowing the specific cause of your foot fungus can help identify what route to take to treat your condition.
Nail changes can also be caused by underlying conditions, like psoriasis and diabetes, so its important to seek professional medical advice if your condition persists or worsens. Bacterial and fungal infection of skin in diabetes patients often result in hospital admissions, and in severe cases, can result in amputations. If you are at a higher risk for infection, you should skip home remedies and seek professional medical treatment.
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Why Does The Onychomycosis Fungus Attack Toenails And Fingernails
Even though fungal infections are not only limited to nail areas, there are other type of fungal infections as well, for example, fungal paronychia which is the inflammation of the tissue folds surrounding the nail. However, the most common areas for fungi to cause infection is still around fingernails and toenails, toenail holding the highest probability for infections, the reason behind this is easily understandable. The area surrounding our nails is prone to accumulate most of the dirt and bacteria that are not even visible to the naked eye. While we use our hands to touch everything throughout the day, from tying our shoe laces in the morning to holding doors and handles in the bus for support, then using the same hands to eat food, we dont even realize how many germs we consume in our body. Besides that, fungal infections are so easily transmittable from one person to another, while borrowing gloves from somebody else or getting a manicure/pedicure at the salon you might think you are getting your nails cleaned which is not the case always. So, it is advised to ask for clean healthy tools every time you visit a salon, that will sound annoying and nosy but it is worth preserving your health.
Do Fungal Nail Infections Occur On Both Hands & Feet
Fungal nail infections tend to affect toenails far more than fingernails. This is because the feet are more often exposed to the kind of environments and surfaces where this type of infection thrives.
The infection can appear on any part of your nail but usually occurs under the nail plate on the nail bed.
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What The Experts Say
The most common presentation of toenail fungus is a white/yellow discoloration of the nail that is thick and filled with yellow/white keratin debris. The more severe the toenail fungus, the thicker the nail, and the more nails involved makes it that much harder to treat the nails even with effective therapies.”Orit Markowitz, MD, founder and CEO of OptiSkin treatment center in New York City.
About Fungal Nail Infection
Many people develop a fungal nail infection at some point in their life. Its not usually serious, but can be unpleasant and difficult to treat.
The infection develops slowly and causes the nail to become discoloured, thickened and distorted.
Toenails are more frequently affected than the fingernails.
The medical name for a fungal nail infection is onychomycosis.
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What Can You Do To Help Prevent Fungal Nail
Maintain good foot hygiene and check and trim your nails on a regular basis. Nails should be cut or filed straight across . Always make sure your nail clippers are disinfected
Look out for athlete’s foot in the skin between the toes and treat with an antifungal cream as it can soon spread to the nails
Wear shoes that fit well and have enough space to allow your feet to ‘breathe’ a little this reduces the possibility of warm, moist environments where the fungi can breed
Throw out old shoes, especially trainers
Wear cotton socks and change them regularly
Don’t share your towels and socks with other people
Avoid walking around barefoot in public spaces wear flip flops or sandals around the pool or in public changing rooms and showers
Don’t use the same nail accessories or tools on your infected nail as the nails which are clear
Foot Fungus: Causes And Risk Factors
A foot fungus is a fungal infection of the skin, better known as athletes foot, says Sundling. The fungus enters through cracks in the skin. Its known as athletes foot because athletes or anyone who is more active and sweats a lot is more at risk. Kids are also more at risk, because they dont tend to wear different shoes, and changing your shoes is one way to avoid foot fungus.
Foot fungus is very common. It does not mean that someone is dirty or didnt bathe, and if you have a compromised immune system, you may be more susceptible, says Sundling.
