What is Toenail Fungus

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Understanding Toenail Fungus


Toenail fungus, medically known as onychomycosis, is a prevalent nail disorder caused by different types of fungi. This condition thrives in dark, moist environments, making people who frequently wear tight, closed shoes or regularly apply nail polish more susceptible. The fungus feeds on keratin, the protein found in nails, leading to notable damage.

Prevalence and Risk Factors


Toenail fungus affects approximately 2% to 18% of the global population and about 3% to 5% of Americans. While children under 18 are less frequently affected, the risk increases with age. Surprisingly, many of the 2.5 million Americans with this condition overlook medical treatment despite the contagious nature of the fungus. It can spread from one nail to another and is often contracted in communal spaces like gym locker rooms and showers, particularly among athletes, military personnel, and individuals with health issues like HIV.

Symptoms of Toenail Fungus


The infection manifests through visible symptoms such as nails turning yellow or brown, becoming unnaturally thick, and developing a foul odor due to debris buildup. As the condition progresses, nails may become brittle and eventually detach. Early diagnosis and consultation with a specialist are crucial to differentiate toenail fungus from other conditions like nail psoriasis. A laboratory test of nail samples can confirm the presence of fungi.

Prevention Tips


Since toenail fungus does not typically heal on its own, proactive prevention is essential:

- Opt for open, comfortable footwear.
- Clean your feet daily and apply antifungal powder to reduce friction.
- Ensure socks and stockings are clean.
- Choose breathable hosiery.
- Avoid walking barefoot in public showers and locker rooms.
- Schedule regular pedicures and maintain trimmed toenails.
- Use disinfected tools for nail care.

Treatment Options


Treatment begins by removing the infected nail portion. Doctors may clip it or use a paste containing urea and bifonazole to dissolve it. For mild infections, medicated nail varnishes like Loceryl (amorpholine) or Loprox (ciclopirox) applied twice weekly can be effective. Severe cases may require oral antifungal medications like Sporanox (itraconazole) taken daily for about three months, though potential side effects exist.

In extreme situations, surgical nail removal might be necessary. Even after successful treatment, nails may not fully regain their original appearance, and there’s a 10% to 20% chance of recurrence.

By understanding the nature of toenail fungus and adopting preventive strategies, you can minimize the risk of infection and need for extensive treatment.

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