{"id":57518,"date":"2023-03-12T14:17:17","date_gmt":"2023-03-12T18:17:17","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=57518"},"modified":"2024-10-25T10:49:26","modified_gmt":"2024-10-25T14:49:26","slug":"types-of-toenail-fungus","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/types-of-toenail-fungus\/","title":{"rendered":"What type of toenail fungus do I have?"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/KTsfuHbms0U?rel=0\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe><\/p>\n<p><span style=\"font-weight: 400;\">Have you noticed that your toenails have become more discolored and harder to manage? Does that yellow spot on your toenail appear to be spreading? Well, there is a strong possibility that the yellow, crumbly nail you have been ignoring is a <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/toenail-fungus-treatment-and-medications\"><span style=\"font-weight: 400;\">toenail fungus<\/span><\/a><span style=\"font-weight: 400;\">. Toenail fungus is called onychomycosis or tinea unguium. This type of fungal nail infection can cause the nail to change in appearance. The toenail becomes thick, discolored, brittle, and sometimes even painful, with a mild odor. About 14% of the general population is infected with this fungal infection, according to the U.S. Centers for Disease Control and Prevention (<\/span><a href=\"https:\/\/www.cdc.gov\/fungal\/nail-infections.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">CDC<\/span><\/a><span style=\"font-weight: 400;\">). This means more than 3 million cases of nail fungus are found in the United States each year. Toenail infections also appear to be more prevalent than fingernail infections.&nbsp;<\/span><\/p>\n<h2 id=\"what-are-the-different-types-of-toenail-fungus\"><span style=\"font-weight: 400;\">What are the different types of toenail fungus?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are five types of toenail fungus that cause nail changes&mdash;distal subungual onychomycosis, proximal subungual onychomycosis, white superficial onychomycosis, candida onychomycosis, and total dystrophic onychomycosis. Distal subungual onychomycosis is the most common type. Unfortunately, the symptoms of toenail fungus look similar in all kinds of toenail fungus, so it may be difficult to tell which type of fungus is occurring without a medical diagnosis.<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2 id=\"5-types-of-toenail-fungus\"><span class=\"title\">5 types of toenail fungus<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Type<\/b><\/td>\n<td><b>Symptoms<\/b><\/td>\n<td><b>Cause(s)<\/b><\/td>\n<td><b>Treatments<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Distal subungual onychomycosis<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Most common type<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thickened nail<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">May be white, yellow, or brown in color<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Yellow streaks may be present<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jagged, crumbly appearance<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nail may separate from nail bed<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pain and swelling may be present<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mostly commonly found in the big toenail<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Invades the nail bed underneath the nail<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Most common organism <\/span><i><span style=\"font-weight: 400;\">T. rubrum<\/span><\/i><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Home remedies, OTC medications, and prescription topical medications or oral medications<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Proximal subungual onychomycosis<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Least common type<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Starts as white patches on the skin that spreads to white spots on the toenail<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Causes toenail separation destroying the toenail<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fungus invades the proximal skin at the cuticle and spreads to the nail<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Associated with those who may be immunocompromised (<\/span><a href=\"https:\/\/www.singlecare.com\/blog\/diabetic-foot-care\/\"><span style=\"font-weight: 400;\">diabetes<\/span><\/a><span style=\"font-weight: 400;\">, seniors, AIDS\/HIV)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sometimes infection secondary to trauma<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Most common organism <\/span><i><span style=\"font-weight: 400;\">T. rubrum<\/span><\/i><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Home remedies, OTC medications, and prescription topical medications or oral medications<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">White superficial onychomycosis<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">On the superficial layer of the nail plate<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Only affects the toenails<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">White in color<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Brittle, fragile, and crumbles easily<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Caused from fungi invading the superficial layer of the toenail<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Most common organism <\/span><i><span style=\"font-weight: 400;\">T. mentagrophytes<\/span><\/i><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Usually easier to treat because the infection is not as deep<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Home remedies, OTC medications, and prescription topical medications or oral medications<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Candida onychomycosis<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">May be yellow, brown, or white<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Surrounding skin usually