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Fingernail And Toenail Fungus Infection Treatment
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Fingernail and toenail fungus infections are unsightly and embarrassing the infected nails becomes yellow, thick and hard to cut. Although nail fungus infections are very common, they can be very difficult to treat. Until recently, the most common treatment for toenail fungus was taking pills that might cause liver toxicity. But several years of research gave birth to a much safer solution: The Motus AY Laser. This safe, quick laser treatment has been researched and proven to be a very effective cure for toenail fungus and fingernail fungus infections. In one study after only 4 treatments over 4 weeks, 95% of the subjects studied had their fungus cleared at 12 months.
Fingernail and Toenail Fungus Laser Treatment
The Advantages of Our Laser Treatments
How Does Laser Fingernail and Toenail Fungus Removal Work?
Q & A
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Complications Regarding Toenail Fungus
Toenail fungal infections are typically painless or at least start off that way. But without proper self-care and treatment, the condition can spiral into a more severe case of nail fungus, which can be painful and may cause irretrievable damage to your nails.
Moreover, the toenail infection can sprout other serious infections that can spread beyond your feet, particularly if you have a suppressed immune system due to certain medications, diabetes, or other conditions.
Because people with diabetes are already predisposed to reduced blood circulation and nerve supply in their feet, their odds for catching toenail infections as well as bacterial skin infection are quite high.
Thus, it is imperative for people with diabetes to seek professional medical help for any seemingly minor foot injury including a nail fungal infection to avoid any future complications.
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Soak Your Feet In Vinegar
Heres another pantry item that can deliver optimal results for toenail fungal infections. According to Hayag, applying white vinegar to the fungal-infected areas can prove worthwhile, thanks to its antibacterial properties.
Similar to oregano oil, applying white vinegar topically on fungus-infected toenails has some anecdotal evidence that supports its antibacterial benefits. Soak your foot in one part vinegar to two parts warm water for up to 20 minutes daily, she suggests, saying that this can help with the fungus, help with just the discoloration, or it may not help at all, depending on how your toes react.
Toenail Fungus Treatment Complications
Here are some things to think about when deciding on a nail fungus treatment.
If you have a disease like diabetes, your doctor will make sure you treat nail fungus. This illness often makes you more likely to have other problems from minor foot issues.
You may not be able to take antifungal pills because of side effects or because they donât work well with other drugs you take. If thats the case, try a product that goes onto your nail. Your doctor will call this a topical treatment.
Be patient. Your nails may not look normal after treatment. It can take as long as a year to 18 months for your nail to grow out a fungus.
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Signs Of A Toenail Fungal Infection
- Discolored toenails. Nails can be brown, black, white, or yellow. Usually a small area changes color at first and it slowly spreads.
- Thickened toenails. Over time, the nail becomes thick, material builds up under the nail, and the nail can develop an irregular shape, grooves, or a crumbling appearance.
- Affects one or more toenails. The fungus may spread to other toenails. The big toe is most commonly affected. The fungus can also occur in fingernails.
- Starts at the end or side of the toenail. The infection gradually spreads toward the cuticle.
- Usually painless unless there are skin changes or injury to the nail bed or if shoes press on the thick nail.
- Athletes foot. Some people will also have skin fungus on their feet, which looks like red, peeling skin between the toes.
Patients may say that they are embarrassed to go to the pool or the beach, or they avoid wearing sandals. They describe their nails as thick, crumbling, and abnormally colored. One patient described their nails as looking like an animals horn, which is pretty accurate. But they are so thrilled when they see results from treatment! Dr. Anne Jacobsen
Natural Ways To Get Rid Of Toenail Fungus
One of the most dreaded and, lets face it, a disgusting ailment is toenail fungus . As most who read my blogs know, I usually write about topics that I have experienced personally and/or observed in patients. Well, for this one, it is both. For years, one of my toes would become afflicted, Id treat it, and then a year or two later, it would return.
The truth is that fungus is among us! You may view yourself as one with good hygiene, but even you are loaded with fungus on your skin. Fungus does not need much to overgrow and is exceedingly difficult to get rid of when it does. The three changes in our local skin environment that cause it to grow are 1. A decrease in good bacteria , since bacteria can suppress its growth 2. Excessive water/moisture 3. Sugar.
