Stepping Up Your Foot Knowledge: Could It Be Toenail Fungus?
Ever noticed a discoloured, thickened toenail and wondered, "Is this fungus?"
That is a question we often hear at Michelle Reynolds Podiatry. Patients frequently present with thickened or discoloured nails, which they are struggling to manage and which they assume is due to a fungal infection. But actually, only about 50% turn out to be fungal infections. Nails can thicken, and change shape or colour, for many other reasons. The most frequent cause of a thickened nail that we see here is trauma. Trauma can occur due to unsuitable footwear, sports, injuries such as stubbing your toe or dropping something on it etc
However, fungal toenail infections, also known as Onychomycosis, are more common than you might think. It is estimated to affect between 2 and 8% of the population. The majority are caused by organisms known as dermatophytes which survive on the keratin protein in hair, skin and nails. Some toenail infections can be caused by molds or yeasts but this is less common.
So how do I tell if I have got a fungal toenail?
Fungal toenail infection has several presentations but if you notice any of the following signs and symptoms consult with your HCPC registered Podiatrist.
Signs and Symptoms:
Discoloration: Toenails often turn white, yellow, or brown with a fungal infection.
Thickening: The nail may become thicker and crumbly, sometimes detaching from the nail bed.
Distortion: The nail's shape can become irregular and it can lose its smooth surface.
Debris: Build-up of debris (this is usually dead dry skin) can occur under the infected nail. This can have a musty odour.
Mild Discomfort: In some cases, the affected toe may experience slight pain or become tender. This is usually due to pressure from footwear if the nail has thickened, or if the nail has changed shape.
So you have seen signs you could have a fungal nail infection. What to Do Next:
If you suspect a fungal toenail infection, here's what to do:
Schedule a Podiatry Appointment: It is always best to see a podiatrist for an accurate diagnosis. 50% of nails which are suspected to be fungal are actually damaged rather than infected. Here at Michelle Reynolds Podiatry we can do a quick and easy test to make sure infection is present before any treatment is started. Please don't waste any money buying treatments without a definite diagnosis.
Don't Panic: Fungal toenail infections are treatable. Your podiatrist will discuss the best course of action based on the severity of the infection. Treatment options vary according to the type and severity of the infection, your podiatrist will talk you through all the options which would be suitable for your particular circumstances.
Self-Care Matters: While under a podiatrist's care, you can help the healing process by following this advice:
Keep your feet clean. Wash and dry them well daily.
Wear breathable shoes and change socks regularly.
Wear socks made from natural fibres, preferably Bamboo
Avoid tight-fitting footwear.
Alternate footwear to allow them to dry out between use.
Use an antifungal shoe spray monthly to help reduce the chance of reinfection.
Do not go barefoot in hotel rooms, public places such as gyms and changing rooms etc .
Do not share towels, socks or shoes
Check your skin:
All fungal nail infection starts with fungal skin infection (sometimes known as Athlete's foot), which over time spreads to affect the nails
Look for any rashes, itchy areas, soggy skin between the toes and dry, white powdery or flaky areas of skin. Remember - fungal infection can affect other areas of the body, not just the feet.
If you think you have fungal infection of the foot please consult with your podiatrist for the best way to treat it.
Remember: Early diagnosis and treatment are key! Don't hesitate to schedule an appointment with your podiatrist if you suspect a fungal toenail infection. Mild infections are easier and quicker to treat, so don't wait until it spreads. With proper care, you can get your healthy toenails back in no time!
You can read more about fungal nails and treatment here
To book an appointment please call 0161 427 4937 or email info@mrpodiatrist.co.uk