red<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nail may become brittle where it splits causing partial\/total destruction of the nail<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Caused from a yeast found in the environment and lives on the skin normally<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Infects the surrounding skin first then spreads to the toenail<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Most common organism <\/span><i><span style=\"font-weight: 400;\">C. albicans<\/span><\/i><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Home remedies, OTC medications, and prescription topical medications or oral medications<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Total dystrophic onychomycosis<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Complete destruction of the entire toenail<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">End result of any of the 4 main types of toenail fungus<\/span><\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prescription topical medications or oral medications, surgical removal<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 id=\"signs-of-toenail-fungus\"><span style=\"font-weight: 400;\">Signs of toenail fungus<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The most common symptoms for toenail fungus is a discolored and\/or thickened toenail in one or more nails. The discoloration may vary in color based on the type of fungal nail infection present. Thickness of the infected nail can be related to the severity of the infection. A brittle, crumbly toenail presentation can develop. Part of the nail may lift from the nail bed or the entire nail may fall off. The surrounding skin may turn red and inflamed. Pain may or may not be associated with a toenail fungus infection along with a bad odor.&nbsp;<\/span><\/p>\n<ul>\n<li><b>Distal subungual onychomycosis<\/b><span style=\"font-weight: 400;\">: White, yellow, or brown discoloration; thickened nail; crumbly appearance with possible separation; pain and swelling may be associated with this type; usually seen on the great toenail<\/span><\/li>\n<li><b>Proximal subungual onychomycosis<\/b><span style=\"font-weight: 400;\">: White discoloration with toenail separation and destruction; rare cases<\/span><\/li>\n<li><b>White superficial onychomycosis<\/b><span style=\"font-weight: 400;\">: Superficial white discoloration on the surface of the nail; brittle, crumbly appearance<\/span><\/li>\n<li><b>Candida onychomycosis: <\/b><span style=\"font-weight: 400;\">White, yellow, or brown discoloration; skin usually red and inflamed; brittle nail that splits<\/span><\/li>\n<li><b>Total dystrophic onychomycosis<\/b><span style=\"font-weight: 400;\">: Entire nail has changes<\/span><\/li>\n<\/ul>\n<h2 id=\"what-causes-toenail-fungus\"><span style=\"font-weight: 400;\">What causes toenail fungus?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are millions of different types of fungi present. The most common nail fungus is caused by a tiny fungal species called a <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK441853\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">dermatophyte<\/span><\/a><span style=\"font-weight: 400;\">. <\/span><i><span style=\"font-weight: 400;\">Trichophyton rubrum (T. rubrum)<\/span><\/i><span style=\"font-weight: 400;\"> represents 90% of the dermatophyte cases. When the toenail infection is caused by a dermatophyte then the infection is called tinea unguium.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Toenail infections can also be caused by yeasts and molds. These <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC88888\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">organisms<\/span><\/a><span style=\"font-weight: 400;\"> can be transferred to the body by either skin to skin contact (hands) from those infected, exposure to warm, humid environments where the organisms live and thrive, sharing infected supplies such as nail nippers or towels, or having sweaty, moist feet. They then enter the body from either a small cut in the skin close to the toenail, from a split\/crack in the nail or if there may be separation of the nail from the nail bed (trauma).&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The organisms found in each type of toenail fungus is:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Distal subungual onychomycosis<\/b><span style=\"font-weight: 400;\">: Dermatophyte T. rubrum is the most common, followed by T. mentagrophytes, T. tonsurans, and E. floccosum.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Proximal subungual onychomycosis<\/b><span style=\"font-weight: 400;\">: T. rubrum is the most common organism found with this type of toenail fungus.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>White superficial onychomycosis<\/b><span style=\"font-weight: 400;\">: Dermatophyte T. mentagrophytes is most common, followed by several nondermatophyte molds (Aspergillus terreus, Acremonium potronii, and Fusarium oxysporum).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Candida onychomycosis: <\/b><span style=\"font-weight: 400;\">The yeast C. albicans is the organism responsible for this toenail infection.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Total dystrophic onychomycosis<\/b><span style=\"font-weight: 400;\">: Any of the types of fungal infections.