Conventional treatment typically involves thoroughly washing the feet daily or twice daily, followed by the application of a topical medication. Because the outer skin layers are damaged and susceptible to reinfection, topical treatment generally continues until all layers of the skin are replaced, about 2–6 weeks after symptoms disappear. Keeping feet dry and practicing good hygiene (as described in the above section on prevention) is crucial for killing the fungus and preventing reinfection.

Fungal athlete's foot may cause a rash on one or both feet and even involve the hand. A "two feet and one hand" pattern is a very common presentation of athlete's foot, especially in men. Hand fungal infections are called tinea manuum. Fungal athlete's foot may also be seen along with ringworm of the groin (especially in men) or hand(s). It is helpful to examine the feet whenever there is a fungal groin rash called tinea cruris, or jock itch. It is important to treat all areas of fungal infection at one time to avoid reinfection. Simply treating the soles and ignoring the concurrent fungal infection of toenails may result in recurrences of athlete's foot.


Athlete's foot is caused by a number of different fungi.[3] These include species of Trichophyton, Epidermophyton, and Microsporum.[4] The condition is typically acquired by coming into contact with infected skin, or fungus in the environment.[3] Common places where the fungi can survive are around swimming pools and in locker rooms.[8] They may also be spread from other animals.[5] Usually diagnosis is made based on signs and symptoms; however, it can be confirmed either by culture or seeing hyphae using a microscope.[4]
One way to definitively get rid of toenail fungus is by surgery. Surgical treatment of onychomycosis involves nail removal. However, this often only provides temporary relief, and recurrence is common unless additional antifungal medication (oral or topical) is simultaneously used. However, surgical removal may be warranted when the affected nail is associated with other factors such as trauma and or infection.

Once it takes hold, the bacteria and yeast thrive off of sugar molecules entering the digestive tract through the foods you eat. That’s exactly why you need to eliminate the underlying cause, which is likely stemming from your diet (and possibly also your lifestyle to some degree). This will help ultimately restore your body’s pH balance, improve your immune function and boost the presence of good bacteria in your gut.
Toenail fungus, also called onychomycosis, is a common fungal infection of your toenail. The most noticeable symptom is a white, brown, or yellow discoloration of one or more of your toenails. It may spread and cause the nails to thicken or crack. Sandal season or not, toenail fungus typically isn’t what you want to see when you look at your feet. Luckily there are many treatments you can try.
Medical treatment of onychomycosis is suggested in patients who are experiencing pain and discomfort due to the nail changes. Patients with higher risk factors for infections such as diabetes and a previous history of cellulitis (infection of the soft tissue) near the affected nails may also benefit from treatment. Poor cosmetic appearance is another reason for medical treatment.
Scratching infected areas may also spread the fungus to the fingers and under the fingernails. If not washed away soon enough, it can infect the fingers and fingernails, growing in the skin and in the nails (not just underneath). After scratching, it can be spread to wherever the person touches, including other parts of the body and to one's environment. Scratching also causes infected skin scales to fall off into one's environment, leading to further possible spread.
Before buying new shoes, have a professional measure the length and width of your feet at the end of the day, while you're standing. For unusually flat feet or high arches, an exam by a podiatrist may be warranted. These conditions can increase the risk of osteoarthritis. Early treatment and use of proper footwear may help to avoid unnecessary wear and tear on the joints of the foot.
For more severe cases, oral antifungal medications might be required. These include fluconazole (an antifungal agent also commonly used to treat thrush), terbinafine (a broad-spectrum antifungal) and griseofulvin (usually used for skin infections). The latter is a very old drug and carries the risk of causing damage to the liver. Terbinafine is most effective and therefore is the preferred oral treatment. A 12-week course cures 70-80% of cases by causing the fungi’s cells to leak and die. It can, however, cause gastrointestinal side effects and depression.
Healing time depends on the type of treatment used. Prevention of a new infection is important. Orthopaedic foot and ankle specialists recommend good foot hygiene with frequent changing of stockings and rotating pairs of shoes to allow them to completely dry between uses. Also, avoid going barefoot in locker rooms and around swimming pools. If you have a pedicure, make sure the nail salon uses sterilized instruments.
High heeled shoes push too much body weight toward the toes and then squeeze them together. Over time, the result can be hammertoe (early stage, lower right), abnormal bends in the toe joints that can gradually become rigid. Surgery is sometimes needed to relieve the pain of severe hammertoe. Crowding can cause other toe deformities, along with continuous shoe friction, leading to painful corns and calluses.
Efinaconazole (Jublia) is a medication that was approved in 2014. It is a topical (applied to the skin) antifungal used for the local treatment of toenail fungus due to two most common fungal species affecting nails (Trichophyton rubrum and Trichophyton mentagrophytes). Once-daily application is required for 48 weeks. The most common side effects of Jublia are ingrown toenails and application site dermatitis and pain.

The US Food and Drug Administration (FDA) has approved several medicines as topical applications to help treat foot and toenail fungus and prevent the fungus from recurring. PROFOOT anti-fungal products containing Tolnaftate 1% are clinically proven to cure and prevent fungal infections on skin around, adjacent to, and under nails, making it easy to treat fungal infections all day, every day, until they have cleared. ProClearz Fungal Shield is a safe and effective clear formula that dries quickly with no unpleasant odor. The 1 oz. bottle comes with a brush-on applicator designed to reach skin areas around and under nails.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

Français: se débarrasser d’une onychomycose, Italiano: Liberarsi dall'Onicomicosi, Español: eliminar los hongos de las uñas de los pies (onicomicosis), Deutsch: Zehenpilz loswerden, Português: Se Livrar de Pé de Atleta, 中文: 治疗甲癣, Русский: лечить грибковое поражение ногтя, Nederlands: Van schimmelnagels afkomen, Bahasa Indonesia: Menyingkirkan Jamur di Jari Kaki, Čeština: Jak vyléčit plíseň na nehtech, ไทย: กำจัดเชื้อราที่เล็บเท้า, हिन्दी: पैर के फंगल संक्रमण से छुटकारा पाएँ, العربية: التخلّص من فطريات الأظافر, Tiếng Việt: Điều trị Nấm móng chân
Toenail fungus, also called onychomycosis, is a common fungal infection of your toenail. The most noticeable symptom is a white, brown, or yellow discoloration of one or more of your toenails. It may spread and cause the nails to thicken or crack. Sandal season or not, toenail fungus typically isn’t what you want to see when you look at your feet. Luckily there are many treatments you can try.
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