Why Do I Keep Getting Nail Fungus?

Nail fungus is a condition that causes nails to thicken, discolor, and crumble at the edges. Research indicates that up to 10% of adults are affected by some form of fungal infection in their nails, with the prevalence rising to 20% among individuals over the age of 60. It is noteworthy that toenail infections are more prevalent than those affecting fingernails.

AllCare Foot & Ankle Center, located in Arlington and Dallas, Texas, recognizes that even though nail fungus is typically not a serious medical condition, it can cause significant discomfort and be visually unappealing. Additionally, this type of infection tends to recur if not addressed promptly. Early treatment is essential for optimal results. 

You should schedule an appointment with our skilled podiatrists as soon as you notice any warning signs of nail fungus. Here’s a comprehensive overview of this condition and its management.

What are the symptoms of nail fungus?

The most obvious and telling symptoms of nail fungus include:

• Thick nails
• White to yellowish-brown nail color
• Crumbling or ragged nail edges
• Distorted nail shape
• Debris under the nail
• Toe pain
• A foul odor 

How do I get nail fungus?

The most prevalent cause of nail fungus is the dermatophyte Trichophyton rubrum, which specifically targets the skin and nails.

When the infection manifests in the skin between the toes, it is commonly referred to as athlete’s foot. A toenail infection may initially begin as athlete’s foot and can subsequently spread from one toenail to others; it is common for multiple nails on a single foot to be affected. However, it’s important to note that these infections typically do not spread directly from person to person.

 Fungal nail infections are more frequently observed in older adults. As nails age, they often become more brittle, dry, and prone to cracking, which can create entry points for fungi. 

Additionally, other factors such as diminished blood circulation to the feet, as seen in diabetes, and a compromised immune system due to conditions like autoimmune disorders or chemotherapy, may also contribute to the likelihood of developing fungal nail infections.

Fungi flourish in damp, warm, and dark environments, such as the interior of shoes. Thus, individuals who experience heavy foot perspiration and do not frequently change their socks are at an increased risk of fungal infections. 

Additionally, having a history of athlete’s foot or walking barefoot in moist communal areas—such as gyms, locker rooms, shower facilities, and public pools—further elevates this risk. It’s important to take preventive measures to protect your foot health in these situations.

You can help prevent reinfections by:

• Routinely washing your hands and feet
• Washing your hands after touching an infected nail
• Trimming toenails straight across and not in a curve
• Filing down thickened nails
• Disinfecting nail clippers after each use
• Wearing shoes that breathe
• Treating shoes with disinfectants or antifungal powders

How is nail fungus treated?

Depending on your situation, your AllCare Foot & Ankle Center podiatrist may use several approaches to combat nail fungus. Combining two or more treatments may also work best. 

Oral antifungal medications

Oral antifungal medications are effective for treating nail infections more rapidly than topical treatments. These medications promote the growth of a new, healthy nail that gradually replaces the infected portion.

Typically, the treatment duration ranges from 6 to 12 weeks; however, success can only be assessed once the nail has fully regrown, which usually takes 9 to 12 months.

Topical nail cream

Medicated antifungal creams are most effective when the nails are thin, as this allows the medication to penetrate the hard surface of the nail and reach the fungus. 

Surgery

Surgical treatments for nail infections can be categorized into two types: 

1. The first approach involves temporarily removing the nail to allow direct application of antifungal medication to the infected area. However, in cases where the infection does not improve with medication or if the patient is experiencing significant pain, a more invasive option may be recommended. 
2. The permanent removal of the nail is usually warranted when the infection is severe and symptoms require relief.

See a nail fungus specialist 

Nail fungus can be quite persistent, and even with appropriate treatment, it may be challenging to eliminate it completely. 

To minimize the risk of recurrence, it is essential to focus on preventive care. Regular visits to AllCare Foot & Ankle Center in Arlington or Dallas can help monitor your foot health and catch any potential infections early. Prioritizing these preventive measures can significantly enhance your chances of avoiding future infections.