But to get fungus on your nail, a few things must happen. Diabetics, because of elevated sugar, are at higher risk. However, many, like myself, who dont have diabetes, are still prime targets. Thats because of what I call the blotter effect. To understand this effect, imagine the following scenario. You are sitting behind a wooden desk with a glass blotter on top to protect the surface. You place a cup of water on the blotter and turn to work on your computer. As you turn, your elbow knocks over youre cup, and the water spills over the edge of the desk. You then see some water track itself under the blotter.
The following natural approaches will work whether you have taken a medication or not .
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Stop This Skin Infection In Its Tracks With These Over
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Verywell Health / Sabrina Jiang
Toenail fungus is a common fungal condition that often starts after a rash on the foot spreads to the nails. When mild, it looks like white and yellow spots growing under the nail beds. But if left untreated, the fungus can grow severely by hardening the nails and spreading to other toes.
The fungus often begins in the form of athlete’s foot between the toes or on the soles of the feet. At this stage, the fungal infection is easier to treat with over-the-counter medication. But Shari Lipner, MD, a board-certified dermatologist at New York-Presbyterian Hospital/Weill Cornell Medicine, told Verywell Health toenail fungus can be difficult to treat because of how slow the nails grow. The more severe the toenail fungus, the thicker the nail, and the more nails involved makes it that much harder to treat the nails even with effective therapies, she says.
Diagnosing the fungal infection early is key to make treatments effective. Dr. Lipner recommends visiting a board-certified dermatologist to properly treat the infection if it grows to be too severe.
Here are a few of the best over-the-counter toenail fungus treatments on the market.
What Does Fungal Nail Look Like
Usually, it first appears on the edge of your nail, under the tip, as a white or yellow streak. This streak gradually spreads down the side of your nail to the base.
Eventually, your nail becomes brittle, discoloured, thickened and distorted. It can become so thick that it hurts when pressed against the side of a shoe.
The nail may end up crumbling and splitting, and separating from the skin. It often turns yellow or brown.
The surrounding skin may also become infected and may itch, crack, form a blister, or appear white especially between the toes. Its important to act quickly if you notice any of these symptoms. If you don’t treat the infection, there’s a chance it will worsen and spread to other nails.
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Tips To Prevent Fungal Nail Infections
Making a few simple lifestyle changes can help prevent a fungal infection of the nails. Taking good care of your nails by keeping them well trimmed and clean is a good way to prevent infections.
Also avoid injuring the skin around your nails. If youre going to have damp or wet hands for an extended amount of time, you may want to wear rubber gloves.
Other ways to prevent fungal infections of the nails include:
- washing your hands after touching infected nails
- drying your feet well after showering, especially between your toes
- getting manicures or pedicures from trustworthy salons
- avoiding being barefoot in public places
- reducing your use of artificial nails and nail polish
Products to help you avoid nail fungus
If youre prone to excessive moisture around your fingernails or toenails, consider buying:
Treatment Options For Fungal Nail
Treatment options, some of which can be prescribed by your GP and the others found at your local pharmacy, include:
Antifungal nail creams or paints
These are applied directly to the nail over several months and are most effective when used at the early stages of the infection. They aren’t generally considered to be as effective as tablets because it can be difficult for the product to reach the deep layers of the nail. Some people choose them over tablets because side effects are less common. These are available over the counter.
A paste is applied to soften the infected area. This is then covered with a plaster for 24 hours. The next day, the paste is washed off and the softened nail gently scraped away.
This process has to be repeated every day for two to three weeks. When no more of the infected nail can be removed, an antifungal paint is applied to prevent re-infection as the nail grows over the next few months. These kits are available from your pharmacist.
These are only available on prescription and need to be taken for several months, before the infection has completely cleared up. Some tablets are unsuitable for people taking certain medicines, and some people may experience side effects. Always see your doctor or pharmacist for advice about medicines.
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