Podiatrist Questions Toe Injuries and Disorders

What are the treatment options for toe fungus?

I'm 40 years old, and I currently have issues with toe fungus. I don't know how to get rid of it. Are there any treatments I can do at home to get rid toe fungus?

18 Answers

Usually start with a nail clipping biopsy to see what is the big growing. It also determines the best treatment options

It's best to be evaluated by a specialist
Topicals.
At home treatments are only 8-10% effective, the best ones would be vicks vapo rub or tea tree oil, but must use it every day for a year. The best treatment is a pill to take for 3 months called Lamisil that is very safe to take.
There are many different treatment options for fungus in the toenails. Treatment options include topical medications, oral medications, and laser therapy. You should see a podiatrist for evaluation and management.
Prescription medications only are proven to work
See a foot doctor. Options include: topical antifungal creams or solutions that have to be applied daily, usually 6 or more months for best outcomes; oral antifungal tablets that are taken daily for a three month period. Some advocate removal of the fungal toenails and allow new nail to grow. This one is extreme to me and I usually don't recommend it
First step is to be sure you actually have a fungus since several other problems such as psoriasis and chronic nail trauma look identical to fungus. If you have a fungus, it can be treated with pills, a variety of topical creams, some homeopathic topicals and laser therapy. You can try one of the over the counter topicals such as miconazole, lotimin or lamisil. If you use one of these creams, it is very important to file the nails as thin as possible so the cream can penetrate. Nail fungus needs to be treated with topicals for a year. If you do not see any improvement in 3 months, you need to go to your podiatrist to have the nails evaluated.
Dr. Kathleen Neuhoff
1.- A PODIATRIST WILL USE A SMALL MACHINE TO GET RID OF IT AND THEN USE A PROFESSIONAL PRODUCT TO FINISH THE JOB, WHEN IT IS TOO MUCH
2.- ONLY THE PRODUCT

BUT NO OVER THE COUNTER PRODUCT WILL HELP
Have you been diagnosed professionally with toenail fungus? There are many treatments depending on your diagnosis. First, have a professional diagnose you; a simple fungal culture is no risk.
There are three basic ways to get rid of fungus. You can try topical medication, oral medication and laser treatment. Depending on the severity, most home remedies and over-the-counter medications are usually not successful.

Jonathan M. Kletz, DPM
Nothing that really is effective, unfortunately. Topical and oral medications and then there is laser treatment. My preference is oral medication, Lamisil. 1 pill every day for 90 days. The medication continue to work 6 months after your last pill. That's my recommended treatment that is 98% successful. 
There are essentially three choices that are effective. The most effective is a pill. The pill is not for everyone and needs to be monitorsd as there can be serious side effects. The next is laser which works well but is not covered by insurance. The least effective but most used is one of three prescription topicals. You should see your podiatrist to figure out which one is best for you.
Hello,

You can try Vick vaporub twice a day for 9-12 months.

Dr. Lui
Two very popular home remedies are:
1. Vicks VapoRub- camphor and eucalyptus oil see to help treat toenail fungus. Apply to the nails once or twice daily.
2, Tea tree oil- apply to toenails twice daily
Toenail fungus is actually very difficult to get rid of, but is mostly a cosmetic problem, and will not necessarily cause any health problems. There are many over-the-counter remedies easily obtainable at pharmacies, and there are some home remedies that people talk about, but most of these treatments do not work. You can try an actual anti-fungal for nail fungus, Vick's Vaporub, Tea Tree oil, soaking in bleach, etc. But these have been innefective for my patients. The best treatment we have so far is an oral medication called Lamisil. Lamisil has been effective in about 80% of my patients in my 20 years of practice, but you do require a blood test prior to taking the medication, and there are certain contraindications, such as cholesterol lowering medications. Your best option is to see a local Podiatrist
Toe fungus needs an aggressive approach, as anything less will not work and be a waste of time and money. You're welcome to try Lamisil cream, otc, as this is the best otc. I've found that only a low molecular weight mediation will work effectively. There are a few prescription mediations that fit this mold, but the best effective topical is Tolcylen ointment for the neisl, which can be obtained at your doctor's office or through a pharmacy. You should also treat your shoes and skin on the toes as well.
Toe fungus is a difficult problem. Most topical treatments are ineffective. You can make an effort to keep your feet as dry as possible, as this can contribute to the nail fungus. I recommend you see a foot and ankle surgeon (podiatrist) to discuss treatment options