What You Need to Know About Treating Nail Fungus with a Dermatologist

Nail fungus, also known as onychomycosis, is a common condition that affects millions of people worldwide. While it may start as a small discoloration or slight thickening of the nail, it can quickly progress, leading to pain, nail deformity, and in some cases, secondary infections. If left untreated, nail fungus can be stubborn and challenging to eliminate.

While over-the-counter remedies and home treatments can offer some relief, seeing a dermatologist for professional treatment is often the most effective way to address the problem.

What is Nail Fungus?

Nail fungus is an infection caused by fungi, usually dermatophytes, that invade the nail bed and the surrounding tissue. It can affect both fingernails and toenails, but it is more common in the toes due to the warm, moist environment caused by shoes and socks.

Common symptoms of nail fungus include:

• Thickened nails
• Discoloration (yellow, white, or brown)
• Brittle or crumbly nails
• Distorted nail shape
• Foul odor
• Pain or discomfort, especially if the nail becomes thick and presses into the skin

Nail fungus can affect anyone, but people with compromised immune systems, diabetes, or those who frequently expose their feet to damp environments are at a higher risk.

Why Should You See a Dermatologist for Nail Fungus?

Treating nail fungus can be difficult, particularly if the infection is advanced or has been present for a long time. While some over-the-counter treatments may work for mild cases, they often fail to penetrate deep enough into the nail bed to fully eradicate the infection. A dermatologist can assess the severity of the infection and recommend treatments that target the root cause more effectively.

1. Accurate Nail Fungus Diagnosis: Many conditions mimic nail fungus, including psoriasis, eczema, or even nail trauma. A dermatologist can perform tests, such as a nail scraping or biopsy, to confirm that you’re dealing with a fungal infection and not something else.
2. Professional Nail Fungus Treatment Options: Dermatologists have access to a wide range of treatments that are more effective than drugstore remedies. They can prescribe stronger antifungal medications or recommend advanced therapies like laser treatments.
3. Personalized Nail Fungus Care: Not all nail fungus cases are the same. A dermatologist can evaluate your specific situation, taking into account your medical history, overall health, and lifestyle, to tailor a treatment plan that’s right for you.
4. Nail Fungus Prevention Advice: In addition to treating the current infection, a dermatologist can provide advice on preventing future infections, such as proper nail care, hygiene, and lifestyle changes.

Dermatologist-Recommended Treatment Options for Nail Fungus

Dermatologists use a variety of treatments to tackle nail fungus, depending on the severity and the patient’s overall health. Here are some of the most common options:

1. Topical Antifungal Medications for Treating Nail Fungus

Prescription-strength topical antifungals are often the first line of treatment for mild to moderate nail fungus. These medications are applied directly to the nail and surrounding skin. Although topical treatments are generally safe, they may take several months to show results and may not fully penetrate thicker nails.

2. Oral Antifungal Medications for Nail Fungus

For more severe or persistent cases of nail fungus, oral antifungal drugs such as terbinafine or itraconazole may be prescribed. These medications work from the inside out, helping to eliminate the infection faster than topical treatments. Oral medications typically require 6-12 weeks of treatment, but you may not see full results until the nail grows out completely, which can take months.

3. Laser Nail Fungus Treatment

Laser treatment is a non-invasive option that uses focused light to penetrate the nail and kill the fungus. This method has gained popularity due to its effectiveness and the fact that it doesn’t have the side effects associated with oral antifungals. Multiple sessions may be required, and while laser therapy can be costly, it is often a good option for those who cannot tolerate oral medications.

4. Nail Removal for Nail Fungus

In extreme cases where the nail is severely damaged, the dermatologist may recommend removing the infected nail entirely. This allows the infection to clear and a healthy nail to regrow. Nail removal can be done surgically or with the use of specific medications designed to dissolve the nail.

5. Combination Nail Fungus Therapy

In some cases, a dermatologist may recommend combining treatments, such as using both oral and topical medications or adding laser treatment to a course of antifungal drugs. Combining therapies can increase the chances Nail fungus is more than just a cosmetic issue – it can be painful, persistent, and difficult to treat. By consulting a dermatologist, you can ensure that you receive the most effective treatment tailored to your condition. Whether through medications, laser therapy, or personalized advice on prevention, a dermatologist can help restore your nails to health and prevent future fungal infections.

If you're struggling with nail fungus, don't wait. The expert staff at Lane Dermatology is here to help you diagnose, treat, and prevent nail fungus.