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Questions and Answers to Toe Nail Fungus

Nail Fungus Images

Full Video available Here 

Types of Nail Fungus

1. Superficial White Mycosis (Top Right Corner) - Condition is on the very top of the nail, very common with women especially those that wear nail polish all year round.

2. Thickened and Lifted Nail (Bottom Right Corner) - Many times water gets under the nail and then lifts the nail up causing the fungus.

3. Brittle Nail (Bottom Left Corner) - Characterized by lines in the nail, they yellow discoloration and the breaking of the nail.

4. Ramshorn Nail (Top Left Corner) - Known as the most difficult type of fungus to treat, characterized by the curling of the toenail, most times the nailbed itself has also been affected.


Treatment Options

Type Effectiveness Treatment Length
Topical Medication 50% Improvement but not cure 12 months time

1. Formula 3 (OTC)
2. Ciclopirox
4. Kerydin

Oral Medication   9 months 1. Lamisil (Terbinafine)
2. Sporanox (Itraconazole)
3. Diflucan (Fluconazole)
Laser Treatment 60% 3 treatments minimum  
Nail Resurfacing Not a permanent solution Every 3-6 months  

The Next Steps...

Additional Common Questions
Sweaty Feet? - Common underarm antipersperient on the bottom of your feet can aide in excess sweating of the feet
2. Shoe or Foot Odor? - Lysol or natural wicking socks can help with moisuture and ordor as those are commonly first signs and breeding habitats for fungus and infections.
3. Athlete's Foot? - Common cause to nail fungus as the flaking skin can infect the nails and vice versa. Ensure to always be treating the Athlete's Foot to prevent further infections.


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Dr. Donald Pelto Dr. Donald Pelto Dr. Donald Pelto is a Podiatrist at Central Massachusetts Podiatry, in Worcester and Westborough. Author of several books on foot health, he also speaks Portuguese and Spanish. He likes to go on family hikes and loves learning and talking about health related topics and healthy life hacks. Watch some of his interviews about health and video lectures on

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