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Welcome to Dr. Bob's Anti-Fungal Blog

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Toenail Fungus Diagnosis, Causes, Symptoms and Treatment Cost


Toenail Fungus Diagnosis

Causes of Toenail Fungus

  • Result of trauma to toenail
  • Underlying medical condition such as diabetes, cancer or immune deficiency 
  • Untreated Skin infection - People that have chronic Athlete's Foot often notice that fungus spreads to the toenails as well
  • Tight shoes - damage nail plate and leave nail matrix susceptible to contract fungus. 
  • Reusing socks - creates a dark, moist, humid environment ideal for fungal growth
  • Heredity - many patients who suffer from chronic toenail fungus are genetically predisposed

Symptoms of Toenail Fungus

toenail fungus
  • Thickened Toenails 
  • Yellow Discolored Toenails
  • Cracked Toenails
  • Smelly Toenails
  • Flaky residue on top of the nail
  • White spot under nail plate
  • Redness and swelling around cuticle of the nail 

Bad News: If you have two or more these symptoms it is very likely that you have Toenail Fungus. 

Good News: Toenail Fungus is a cosmetic condition that can be treated in a number of ways. 

How can you treat and prevent toenail fungus?

  • Keep shoes and socks dry as a preventative measure
  • Practice good foot hygiene by washing feet daily with soap and water
  • Dry carefully between the toes
  • Wash socks after every use
  • Change shoes regularly and apply
  • Wear moisture wicking acrylic or cotton socks
  • Inspect toenails and trim them straight across on a regular basis
  • Do not use nail polish unless you use an anti-fungal base coat under the nail polish
  • Women should add an antifungal cuticle oil to their nail kits.
  • Immediately start using an Anti-Fungal Nail Treatment Lacquer to clear the nail and stop the Fungus from spreading

How do podiatrists diagnose patients with Toenail Fungus?

  1. Perform a physical examination
  2. Ask about patient health and hygiene 
  3. Culture the infected nail
  4. Prescribe appropriate medications, such as PediMD Anti-Fungal Lacquer and/or oral Sporanox or Lamisil Antifungal pills.
  5. Use an antifungal Laser to zap the toenails
  6. Perform debridement or removal of the nail 

How much do Toenail Fungus Treatments cost?

There are the are four major categories of Toenail Fungus Treatment. 

(Click on the name to see an example and learn more about each treatment option)

  1. Antifungal Lacquers - most cost effective method to treat toenail fungus. Antifungal Lacquers vary in cost from about $30 to $100. When deciding which one to use take into account:    
    • can the lacquer penetrate the nail and treat the nail matrix 
    • how quickly does the treatment dry and how will it stay on the nail
    • does the treatment prevent future fungal infections after the initial infection treated. 
  2. Antifungal Laser - non-invasive treatment conducted in a doctors office. Costs about $800 per treatment. Most doctors will recommend two or three treatment sessions to ensure that all the fungus is gone. 
  3. Antifungal Pills (Sporanox and Lamisil) - Cost about 700$. They can be damaging to the liver and do not ensure that the fungus is gone forever. After the medicine leaves the system the nail is once again susceptible to fungus. 
  4. Home Remedies for Toenail Fungus - Vicks Vapo Rub, Listerine, Vinegar, Tea Tree Oil and many more. All of these remedies cost about $5 to $15 but they have success rates of only about 10% and can have negative side effects. Doctors generally do not recommend using Home Remedies to treat toenail fungus because the product is not engineered to treat fungus and can cause other issues to arise. 


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