Fungal nail infection 

Introduction 

Fungal nail infection is a common problem affecting around three in every 100 people in the UK. Around half of all nail problems are due to a fungal infection.

Fungal nail infection is about four times more common in toenails than fingernails and can involve all or part of the nail, including the nail plate, nailbed and root of the nail.

It usually affects adults, especially men, and becomes more common as you get older.

Read information about other nail abnormalities.

What are the symptoms?

The most common symptom of a fungal nail infection is the nail becoming thickened and discoloured. The nail can turn white, black, yellow or green.

You will not usually feel any pain at first, but the nail can look ugly and, without treatment, there is a chance the infection will spread and lead to complications such as cellulitis.

Read more information about the symptoms of a fungal nail infection.

What causes a fungal nail infection?

Several types of fungus cause nail infections. For example, athlete's foot is a fungal skin infection of the toes that easily spreads to the toenails, and candida is a yeast that can cause an infection of the skin around the nails (usually the fingernails).

There are several factors that increase the risk of a fungal nail infection, such as:

  • wearing shoes that cause hot sweaty feet, or being in a humid environment
  • regular damage to the nail or skin
  • having poor health, or certain health conditions such as diabetes or psoriasis

Read more information about the causes of a fungal nail infection.

Treating a fungal nail infection

Treatment is not always needed if your infection is mild.

Otherwise, your GP may send a clipping of your nail to a laboratory for tests to find out the exact cause of the infection and to rule out other conditions. They will then discuss appropriate treatments with you.

Fungal nail infections can be treated and usually cured, but some types of treatment can take several months to work. The main treatment options are either antifungal tablets or antifungal nail paint.

Antifungal tablets are the most successful treatment but they may cause side effects. You should discuss this with your GP before deciding which treatment to take.

It is important to ensure you look after your nails properly and practise good foot hygiene to stop the infection returning.

Read more information about treating a fungal nail infection.




Last reviewed: 06/03/2012

Next review due: 06/03/2014

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SpiffyRicky523 said on 15 February 2013

A good way to make sure your toenail fungus doesn't return is by treating it properly the first time around. You can search the web and find several topical treatments; all of which who claim they are the best treatment available, but the most logical one, (not to mention the coolest), is the laser treatment. The statistics I read about it are amazing, and seem definitely worth looking into.

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kenneth james said on 08 June 2012

excellent advice!

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SamWoerth said on 01 October 2010

Essential that if you suspect a problem with your nails, feet or fingers - Get your GP involved fast.
Two reasons, firstly the longer the infection is in place, the treatment time escalate. Secondly it can take up to six weeks for laboratory culture tests to be completed. In this writer's case, the first lot were negative. another sets of nail clippings were then dispatched, meantime the situation with my thumbs had worsened dramatically over a ten week period.
Now, at last being treated with a nail lacquer -
Trosyl - the active ingredient Tioconazole - is used for Vaginal growth infections. Presumably not painted on as a nail varnish! I am a keen gardener of 55 years and that is where I think it has come from. Mycorrhizal -the friendly fungi (plants), though as yet we cannot prove it. However the laboratory could not know the specific growth yeast involved with my thumbs.. Normally they do!
Perhaps I get one named after me -'SamusWoertham'
SamWoe

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