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Toenail Fungus [Major Foot Problem] – What it is? Its Causes and Precautions (How to remove it)

Mushrooms are generally feel in humid and warm environment very well. So it is with the nail fungus. Therefore, it spreads very well in a moist and warm environment. The sauna and the swimming pool are available for nail fungus – and thus the infection with this – almost the perfect environment. Due to these good opportunities for dissemination it is not surprising that the most common fungal nails are infected, and the disease is found far ahead of any other nail disorders. Other nail disorders are the nail and nail bed psoriasis inflammation.

When a fungal infection of the nails just a nail or nails of several fungi are either infested. Generally, the fungal ensures destruction of the nail plate. This destruction is very slow, but ultimately irreparable. Both the finger and toenails may be affected by the fungi. Overall, however, the toenails are four times more likely infected by the fungus than fingernails.

The fungus of the nails is extremely contagious. Filamentous fungi most often responsible for the infection of the nails. They are followed by yeast and then the mold. Onychomycosis is the first and only annoying little looks beautiful from the long term it can become chronic and also permanently damage the nail plate. A detailed definition of onychomycosis provides you with the University of Dusseldorf available.

Nail Fungus – Causes
The filamentous fungus is responsible for the infection of the nails in the rule. These fungi are also known as dermatophytes. Also, the yeast can pull a fungal infection of the nails by yourself, but this is rare fungus responsible for the infection of the nails. But fungal species can also be combined with other fungi occur, which ultimately makes the treatment of the nails even more complicated, since all fungi must now be fully eliminated.

While some people often suffer from nail fungus, other people get this disease, despite similar conditions to which they are exposed, no. This is because other factors favoring infection with nail fungus.

A picture of toenail fungus.

A picture of toenail fungus.

If the nails in sports activities frequently injured or even with the pedicure, the risk increases for a nail fungus.
Tight and airtight footwear can bring the best nail fungus conditions and so an infection – for example, in the swimming pool – in favor of the sequence.
Also, deformities of the feet support the nail fungus.
Circulatory disorders can provide the best conditions for nail fungus thrive on foot.
Furthermore, a disturbed triggers of nail growth is also for the infection of the nails.
A total of weakened immune system can provide the nail fungus to thrive better terms.
There is also some people simply an increased predisposition for nail fungus, while others are more resistant to the infection.
Generally, the moist, warm environment provides the fungus a particularly good basis for the distribution.

Nail Fungus – Precautions against infection
If the infection occurs with the nail fungus once the treatment is very lengthy. Anyone who has purchased the nail fungus can therefore be set to the nails that can last for months. A distinction is made in the nail fungus treatment in the lighter infections and a severe infection with fungi. If the nail fungus is still in its early stages, treatment with commercially available creams or paints may be sufficient for the nails.

Important in the treatment of nail fungus is always absolute hygiene. Both towels that come in contact with the fungi as well as bath mats or beach shoes may not come into contact with the feet of other people. For a single contact may take place already an infection.

A severe infection with nail fungus occurs when the nail root is already attacked by the fungus. Even if multiple nails are infected, is already talk of a serious infection, because the individual nails may become infected repeatedly infect each other as well as the not yet infected with the fungus nails. In cases of severe fungal infections, it is usually necessary to treat the fungus not only externally but also make an internal application of medication.

The fungus is already very pronounced, it may be advisable to consult a doctor to get the fungal infection under control quickly and prevent chronic disease.

Nail discoloration as a sign of nail fungus
Nail discoloration is a sign of fungal infection of the nails. However, not every nail discoloration, a clear sign of the fungal infection, because the nails can become discolored for different reasons.

Basically, the toenails and fingernails translucent plates on the top of the toenails and fingernails are. The material from which the nail plates, called keratin , which is to protect the toes and fingers as hard substance. The nails are healthy, they appear pink, but are translucent. However, nail discoloration caused by fungi, internal diseases, skin diseases Medikamenteineinnahme, chemical exposure and poisoning of the organism may occur. It is not always thus, the nail fungus that causes this discoloration.

The nail discoloration can white, but also purple, black, brown and yellowish discolored nails produce. The discoloration of the nails with a fungal infection is a yellowish discoloration of the nails.

