What is it?
Onychomycosis is a fungal infection of the nail. Fungi grow in all warm, moist places. The fungus usually commences growth at the end of the nail plate and continues to spread under the nail. Sometimes chalky, white plaques form on the nail surface and as the infection progresses yellowish, brownish discolouration may be seen. Cell damage by the fungus to the foot of the nail can cause the nail to thicken and change shape. Often callus (dead skin) is broken down and builds up beneath the nail plate. Of all fungal infections that occur on the body, nail infections are most difficult to prevent and treat.
How is it treated?
Fungal infections of the nail are treated in two ways:
- Conservatively
- Surgically
Conservative treatment involves a visit to the podiatrist for cutting and thinning of the nails; use of an anti-fungal topical medicament can be used if indicated by the symptoms. Consult your podiatrist for appropriate recommendations. Prevention of reinfection is very important. If this is not carried out, treatment will fail. If skin has been infected then advice on management of tinea pedis will be needed. Your podiatrist will advise you on this. In most cases conservative treatment successfully alleviates discomfort. However, some cases will require specific oral medication and surgery. Surgery is only considered when conservative treatment fails and oral medications are contraindicated due to potentially nasty side effects. Should the need arise these two options can be discussed with your podiatrist.
WARNING : This information is for educational purposes only and is not intended to replace professional podiatric advice. Treatment will vary between individuals depending upon your diagnosis and presenting complaint. An accurate diagnosis can only be made following personal consultation with a Podiatrist.