Onychomicosis

What Causes Onychomycosis?

Onychomycosis is typically caused by:

  • Dermatophytes (e.g., Trichophyton rubrum) – the most common cause
  • Yeasts (e.g., Candida albicans) – more common in fingernails
  • Non-dermatophyte molds – less common but more difficult to treat

The fungi thrive in warm, moist environments such as sweaty shoes, public showers, or swimming pools.


👣 Symptoms of Onychomycosis

  • Thickened nails
  • Yellow, white, or brown discoloration
  • Crumbling, brittle edges
  • Nail separation from the nail bed (onycholysis)
  • Foul odor or debris under the nail
  • Pain or discomfort when walking (in advanced cases)

⚠️ Risk Factors

You’re more likely to develop onychomycosis if you:

  • Have diabetes, circulatory problems, or weakened immunity
  • Wear tight, non-breathable footwear
  • Walk barefoot in communal areas
  • Have athlete’s foot
  • Have trauma to the nails
  • Are over the age of 60

💉 Treatment Options

1. Topical Antifungals

  • Creams, lacquers (e.g., ciclopirox, efinaconazole)
  • Best for mild-to-moderate infections or when systemic drugs aren’t an option
  • Require daily application for several months

2. Oral Antifungals

  • Terbinafine (Lamisil), Itraconazole (Sporanox)
  • More effective than topicals
  • Treatment duration: 6 weeks (fingernails), 12 weeks (toenails)
  • May cause liver side effects, so blood tests are often needed

3. Laser Therapy

  • Devices like Candela GentleMax Pro or Nd:YAG lasers target the fungal organisms with heat
  • Non-invasive, relatively painless, no systemic side effects
  • Multiple sessions may be required
  • A great option for patients who can’t take oral antifungals

4. Nail Removal (in rare cases)

  • For very severe, painful, or unresponsive infections

🩺 Why Treat It?

  • Fungal nails don’t heal on their own
  • It may spread to other nails or people
  • In diabetics or the elderly, it can lead to serious foot complications
  • Early treatment improves outcomes and prevents permanent nail damage

🏥 Why Choose Our Clinic for Onychomycosis?

  • 🔬 We offer advanced diagnostic tools to identify the exact fungus type
  • 💊 Customized treatment options: topical, oral, or non-invasive laser therapies
  • 🧼 Safe, sterilized environment to prevent reinfection
  • 🩺 Experienced dermatologists and podiatrists specializing in nail disorders
  • 🔁 Ongoing support and follow-up to monitor regrowth and prevent recurrence
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