Who is affected by nail fungus?
The most common disease of the nails is the nail fungus. The risk of a fungal infection of the nails increases with increasing age. Children are rarely affected by nail fungus. Overall, however, have about 20 to 30 percent of people over 40 years in a so-called onychomycosis. While indigenous peoples the nail fungus practically not know, five to 12 percent of the population are affected in Europe. Reasons behind this are the often narrow and slightly air-permeable footwear.

Ingrown Toenail Surgical Treatment / Medical Aid +

Description of the disease:

In most cases, the change on the big toe is that the hereditary wider (rounded) nail by an external trigger ground (to tight shoes, misguided, incorrect cutting the nails, etc.) the surrounding tissue on one side or irritating at the same time on both sides suppressed, which causes inflammation of the tissue. This complex of symptoms ( pain, redness, swelling, oozing and ulceration, inflamed granulation tissue, etc. ) is known as ” ingrown nail ” means . The disease is always to be considered on both sides, this is true even if the symptoms do not show the same on both sides. In such cases, the surgery can indeed be carried out only on one side, in which the symptoms have shown, but it is certainly to be expected that the symptoms will eventually occur on the other side, that a new operation for will follow. Another possibility is to perform the same operation on both sides in order to obtain a final solution that with an operation. The decision for one or the other possibility is exclusively in the patient considered by the medical point of view both alternatives are just.

Investigation and consultation:

The operation is to forestall definitely an investigation carried out by a surgeon. Following this examination, the patient about the planned surgery, the Anästhesiart the home care and treatment, as well as the potential complications is informed. The operation can be performed immediately after the scan and the consultation or at a later time. If they have taken the decision to submit to the surgery, you have a DECLARATION to be signed, where you instruct our clinic with the implementation of the operative procedure, and agree that you assume the wound care.


The surgical procedure consists essentially in the fact that we are first in local anesthesia cut out the ingrown nail edge , and then remove the nail bed, the nail grows from the side-lying, nail forming or responsible for the growth of the nail edge cells with laser destroy . From the thus narrowed nail bed, the nail can grow only in the width set by us, and therefore is no longer presses the skin or cutting into them. Through this surgical procedure, a definitive cure can be achieved.

An image of an ingrown toenail surgery.

An image of an ingrown toenail surgery.

Possible consequences of surgery:

No doctor can guarantee an absolutely complication-free surgery. Complications can arise even when that is carried out with the greatest prudence surgery. The possible early complications such as bleeding, however, including inflammation can be successfully treated. They should therefore communicate at the slightest unusual signs your surgeon also the same. A day after the operation you bandage after a five minute soak in warm water to remove and pull the tampon inserted by the physician (Gazestreichen) with an energetic movement, hinabzureissen. Occurring less bleeding, one need therefore to make any worry. The wound should then be thoroughly rinsed with shower, dried, then you have to create a new organization that is set as the tampon bleeding. With an inflammatory complication is only to be expected when one fails to twice a day maceration, leading to drying out of the wound, thus preventing the exudate flow.

However, should this be the case, one has first durchzuweichen the wound thoroughly, and shoot from the sides strongly several times, so that the wound fluid (secretion) emptied, and the inflammation ceases within 24 hours. As a late complication of recurrence of the ingrown nail may if it is for any reason unable to have the nail-forming cells destroyed. According to our statistics, is the possibility of this complication between 4-5%. In such cases, of course, the operation can be repeated, we perform under the guarantee, ie for repeated surgery, you have to pay any fee.

Duties after surgery:

A day after the operation of the ingrown nail you have to remove the bandage and pad with warm water to shower or rinse thoroughly dry the wound twice a day, and then create a small association (quick patch). The healing of a wound caused by a laser coupled to secretion which is not to be regarded as abnormal. The reddish contour (circulation) around the wound is also a normal consequence of surgery, it is part of healing, and no inflammatory complications. After a week it’s been recommended to let the wound so it heals faster. On the wound wound Dusting powder may be sprinkled or ointment applied. The full cure time is between 4 – 6 weeks, which depends to a great extent from the state before the operation of the nail. We ask at the check-ups on the dates agreed to appear because we are able to provide a guarantee for the surgery only in this case.

Ingrown Toenail Fungus Treatment – Easy and Comfortable than Surgery

The treatment of nail fungus was once considered slow and difficult. Through the development of modern antifungals the toenail fungus treatment has become more effective in recent years. Basically, there are three treatment approaches:
1) Topical therapy – This is a local treatment with an antifungal nail polish and / or an atraumatic removal of the nail
2) Systemic therapy – It is a body-wide treatment with orally active antifungal agents in the form of tablets.