&nbsp;<\/span><\/li>\n<\/ul>\n<h3 id=\"risk-factors\"><span style=\"font-weight: 400;\">Risk factors<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">There are several risk factors also associated with the development of onychomycosis. Examples include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Older adults<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/conditions\/diabetes-treatment-and-medications\"><span style=\"font-weight: 400;\">Diabetes<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Peripheral vascular disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/conditions\/athletes-foot-treatment-and-medications\"><span style=\"font-weight: 400;\">Athlete&#8217;s foot<\/span><\/a><span style=\"font-weight: 400;\"> (tinea pedis)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/conditions\/psoriasis-treatment-and-medications\"><span style=\"font-weight: 400;\">Psoriasis<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Immunocompromised medical conditions (cancer and organ transplant patients, AIDS, HIV)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Family members living with onychomycosis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Barefoot walking in warm environments where fungus is present<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nail trauma<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nail infection\/paronychia<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Improper shoe gear<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Careers where feet are constantly wet or get sweaty<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Smokers<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Children rarely develop toenail fungus. The older the individual, the higher their chances are to develop this type of nail infection.&nbsp;<\/span><\/p>\n<p><a href=\"https:\/\/nationalnailfungus.org\/how-to-prevent-toe-nail-fungus-by-improving-your-diet\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Diet<\/span><\/a><span style=\"font-weight: 400;\"> is another important factor that puts someone at risk of developing nail fungus. A diet high in carbohydrates, sugar, and alcohol has been linked to allowing the fungus to thrive in the body. These foods may make some individuals more susceptible to developing fungal infections or make it more difficult to properly treat the fungal infection. Foods known to help boost the immune system should be considered instead. Examples may include foods rich in calcium and vitamin D (milk, cheese, yogurt, and leafy greens), protein, probiotics, iron (shellfish, spinach), and fatty acids (eggs, fish, and nuts).<\/span><\/p>\n<h3 id=\"causes-of-toenail-discoloration\"><span style=\"font-weight: 400;\">Causes of toenail discoloration<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If nail changes occur that do not result from a fungal infection, this is called a dystrophic nail. Other causes for toenail discoloration or changes not related to fungus include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Yellow nail syndrome<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drug reactions<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thyroid problems<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nail trauma<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/conditions\/melanoma-treatment-and-medications\"><span style=\"font-weight: 400;\">Nail malignancy<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Psoriatic nail<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/conditions\/eczema-treatment-and-medications\"><span style=\"font-weight: 400;\">Eczema<\/span><\/a><\/li>\n<\/ul>\n<h2 id=\"what-type-of-doctor-treats-toenail-fungus\"><span style=\"font-weight: 400;\">What type of doctor treats toenail fungus?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Rarely will a toenail fungus resolve on its own. The infection must be treated promptly so it does not spread to adjacent toenails or the surrounding skin causing athlete&rsquo;s foot. If there are any changes to the nail that are not improving, it is recommended to make an appointment with a healthcare specialist so they may give a proper diagnosis. A primary care physician, podiatrist, or <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/the-benefits-of-dermatology\/\"><span style=\"font-weight: 400;\">dermatologist<\/span><\/a><span style=\"font-weight: 400;\"> can help develop the most effective treatment plan based on the type of infection, the severity of the infection, and the overall health of the patient.<\/span><\/p>\n<h3 id=\"what-to-expect-at-your-appointment\"><span style=\"font-weight: 400;\">What to expect at your appointment<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">During an evaluation, the <\/span><a href=\"https:\/\/www.apma.org\/toenailfungus\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">healthcare provider<\/span><\/a><span style=\"font-weight: 400;\"> will be able to detect early signs of a toenail infection. A nail biopsy may also rule out any other potential causes of the nail changes. A variety of treatment options are available for toenail fungus, and these options will be reviewed.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Healthcare providers will help in the decision of the best treatment plan, especially for those with chronic medical conditions. It is crucial to inform them of any medications, supplements, or current health conditions, as certain antifungal medications may not be advised. Oral <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/lamisil-at\/what-is\"><span style=\"font-weight: 400;\">terbinafine<\/span><\/a><span style=\"font-weight: 400;\"> (an oral <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/anti-fungal\/what-is\"><span style=\"font-weight: 400;\">antifungal<\/span><\/a><span style=\"font-weight: 400;\"> medication) may cause liver damage, so appropriate laboratory testing and considerations must be made when choosing this treatment.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If at any time the nail becomes painful, red, or swollen, medical attention should be sought immediately.<\/span><\/p>\n<h2 id=\"toenail-fungus-treatment-by-type\"><span style=\"font-weight: 400;\">Toenail fungus treatment by type<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Toenail fungus will not just go away without some form of medical treatment. If left untreated, the toenail fungus can spread to other nails and the skin, causing the infection more difficult to manage. If the toenail fungus lingers for too long, it may make the toenail too thick, which is cosmetically unpleasing, and even separate from the nailbed, which can also cause pain. In some instances, the nail may develop permanent damage.