The presence of fungus on the toenails It's a more common problem than many people imagine, and despite its common nature, it often generates concern for both health and aesthetic reasons. Surely, if you've ever noticed a yellowish nail, one that's thicker than usual, or downright brittle, you've asked yourself the big question: How to remove toenail fungus effectively and safely?
In this article, you'll find a comprehensive guide, with verified and up-to-date information from leading medical sources and specialists in podiatry and dermatology. The goal is to provide you with All the keys to identifying, treating, and preventing a fungal nail infection, integrating the most effective methods and expert advice, so you can combat this uncomfortable problem and restore the health and appearance of your feet.
What is toenail fungus?
The toenail fungus, also called Onychomycosis, are infections caused primarily by dermatophyte fungi, although yeasts and molds can also be involved. This type of infection is more common in toenails than in fingernails—especially the big toe—and can affect people of any age, although it is more common after age 65 or if there are pre-existing health problems such as diabetes, poor circulation, or a weakened immune system.
The usual diagnosis of onychomycosis is made by a healthcare professional, generally through physical inspection and, if necessary, taking samples of the nail for analysis. This allows us to identify the exact type of fungus and, therefore, the best possible treatment.
The fungus settles and feeds on the keratin present in the nail and the underlying skin, generating progressive alterations in the structure and color of the nail.
Common symptoms of fungal infection
detect a toenail fungus Timely treatment is key to faster and more successful treatment. Common signs include:
- Nail discoloration: You take on a yellowish, whitish, brownish or, in advanced cases, even black appearance.
- thickening: The nail becomes thicker and harder to cut.
- Fragility and stretch marks: It may become brittle, crumble, or crack.
- Separation of the nail bedIn advanced stages, the nail may become detached from the skin underneath.
- Bad smellAn unpleasant aroma is often associated with the presence of fungi.
- Pain or discomfort: Especially when walking or wearing closed shoes.
Faced with any of these symptoms, It is advisable to act quickly and consult a specialist before the infection spreads.
Factors and causes that favor the appearance of fungi
The development of toenail fungus has multiple causes and risk factors. Some of the most notable are:
- Humid and warm environmentsFungi thrive in humid areas, so walking barefoot in swimming pools, gyms, or public showers increases the risk.
- Closed and poorly breathable footwear: Continued use of shoes that prevent foot perspiration can promote fungal infections.
- Poor hygiene or poor drying: Leaving your feet wet after showering or bathing facilitates the development of fungi.
- Damage or trauma to the nail: Bumps, cuts, or microtraumas from sports increase the likelihood of infection.
- Previous illnessesPeople with diabetes, psoriasis, immunosuppression or circulatory problems are at greater risk.
It is essential to detect these risk factors in order to prevent future infections.
How to Treat Toenail Fungus: Medical and Pharmaceutical Treatments
The approach of Onychomycosis It should be performed professionally. The appropriate treatment depends on the type of fungus, the degree of involvement, and each person's general health:
Topical (external) treatments
In early stages or when the infection is superficial:
- Lacquers, enamels and antifungal solutions. They are applied directly to the affected nail. Ingredients such as ciclopirox, amorolfine, or efinaconazole are common. In Spain, there are pharmacy products with very good reputations, such as Isdin Si-Nails MicoXpert MD or Urgo's Anti-Fungal Filmogel. The key is the constancy: They must be applied daily for several months, following the instructions carefully.
- Antifungal creams and ointmentsThey are especially used if the fungus also affects the surrounding skin or if the nail is very thick, helping the medication penetrate more effectively. They are often combined with filing the nail surface or using lotions containing urea to soften it.
Oral treatments (systemic)
When the infection is advanced, affects several nails, or does not respond to topical treatments, the dermatologist may prescribe:
- Oral antifungal medicationsExamples: itraconazole or terbinafine. They promote the growth of a healthy nail and slowly replace the affected part. Treatment usually lasts 6 to 12 weeks, with final results not seen until the nail has fully grown (this can take several months).
The use of oral antifungals may be contraindicated in people with liver disease or taking certain medications. Blood tests are often required during treatment, and healthcare professionals assess the risk-benefit ratio.
Other options: surgery and advanced treatments
- Surgery to temporarily remove the nail. It allows the medication to be applied directly to the affected area, although it is only recommended in severe cases.
- Permanent removalIt is a rare alternative for infections that do not respond to any other treatment, as it involves the complete removal of the nail and its root.
