If the fungal nail infection is severe, tablets can be used in combination with nail polish or cream. For example, if the nail is very thick, urea cream can be used (in addition to taking tablets) to gradually remove or partially file off the affected nail. Combining these treatments may also be an option if there are large collections of fungi beneath the nail. Another option for severe fungal nail infections is professional medical footcare. If the nail is filed off, it’s important to ensure good hygiene and disinfect the area, because the removed nail tissue could contain infectious fungal spores.
As both an antiseptic and fungicidal remedy, tea tree oil is a great remedy for onychomycosis. First clean areas on and around the infection with rubbing alcohol then apply undiluted 100% pure tea tree oil (such as this Plant Therapy Tea Tree Oil) directly to the affected nails and let it soak in. After about ten minutes, gently scrub the nail with a soft bristle toothbrush. When applying tea tree oil directly to skin, consider mixing the oil one-to-one with an all-natural carrier, like olive or almond oil. Repeat daily until the new healthy nail grows out completely, then continue treatment for two to three more weeks to prevent regrowth.
Globally, fungal infections affect about 15% of the population and affects one out of five adults. Athlete's foot is common in individuals who wear unventilated (occlusive) footwear, such as rubber boots or vinyl shoes. Countries and regions where going barefoot is more common experience much lower rates of athlete's foot than do populations which habitually wear shoes; as a result, the disease has been called "a penalty of civilization". Studies have demonstrated that men are infected 2–4 times more often than women.
Onychomycosis does not necessarily require treatment. The antifungal medication, terbinafine, taken by mouth appears to be the most effective but is associated with liver problems. Trimming the affected nails when on treatment also appears useful. There is a ciclopirox containing nail polish, but it does not work as well. The condition returns in up to half of cases following treatment. Not using old shoes after treatment may decrease the risk of recurrence.
Trim infected nails. Using large toenail clippers and/or nail nippers, keep your toenails well-trimmed by cutting them straight across to the toe line. Thin thickened nails by gently scraping away the crumbly debris under the nail with a file. This will get rid of some fungus and help reduce pain by alleviating pressure on the nail bed and toes. Soak your toes first to soften the nails or trim after a shower.
Use soap and water to wash your feet, and dry well, including between toes. Trim your toenails -- straight across -- to keep them shorter than the end of your toe. Make sure the tools you use are clean, too. Wash clippers and files with soap and water, then wipe with rubbing alcohol. You might be tempted to cover up discolored nails with polish, but don't. Your nail bed can't "breathe," which keeps fungus from going away.