Fungal nails is a common problem

If you have fungal toenails, you are not alone. It affects about 10% of the population and is the most common problem to affect your toenails.

Fungal nails also becomes more common as we become older – affecting a greater percentage of people over the age of 60.

Fungal nails can be a serious problem for people affected with poor circulation, diabetes, or those people with weakened immune systems.

fungal nails

Fungal nails often start at the nail salon

A fungus is actually a living organism growing on or under your nails. It can start with only one nail and eventually spread to many nails.

Fungi are everywhere, but really start to grow when it finds a warm, dark, damp area. All it takes is a nail technician to push a little too hard on the nail cuticle, or clean a little too far under the toenail to get it started. That little space under the nail can hold onto some extra moisture which opens the door for some fungus to start growing.

Fungal nails can get started by other minor injuries to the nail as well.

  • Dropping something onto the toenail
  • Wearing shoes that are too tight
  • Stubbing your toe
  • Somebody stepping on your toe
  • Running for long distances

What treatments are available for fungal nails?

Treatment of fungal nails usually fall into two categories – external treatments and internal treatments.

External treatment for Fungal Nails

External treatments for fungal nails is are those things applied to the outside or on top of the toenail.

Examples of External treatments:

  • Topical prescription antifungal medications (Penlac, Jublia, Kerydin)
  • Removal of part or all of the toenail
  • Laser treatment of the nail

Internal treatments for Fungal Nails

Internal treatments for fungal nails is are medications taken by mouth.

Examples of Internal treatments:

  • Lamisil tablets
  • Sporonox tablets
  • Griseofulvin tablets

Why does treatment for fungus nails often not work?

Not every black toenail is a fungal nail

Since not every black or thick toenail is actually infected with a fungus, a fungal medicine may not be the answer.

The first thing to do when treating a thick, or black toenail is to identify that you actually do have fungal nails. Making sure you have the right diagnosis is important to getting the right treatment.

Re-infection is common

The fungus in the nail can get on the skin (Athlete’s Foot) which can then get back into the nail.

It’s important to treat the Athlete’s Foot at the same time to prevent re-infection.

Treatment takes a long time so people give up

It takes on average one year to clear up fungal nails. In fact, it may take a few months before you even notice a change in the nail. In the beginning, the change in the nail is so subtle, that the nail may actually be starting to get better, but since you don’t know what to look for, you may not even realize it.

This causes many people to stop applying the topical medications, or stop taking the oral medication – so they just give up.

Which treatment for fungal nails works best?

No one treatment for fungal nails is that best treatment. Fungi are very resistant to treatment and often require a combination of treatments for the best result.

Can I wear nail polish while treating fungal nails?

Yes! The newer prescription topical antifungal medications do penetrate nail polish. You will get the best result if you start applying the medication without nail polish for a while. Then, you can begin wearing nail polish while using the topical medications. It does help to take the polish off for one or two days each week to help the medicine get absorbed even more.

If you are ready to get treatment for your fungal nails, give our office a call at (845) 298-9074. We now have Tuedsay and Thursday evening appointments available.

Hollowbrook Foot Specialist serving the Hudson Valley from Wappingers Falls.

By David Schlam

Your Top-Rated & New Favorite Podiatrist In Wappingers Falls, NY

Always arrive to a pleasant cheerful staff! They make you feel welcome and get you situated quickly! The Doctor is friendly and makes your feet feel great! I travel a bit to get to this office, but it is so worth it! The staff is always helpful and customizes my appointments to my needs!

- Bob D.

bob 5 star review

GREAT EXPERIENCE!!!! Very nice, friendly, and thorough doctor. Wonderful staff too! Very clean office. They fit me into there schedule the same day. They recognized my issue right away and got me out of discomfort painlessly.

- Jordan C.

jordan 5 star review

I came here today for the first time what a wonderful group of people, very professional and friendly and the Dr. I saw, Dr. Geshev, he is absolutely the first podiatrist I’ve ever seen that made me feel very comfortable, and he knows what he’s doing. I would recommend this podiatrist office to everybody.

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Great experience. They got my son in as soon as possible as made sure his foot was ok. Will definitely use them again!

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irene 5 star review

Wonderful staff (warm and inviting). Clean office. Dr. G is knowledgeable and listened to me. He knew 3 ways to help my situation and I know that I will feel better under his care and instructions. I recommend Hollowbrook Foot Specialists!

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*The reviews listed are from actual patients of Hollowbrook Foot Specialists. Individual results may vary. Reviews are not claimed to represent results for everyone.

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Our Wappingers Falls
Podiatry Office
89 E. Main Street
Wappingers Falls, NY 12590

Phone: 845-298-9074

Office Hours:
Monday: 11am - 7pm
Tuesday: 9am - 5pm
Wednesday: 9am - 5pm
Thursday: 9am - 5pm
Friday: 9am - 3pm
Saturday: By Appointment Only

hollowbrook foot specialist office
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Our Wappingers Falls
Podiatry Office
89 E. Main Street
Wappingers Falls, NY 12590

Phone: 845-298-9074

Office Hours:
Monday: 11am - 7pm
Tuesday: 9am - 5pm
Wednesday: 9am - 5pm
Thursday: 9am - 5pm
Friday: 9am - 3pm
Saturday: By appointment only

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