- LaserIt is another emerging technique, although its actual effectiveness is still under study and may not be available in all centers.
Do home remedies really work?
The Home Remedies Treatments for toenail fungus have been popular for years. However, it's important to be realistic: their effectiveness isn't consistently supported by science, although they can help in very mild cases or as a supplement to medical treatment. Some of the best-known include:
- Vinegar and water baths. Mix vinegar with water and soak your feet in it for 15-20 minutes daily. The vinegar creates an acidic environment that is unfavorable to fungus (It can relieve, but does not usually eliminate, advanced infections.).
- Tea tree oilWidely used for its antifungal properties. Apply a few drops to a clean nail daily. It can be useful as a supplement, but it doesn't always eradicate the fungus on its own.
- Bleach baths (with great caution)Some sources suggest adding 10 cl of bleach per liter of water and soaking your feet in it for 5 minutes, 2-3 times a week. It's essential to avoid irritation and never exceed the recommended amounts. Not recommended without medical supervision.
- Essential oils (argan, oregano)They are associated with antifungal effects and can help repair nails, although their usefulness as a sole treatment remains limited.
If you decide to try any home remedy, remember to consult your doctor if you experience any worsening or if several weeks pass without improvement.
Tips to prevent nail fungus
Prevention is always the best way to avoid fungal infections. Here are some guidelines recommended by dermatologists and podiatrists:
- Keep feet clean and dryWash your feet daily with soap and water, drying them well, especially between the toes.
- Wear breathable shoes, preferably made of materials like leather or canvas. Avoid synthetics and don't replace shoes without giving them time to dry completely.
- Change your socks every day, better if they are made of cotton or materials that absorb sweat.
- Wear flip-flops in swimming pools, locker rooms, and public showers.Direct contact with wet soil is one of the main sources of infection.
- Do not share towels or foot care instruments.Sterilize scissors, files, and nail clippers after each use.
- Wash socks at high temperatures and periodically disinfect shoes with antifungal sprays or powders.
- Do not cut your nails too short or tear off the edges.This way, you'll avoid small injuries that are a gateway for microorganisms.
- Pay attention if you have athlete's footTreat skin fungus as soon as possible to prevent it from spreading to your nails.
When should you go to the doctor?
If you notice persistent changes in the color or shape of your nails that do not improve with usual care, or if there is discomfort, pain, pus, or inflammation, It is advisable to consult a dermatologist or podiatristIt's also especially important to seek professional help if you have underlying conditions (diabetes, immunosuppression, etc.), if the infection has spread to multiple nails, or if the nail is about to fall off.
Early diagnosis and appropriate treatment can prevent complications, secondary infections, and permanent nail destruction.
Recommended products and options in pharmacies
Currently, there are various specific formulations on the market to treat toenail fungusSome well-known brands that stand out for their effectiveness and professional recommendations include:
- Isdin Si-Nails MicoXpert MDRecommended for both preventing and treating minor infections. Strengthens the nail and can be used from age 3 without filing.
- Anti-Fungal Filmogel Dressing from Urgo: Provides antifungal action and creates a protective barrier that helps the nail regenerate.
- Filmogel for Damaged Nails: Cleans and regenerates nails affected by fungus or minor trauma. Suitable for adults and children.
- Fungicide spray (Urgo et al): Keep skin healthy and help prevent recurrent infections.
These treatments are generally applied once or twice a day and require long-term consistency. Most aim to cover and treat the nail without being invasive or painful.
Frequently asked questions about toenail fungus
Below, we address some common questions related to this problem:
- Does nail fungus go away on its own? It's unlikely. Without treatment, they often worsen or spread.
- Can they be completely prevented? Although they cannot be avoided 100%, following hygiene and prevention guidelines significantly reduces the risk.
- Is athlete's foot the same as nail fungus? No, although they are related (athlete's foot is a skin infection caused by the same type of fungus, and can spread to the nails).
- What are the consequences of not treating it? It can cause pain, more serious infections, permanent loss of the nail, and contagion to other people.
Recovering the health of your feet requires consistency and patience. Fortunately, today there are multiple proven alternatives to eradicate fungi and prevent their reappearance. Apply the prevention guidelines, go to a specialist when necessary and do not rely on miracle solutions: the key is to detect in time, treat correctly and maintain proper hygiene habits. Healthy feet are synonymous with well-being and quality of life; spend a few minutes a day caring for them and avoid future problems.