A fungus infection of the toenails, called onychomycosis, can be unsightly and difficult to treat. A fungal infection of the toenails occurs when one or more types of fungi get into the toenail and grow. Several different kinds of fungal infections exist, and they can affect one or more toes on the feet. The fungal infection initially appears as a white or yellow spot on the nail that can spread over the entire toenail, and to the adjoining toenails. According to the Cleveland Clinic, the infection causes the toenails to become thickened and yellowed, with crumbling edges. Diabetics and those with poor circulation are more likely to develop fungus-affected toenails.
Step 1
Make an appointment with a podiatrist, dermatologist or family physician to evaluate, confirm and gauge the severity of the fungal infection. A podiatrist can also handle cutting, filing and removing debris from thickened toenails as well as prescribing medication.
Step 2
Ask the doctor about soaking the toenails in a basin containing 1 part vinegar to 2 parts warm water. According to MayoClinic.com, no studies have proven vinegar to be effective in eradicating toenail fungus, but some studies have shown it may inhibit the growth of some harmful bacteria.
Step 3
Discuss treatment options with the doctor. Several oral prescription medications are available to treat toenail fungal infections. According to HealthCommunities.com, treatment is difficult because it must last as long as it takes for the nail to grow completely out. Currently, terbinafine and itraconazole are the most effective oral medications.
Step 4
Take the medication as prescribed. If oral anti-fungal medications are not an option, fungus-affected toenails may be treated with ciclopirox, a prescription topical anti-fungal lacquer that is painted on the nails.
Step 5
Wear sandals or flip-flops when visiting public pools, locker rooms or showers to avoid picking up a fungal infection.
Step 6
Keep the nails clean and dry. Change socks and shoes daily to allow them to dry out. Moist, dark areas are the places fungi prefer. For sweaty feet, consult the doctor about using an anti-fungal powder spray daily to help avoid infection.
Step 7
Avoid wearing nail polish or artificial nails, as moisture gets trapped underneath and can worsen the infection. Keep the nails clean and trimmed. Hands should be washed after touching an infected nail to avoid spreading the infection.
Things You'll Need
- Doctor's appointment
- Basin
- Vinegar and water
- Oral anti-fungal medication or topical anti-fungal lacquer
- Anti-fungal powder spray
- Sandals or flip-flops
- Clean socks


