Toenail fungus often begins as a yellowish or brownish spot under the nail. It spreads deeper into the nail and causes a larger discoloration. The nail might thicken and develop unsightly, crumbling edges. Sometimes it can lead to a painful condition. There are nail ointments and creams that may help treat the condition. Medications are also available, but treatment of the fungus can be a difficult and long process.
Step 1
See a doctor who can diagnose the condition properly. Signs of toenail fungus include thickening of the nail, discoloration, dirt accumulating under the nail and easy breakage of the nail. A podiatrist, dermatologist or general doctor can provide diagnosis and treatment. The doctor may cut or file the nail so that treatment will be more effective.
Step 2
Treat the fungus with antifungal lacquer or polish if your doctor prescribes it. These products usually contain amorolfine or ciclopirox, according to the Health Services at Columbia University. The solutions are prescribed when the toenail infection appears to be superficial. You may also use topical antifungal creams that are prescribed, along with over-the-counter lotions that help speed up absorption, if recommended by your doctor.
Step 3
Take oral medication if prescribed by your doctor. Terbinafine or itraconazole may be prescribed if the condition is painful or you feel the fungus is unsightly. Follow your doctor's advice on taking the medication, which may be from six to 12 weeks, according to the Mayo Clinic. Oral medication is often used when more than one nail is involved.
Step 4
Keep your feet away from warm, moist areas, such as locker rooms, where fungi can cause you recurrent infections. Wear protective footwear such as sandals when you use public areas.
Step 5
Wash and dry your feet every day. Use a foot powder that helps absorb moisture on the feet. Keep your feet clean and change your socks every day. Don't wear shoes or socks that are too tight. Your feet need air circulation to keep the moisture away, which can prolong the infection or cause recurrent toenail fungus.
Step 6
Consider surgery if your fungal problem is extremely painful and your doctor recommends it. The nail will be removed during surgery. A new one will slowly grow back. Medication may be used at the same time to keep any infection away as the new nail grows in. Ask about laser surgery, which has been used to rid the nail of fungus with an acid.
Step 7
Continue to practice proper foot hygiene even after the problem goes away from medication or surgery. This is important to avoid recurrence of toenail fungus.
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