Nail fungus is a common condition that begins as a white or yellow spot under the tip of your nail — fingernail or toenail. As the fungal infection goes deeper, nail fungus may cause your nail to discolor, thicken and crumble at the edge.
If your condition is mild and not bothering you, you may not need treatment. If your nail fungus is painful and has caused thickened nails, self-care steps and medications may help. But even if treatment is successful, nail fungus often comes back.
Nail fungus is also called onychomycosis (on-ih-koh-my-KOH-sis). When fungus infects the areas between your toes and the skin of your feet, it’s called athlete’s foot (tinea pedis).
You may have nail fungus if one or more of your nails are:
- Whitish to yellow-brown discoloration
- Brittle, crumbly or ragged
- Distorted in shape
- A dark color, caused by debris building up under your nail
- Smelling slightly foul
Nail fungus can affect fingernails, but it’s more common in toenails.
Fungal nail infections are caused by various fungi. Yeast and molds also can cause nail infections.
It’s more common in older adults. As the nail ages, it can become brittle and dry. The resulting cracks in the nails allow fungi to enter.
Toenail fungal infection can start from athlete’s foot (foot fungus), and it can spread from one nail to another. But it is uncommon to get an infection from someone else.
Factors that can increase your risk of developing nail fungus include:
- Being older, owing to reduced blood flow, more years of exposure to fungi and slower growing nails
- Sweating heavily
- Having a history of athlete’s foot
- Walking barefoot in damp communal areas, such as swimming pools, gyms and shower rooms
- Having a minor skin or nail injury or a skin condition, such as psoriasis
- Having diabetes, circulation problems or a weakened immune system
A severe case of nail fungus can be painful and may cause permanent damage to your nails. And it may lead to other serious infections that spread beyond your feet if you have a suppressed immune system due to medication, diabetes or other conditions.
The following habits can help prevent nail fungus or reinfections and athlete’s foot, which can lead to nail fungus:
- Wash your hands and feet regularly. Wash your hands after touching an infected nail. Moisturize your nails after washing.
- Trim nails straight across, smooth the edges with a file and file down thickened areas. Disinfect your nail clippers after each use.
- Wear sweat-absorbing socks or change your socks throughout the day.
- Choose shoes made of materials that breathe.
- Discard old shoes or treat them with disinfectants or antifungal powders.
- Wear footwear in pool areas and locker rooms.
- Choose a nail salon that uses sterilized manicure tools for each customer.
- Give up nail polish and artificial nails.
Dr. Guy or your podiatrist will examine your nails. It is easy to diagnose on exam alone. Rarely, a nail clipping or scraping of debris from under your nail may be sent to a lab to identify the type of fungus causing the infection.
Fungal nail infections can be difficult to treat. Talk with Dr. Guy or your podiatrist if self-care strategies and over-the-counter (nonprescription) products haven’t helped. Treatment depends on the severity of your condition. It can take months to see results. And even if your nail condition improves, repeat infections are common.
Dr. Guy or the podiatrist may prescribe antifungal drugs that you take orally or apply to the nail. In some situations, it helps to combine oral and topical antifungal therapies.
- Oral antifungal drugs.These drugs are often the first choice because they clear the infection more quickly than do topical drugs. Options include terbinafine (Lamisil) and itraconazole (Sporanox). These drugs help a new nail grow free of infection, slowly replacing the infected part.
You typically take this type of drug for six to 12 weeks. But you won’t see the end result of treatment until the nail grows back completely. It may take four months or longer to eliminate an infection. Treatment success rates with these drugs appear to be lower in adults over age 65.
Oral antifungal drugs may cause side effects ranging from skin rash to liver damage. You will need occasional blood tests to monitor your liver function. I usually avoid prescribing these medications because of the risk of liver damage and recurrence rate.
- Medicated nail polish. I may prescribe an antifungal nail polish called ciclopirox (Penlac). You paint it on your infected nails and surrounding skin once a day. After seven days, you wipe the piled-on layers clean with alcohol and begin fresh applications. You may need to use this type of nail polish daily for almost a year.
- Medicated nail cream. I may prescribe an antifungal cream, which you rub into your infected nails after soaking. These creams may work better if you first thin the nails. This helps the medication get through the hard nail surface to the underlying fungus.
- To thin nails, you apply a nonprescription lotion containing urea. Or the podiatrist may thin the surface of the nail (debride) with a file or other tool.
Often, you can take care of a fungal nail infection at home:
- Try over-the-counter antifungal nail creams and ointments.Several products are available. If you notice white markings on the surfaces of the nails, file them off, soak your nails in water, dry them, and apply the medicated cream or lotion.
- Trim and thin the nails.This helps reduce pain by reducing pressure on the nails. Also, if you do this before applying an antifungal, the drug can reach deeper layers of the nail.
Before trimming or using a nail file to thin thick nails, soften them with urea-containing creams. If you have a condition that causes poor blood flow to your feet and you can’t trim your nails, see a health care provider regularly to have your nails trimmed.
Surgery (Nail removal)
Your doctor (podiatrist) might suggest temporary removal of the nail so that he or she can apply the antifungal drug directly to the infection under the nail.
–Some fungal nail infections don’t respond to medicines. Your doctor might suggest permanent nail removal if the infection is severe or extremely painful.
The Mayo Clinic article on nail fungus was used as a primary reference for this newsletter.