In moderate to moderately severe infections of the doctor recommends antifungal nail polishes usually.
The antifungal nail lacquers contain a broad-spectrum antifungal agent against a wide variety of pathogens acts (such as the active ingredients ciclopirox or amorolfine).
Side effects and drug interactions are rare in the local therapy. The treatment lasts several months to a year – as long as until a healthy nail grown back. Antifungal nail lacquers are available without a prescription at the pharmacy.
alternative to treatment with the nail polish can be softened with a highly concentrated urea ointment and removed mechanically. This so-called atraumatic removal of the nail should be accompanied by a treatment with antifungal creams or solutions.

If many nails are infected, or fungus has penetrated even to the nails in each nail root access is difficult, it is difficult to fight the fungus from the outside.
Then taking antifungals may be displayed that kill the fungus from the inside. Orally active agents include fluconazole, terbinafine or itraconazole. The therapy with these agents is often at intervals. Since these antifungal effect on the entire body, side effects and interactions may occur with other drugs.
Oral antifungals are veschreibungspflichtig. The cure rate can be enhanced when the same is carried out, a local treatment with a nail varnish. nail removal:

An image showing the result of toenail fungus treatment

An image showing the result of toenail fungus treatment

As the fungus is not sitting in the nail plate (or just at the bottom), the idea is natural to remove the nail completely to get quickly to the stove fungus. In fact, until a few years regularly affected nails were pulled under local anesthesia and then the nail bed treated with antifungal ointments or tinctures. This method is not recommended because it has many disadvantages for the patient. , it is always advisable to remove as completely as possible the diseased nail games before starting treatment. Medical Chiropodists (Podiatrists) have this on special tools and hygienic precautions, because the removed nail material is heavily infected with fungi and fungal spores. Treating a nail fungus always takes several months (on toenails often one year) and requires a certain discipline – that is they rewarded with beautiful, fungus-free nails. Relapses occur, especially in pre-damaged tissue before. Therefore, a consistent prevention is then useful.


Because the nail grows slowly, it also takes a long time until sick nail material out and healthy nail grows back again. Nail fungus should be detected and treated early. Then there are also the best chance of recovery.
There are preparations for local applications and oral tablets. Both types of treatment must be carried out over several months to fight the fungus sufficiently long. If more than three nails are affected, the doctor usually recommends the combination of both types of treatment, because then the chances of success are greatest.


If treated in time, the local therapy usually is purposeful: for topical treatment of nail fungus that has invaded the superficial layers of nail, usually a medical nail polish is recommended, which is applied directly to the affected nail. If the pathogen is not identified, in the usual way is resorted to a nail polish with a drug directed against the whole spectrum of possible pathogens. It also speaks of a broad-spectrum antifungal. Some products require before applying the roughening of the surface with a nail file to facilitate the penetration of the active ingredients. In contrast, there is medical nail varnishes which can be applied directly without such a roughening and are also water-soluble. That is, they can be washed after exposure to water and must not be removed with nail polish remover. Medical nail polish is available without a prescription at the pharmacy.

A removal of the nail is nowadays usually rejected by dermatologists because it is not guaranteed that the nail grows back and the fungal infection is not transferred to the regenerative tissue further.


While the local treatment usually is not a problem, oral treatment possible side effects on other organs of the body can have (especially liver, skin and / or bone marrow).
To monitor side effects, your doctor will be periodic blood tests (usually monthly) during the order treatment. Some of the symptoms listed below, you should immediately contact your doctor:

-unusual fatigue
-severe loss of appetite
-Morning sickness
-Yellow eyes
-dark urine
-pale stool
-Skin problems
-enlarged lymph glands
-Signs of infections


The antifungal nail treatment suppresses the infection usually when it is applied as required. Unfortunately, you can not guarantee a permanent cure. At least 1 of 5 patients or 20% has a new nail infection after some time.
The local treatment of nail fungus is extremely tedious: A toenail takes 9-12 months or longer to regrow once fully healthy. A fingernail grows and takes less time usually already within 6 months to complete once. Only when the nail is completely healthy once grown, the nail fungus treatment should be discontinued. Only such a consistent action protects against relapse, but also against attack other nails or skin.

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