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Fungal Nail Infections
Do you or someone you know have a discoloured or thick toenail?
Updated: April 2020
Summary
Fungal nail infections may cause embarrassment when wearing thongs, sandals or going barefoot
If left untreated the infection may spread over the nail or to other toenails
Have your nails professionally assessed, diagnosed and treated by Inform Podiatry
Symptoms & Signs
The nail may have a yellow colour under the nail or a white colour on top
Usually there is no pain from a fungal nail infection
The nail may be thickened compared to other nails
There may be a buildup of skin under the nail
The nail may be loose (not attached to the skin under the nail)
Causes
Not all discoloured nails or thick nails are fungal.
A pathology test is required to confirm a fungal nail infection
A comprehensive history and assessment will help confirm the cause of the nail change, other causes include:
Trauma causing bleeding under the nail - usually a blackish colour
Trauma long term - may cause a thickened and yellowish colour to the nail
White colour extending under the nail - separation of the nail plate from the skin under the nail
Psoriasis can cause nail changes that look fungal
Treatment
All treatments are more successful if the discoloured nail is cut back to the normal nail and thick nails are thinned down
There are 4 main treatment options
Option 1: no treatment, if the nail grows faster than the fungus then the nail will "push" the fungal infection out
Option 2: topical treatment, usually a liquid anti-fungal to paint on the nail
Option 3: a course of prescribed anti-fungal tablets
Option 4: laser treatment
Have the cause of any nail change professionally assessed, diagnosed and treated by Inform Podiatry, book an appointment today.
Do you know someone with foot or ankle pain?
I would love to help them.
Disclaimer: This sheet was researched and developed by Inform Podiatry to provide general information. Inform Podiatry encourages everyone to receive an individual assessment, diagnosis and treatment plan for their foot or ankle pain.