Toenail fungus recurrence and treatment options
Toenail fungus, or onychomycosis, can indeed be persistent and prone to recurrence. Here are some recommended treatments and preventive measures to help manage and prevent further episodes:
Treatment Options:
1. Topical Antifungal Treatments:
Medicated Nail Polish: Products like ciclopirox (Penlac) can be applied directly to the nail and surrounding skin.
Medicated Creams or Ointments: Antifungal creams such as efinaconazole (Jublia) or tavaborole (Kerydin) can be applied to the infected area.
2. Oral Antifungal Medications:
These medications, such as terbinafine (Lamisil) and itraconazole (Sporanox), are often more effective than topical treatments. They help the new nail grow free of infection, slowly replacing the infected part.
3. Laser Treatment:
Laser therapy can be used to target and destroy the fungus in the nail. This is a newer treatment option and may not be covered by all insurance plans.
4. Nail Removal:
In severe cases, surgical removal of the nail may be necessary. A new nail will eventually grow in its place, but it may take time.
Preventive Measures:
1. Maintain Good Foot Hygiene:
Wash your feet daily with soap and water, and ensure they are thoroughly dried, especially between the toes.
Trim your toenails straight across and keep them short.
2. Keep Feet Dry and Cool:
Change socks regularly, especially if they become damp.
Choose breathable footwear made of materials like leather or canvas, and avoid tight-fitting shoes.
3. Avoid Walking Barefoot in Public Areas:
Wear protective footwear, such as shower shoes or flip-flops, in communal showers, locker rooms, and around swimming pools.
4. Use Antifungal Powders or Sprays:
Apply antifungal powder or spray to your feet and inside your shoes to reduce moisture and kill fungi.
5. Disinfect Nail Care Tools:
Regularly clean and disinfect nail clippers, files, and other tools. Avoid sharing these items with others.
6. Consider Antifungal Nail Polish:
If you wear nail polish, use an antifungal variety to reduce the risk of reinfection.
Follow-Up Care:
Regular Monitoring: Keep an eye on your nails for signs of reinfection. If you notice any changes, consult your healthcare provider promptly.
Consistency in Treatment: Even after symptoms improve, continue treatment as prescribed to ensure the fungus is completely eradicated.
If your toenail fungus continues to recur despite these measures, it may be helpful to see a dermatologist or a podiatrist who specializes in foot conditions.
