How serious is toenail fungus?

Most fungal nail infections are not serious. However, some people may experience pain or be bothered by the appearance of their nails. Fungal nail infections may cause nails to become discolored, thick, fragile, or cracked. The nail may also become separated from the nail bed.

What happens if toenail fungus is not treated?

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.

Should I worry about toenail fungus?

Toenail fungus isn't a pressing health problem. Yet a fungal infection can ruin the appearance of your nails and cause pain as it lifts the nail away from the nail bed. And fungal infections are notoriously difficult to get rid of.

Can toenail fungus be life threatening?

It's 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.

How do you know if toenail fungus is severe?

If your nail gets brittle and breaks easily, it's a sign the fungal infection is changing the composition of the nail. If it becomes soft and chalky and starts to crumble away, the infection is starting to become severe.

Meet a Toenail Fungus Expert

What is the number one cure for toenail fungus?

Terbinafine for toenail fungus treatment

The best pill for toenail fungus is terbinafine. Evidence suggests it works better than the alternatives with the fewest side effects. Terbinafine results in resolution of toenail fungus 76% of the time.

What does severe toe fungus look like?

Change color, looking white, yellow or brown. Look chalky or cloudy in some spots. Thicken and possibly look misshapen. Separate from your nail bed (leaving space between your nail and the skin underneath).

Can toenail fungus spread to bloodstream?

Toenail fungus, after all, is hardly life-threatening. “It feeds on the skin; it doesn't go into the bloodstream, doesn't spread to other parts of the body,” says Dr. Richard Scher, nail specialist and professor of dermatology at Columbia University.

When should I go to the doctor for toenail fungus?

Fungal nail infections can get worse over time. See your doctor if you notice your nail has turned brown or black, if it suddenly hurts, or if it pulls away from the nail bed.

What is the main cause of toenail fungus?

Many people pick up the fungi when they have skin-to-skin contact with someone who has a fungal infection such as athlete's foot or ringworm on their hands. Another common way to get a fungal nail infection is by walking barefoot in a warm, moist area such as a pool deck or locker room.

What happens if you have toenail fungus for too long?

If you let a nail fungus infection go for too long, several problems emerge. The infected nail can become misshapen and increasingly separated from your nail bed. Itching and pain are unpleasant side effects; if they're too severe, you can have trouble wearing shoes or walking.

What are the stages of toenail fungus?

Is toenail fungus urgent?

Typically, if you have a fungal infection of your skin or nails, you should seek medical treatment in an urgent care facility. These common skin infections can cause itching and can also spread quickly to other areas of your body.

Can I remove my nail if it has fungus?

Nonsurgical (chemical) nail removal is a painless procedure for a fungal nail infection. This technique removes only the diseased and damaged nail, not the healthy part of the nail. It is done in a clinic or your doctor's office. Either the entire nail (avulsion) or part of the nail (debridement) can be removed.

Is there a permanent cure for toenail fungus?

Your health care provider might suggest temporary removal of the nail so that the antifungal drug can be applied directly to the infection under the nail. The most effective but least used option is surgery to permanently remove the nail and its root.

Can toenail fungus cause sepsis?

Invasive Fungal Infections Can Lead to Sepsis—And Have a High Mortality Rate. Approximately 15% of all infections are caused by fungi, and invasive fungal infections are an increasingly frequent cause of sepsis, particularly in critically ill patients.

How do Podiatrists treat severe toenail fungus?

Oral antifungal medications are prescribed to treat toenail fungus. These medications help the nail grow free of infection. Your podiatrist may have you apply a cream or powder that contains medicine that kills fungus. Topical nail lacquer is also used to treat toenail fungus infections.

Do you need surgery for toenail fungus?

With laser therapy, topical medications, and oral antifungals in our arsenal, we almost never have to actually remove toenails to treat a fungal infection. It does still remain a rare possibility, however, if the case is extreme or continues to come back.

How do Podiatrists treat toenail fungus?

Toenail fungus treatment options

After a gentle evaluation of your nails, a podiatrist may prescribe an antifungal medication, administer laser therapy, or surgically remove affected nails. Medications could include a topical cream or nail lacquer, as well as prescription pills.

What is the fastest way to cure toenail fungus?

The fastest way to eliminate the infection is through toenail laser treatment. Laser nail therapy specifically targets the microorganisms under your nail while leaving the keratin intact. In just a few treatments, the infection can be entirely eliminated.

Can I wear nail polish while treating nail fungus?

Some products used to treat fungal infections on fingernails or toenails are not recommended for use with nail polish, such as Penlac (ciclopirox) Nail Lacquer, which is painted onto the affected nail and surrounding area. Other topical products, however, may be suitable to use.

How long can fungus live in nail polish?

Created: January 14, 2015; Last Update: June 14, 2018; Next update: 2021. Nail fungus can be very persistent. Topical treatment with nail polish may take up to one year.

Is toe fungus permanent?

With treatment, many people can get rid of nail fungus. Even when the fungus clears, your nail(s) may look unhealthy until the infected nail grows out. A fingernail grows out in 4 to 6 months and a toenail in 12 to 18 months.

How long can fungus live on toenails?

As fungal spores can stay dormant but viable for up to three months in their favoured environments, your family may still remain vulnerable long after you've started covering up your feet or taking other protective measures.

Can toenail fungus spread to other parts of the body?

In some people, the fungus can also spread to the surrounding skin, causing athlete's foot. Sometimes the fungus can be passed to the genitals (jock itch) when underwear is pulled on over infected toenails.