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Occasionally, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/home-remedies-for-toenail-fungus\/\"><span style=\"font-weight: 400;\">home remedies<\/span><\/a><span style=\"font-weight: 400;\"> have been successful in managing early or mild cases of onychomycosis. People may opt for this option initially to see if they can manage the infection on their own. Some common home treatments that are used for toenail fungus include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hydrogen peroxide<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Baking soda<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Garlic<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Apple cider vinegar<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tea tree oil<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If home remedies are not a success, over-the-counter products should be considered. Those available for toenail fungus include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/listerine\/what-is\"><span style=\"font-weight: 400;\">Listerine<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/vicks-vaporub\/what-is\"><span style=\"font-weight: 400;\">Vicks Vapor Rub<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Topical antifungal creams and topical solutions<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Prescription antifungal medications are always available from a healthcare provider in more severe cases or when home remedies and OTC options do not work. If the decision is made to go with a prescription option, cost savings are available when using a <\/span><a href=\"https:\/\/www.singlecare.com\/prescription-discount-card\"><span style=\"font-weight: 400;\">SingleCare<\/span><\/a><span style=\"font-weight: 400;\"> discount card at a <\/span><a href=\"https:\/\/www.singlecare.com\/pharmacy-near-me\"><span style=\"font-weight: 400;\">local pharmacy<\/span><\/a><span style=\"font-weight: 400;\">. Some prescription preparations include:<\/span><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/drug-classes\/topical-antifungals\"><b>Topical antifungal medication<\/b><\/a><b>:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/loprox\"><span style=\"font-weight: 400;\">Loprox<\/span><\/a><span style=\"font-weight: 400;\"> (ciclopirox)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"> (tavaborole)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/jublia\"><span style=\"font-weight: 400;\">Jublia<\/span><\/a><span style=\"font-weight: 400;\"> (efinaconazole)<\/span><\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.singlecare.com\/drug-classes\/antifungals\"><b>Oral antifungal medication<\/b><\/a><b>:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/diflucan\"><span style=\"font-weight: 400;\">Diflucan<\/span><\/a><span style=\"font-weight: 400;\"> (fluconazole)&nbsp;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/lamisil-at\"><span style=\"font-weight: 400;\">Lamisil<\/span><\/a><span style=\"font-weight: 400;\"> (terbinafine)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/sporanox\"><span style=\"font-weight: 400;\">Sporanox<\/span><\/a><span style=\"font-weight: 400;\"> (itraconazole).<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Laser treatment is another popular antifungal treatment approved by the Federal Drug Administration (FDA) for the management of onychomycosis. Speaking with a healthcare provider to determine eligibility and the costs associated with this procedure is a good idea.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In severe cases or if other treatments have failed, the healthcare provider may also recommend surgically removing the toenail. This option is considered in cases where an ingrown toenail is painful, there is total dystrophic onychomycosis, or there is also a bacterial nail infection present.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Clearing toenail infections can be difficult at times. Some research shows <\/span><span style=\"font-weight: 400;\"> to be the best treatment for onychomycosis. This involves using more than one treatment to combat unsightly toenails. Depending on the type of fungal infection, the healthcare provider will determine if this is the best approach.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While undergoing treatment for toenail infections, patience is needed. It may take anywhere from 6-18 months for this infection to clear. This may depend on the severity of the infection, the treatment chosen, age, and underlying health conditions. Typically the nail only grows one millimeter a month. As the new uninfected nail grows out, the back of the nail closest to the cuticle will begin clearing, and the old, damaged nail will grow out. This is why it is recommended to trim the nail back regularly to remove the old infected nail as it is growing out. As the infection clears, the color and thickness of the nail improving will be noticeable. The toenail infection is cured once the entire toenail is clear and the entire course of treatment is complete.<\/span><\/p>\n<h2 id=\"how-to-prevent-toenail-fungus\"><span style=\"font-weight: 400;\">How to prevent toenail fungus<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Treating toenail fungus can be difficult, especially when trying to manage this stubborn infection on your own. Getting help from the appropriate healthcare provider and using simple preventive measures may be beneficial in curing this problem and ensuring infection does not return.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Family members may be at risk of developing a toenail infection from other infected family members. This occurs when personal items that come in contact with the toenail or skin are also used by them. As long as personal items are not shared or properly cleaned after each use, toenail fungus is not contagious.