- This infection lives under the nail plate but on
top of the nail bed. It is difficult to kill because
it is outside of your physiology
- When growth is arrested, the mycosis persists. This
is a very large organism.
- Cure must include outgrowth of the nail. This can
take several months and requires persistence and dedication.
- This infection is not indicative of poor hygiene
- This infection is not indicative of poor health
- This infection is contageous....you caught it.
- Others can catch it from you
- No treatment - this infection is very unlikely to
be fatal. It is, however, progressive and will get
- Toenail removal - this can be either a temporary
or permanent removal. Some providers have tried nail
removal followed by having the patient use a topical
antifungal as the new nail plate regrows. In 25 year
of practice I have never seen this strategy succeed.
If you choose to remove your toenail, I recommend
that it be a permanent avulsion
- Topical antifungal - In my experience, only 1 topical
antifungal has proven effective (Formula-3®).
Plan on 6 months of twice daily use.
- Oral antifungal - If you choose to use an oral antifungal,
I recommend Lamisil.
Dr. Sol is Board Certified
in Foot & Ankle Surgery by The American Board of Podiatric
He advises, "In my experience,
topical medications do not work because the fungus is well
protected under the nail and the medication doesn't get thru."
He recommends treating this infection sooner rather than later
because no matter how bad your infection
is now, it will get worse.