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some simple preventative recommendations to manage onychomycosis involve:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trim elongated toenails regularly to prevent trauma to the toenail and reduce the fungal load to the nail<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wash feet, towels, and socks daily<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Disinfect shoes regularly<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dry feet thoroughly after baths\/showers<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wear shoes in public areas such as pools, gym locker rooms, or when outdoors<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If feet sweating occurs, change shoes and socks more than once a day<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wear flip flops or sandals when appropriate<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wear socks with moisture-wicking material<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wear comfortable shoes with breathable material that gives enough space in the toe box to prevent trauma to the nail<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sanitize and clean instruments used to trim infected toenails and pedicure tools<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Discontinue nail polish to the affected toenails (those discolored or with changes)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Treat surrounding skin if evidence of tinea pedis is present (athlete&rsquo;s foot)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eat a healthy, well-balanced diet<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exercise to help with the blood flow to the feet<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Toenail fungus can be tricky to manage. With good hygiene and regularly using these tips, a fungal infection can be successfully treated. Always remember to use a <\/span><a href=\"https:\/\/www.singlecare.com\/prescription-discount-card\"><span style=\"font-weight: 400;\">SingleCare<\/span><\/a><span style=\"font-weight: 400;\"> discount card if medications need to be incorporated into a fungal treatment routine.<\/span><\/p>\n<h2 id=\"related-resources-for-toenail-fungus\"><span style=\"font-weight: 400;\">Related resources for toenail fungus<\/span><\/h2>\n<ul>\n<li><span style=\"font-weight: 400;\">Fungal Nail Infections, <\/span><a href=\"https:\/\/www.cdc.gov\/fungal\/nail-infections.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">CDC<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400;\">How To Prevent Toenail Fungus By Improving Your Diet, <\/span><a href=\"https:\/\/nationalnailfungus.org\/how-to-prevent-toe-nail-fungus-by-improving-your-diet\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Global Nail Fungus Organization<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400;\">Nail Fungus: Diagnosis and Treatment, <\/span><\/li>\n<li><span style=\"font-weight: 400;\">Onychomycosis, <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK441853\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">StatPearls<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400;\">Onychomycosis: Pathogenesis, Diagnosis, and Management, <\/span><\/li>\n<li><span style=\"font-weight: 400;\">Toenail Fungus, <\/span><a href=\"https:\/\/www.apma.org\/toenailfungus\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">APMA<\/span><\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Have you noticed that your toenails have become more discolored and harder to manage? Does that yellow spot on your toenail appear to be spreading? Well, there is a strong possibility that the yellow, crumbly nail you have been ignoring is a toenail fungus. Toenail fungus is called onychomycosis or tinea unguium. This type of [&hellip;]<\/p>\n","protected":false},"author":133,"featured_media":57520,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[19027,4350],"coauthors":[20627],"class_list":["post-57518","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-home-remedies","tag-prescription-savings","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>What type of toenail fungus do I have? | SingleCare<\/title>\n<meta name=\"description\" content=\"Compare common types of toenail fungus and other causes of nail discoloration.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/types-of-toenail-fungus\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What type of toenail fungus do I have?\" \/>\n<meta property=\"og:description\" content=\"Compare common types of toenail fungus and other causes of nail discoloration.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.singlecare.com\/blog\/types-of-toenail-fungus\/\" \/>\n<meta property=\"og:site_name\" content=\"The Checkup\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/singlecare\" \/>\n<meta property=\"article:published_time\" content=\"2023-03-12T18:17:17+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-10-25T14:49:26+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2023\/03\/types-of-toenail-fungus.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Marquissa Beverly, DPM\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:site\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Marquissa Beverly, DPM\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"10 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/types-of-toenail-fungus\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/types-of-toenail-fungus\\\/\"},\"author\":{\"name\":\"Christie Falzone\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#\\\/schema\\\/person\\\/5ff7c7bb5ce0c66a6962ecf7c8d7941e\"},\"headline\":\"What type of toenail fungus do I have?\",\"datePublished\":\"2023-03-12T18:17:17+00:00\",\"dateModified\":\"2024-10-25T14:49:26+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/types-of-toenail-fungus\\\/\"},\"wordCount\":2238,\"publisher\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/types-of-toenail-fungus\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2023\\\/03\\\/types-of-toenail-fungus.png\",\"keywords\":[\"Home remedies\",\"Prescription savings\"],\"articleSection\":[\"Health Education\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/types-of-toenail-fungus\\\/\",\"url\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/types-of-toenail-fungus\\\/\",\"name\":\"What type of toenail fungus do I have? 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