Treatment of Ingrown Toenail

Fungal infections can affect any part of the body. Fungi are normally present in and on the body alongside various bacteria. But when a fungus begins to overgrow, you can get an infection.

Fungi that are already present in or on your body can cause nail infections. If you have come in contact with someone else who has a fungal infection, you may have contracted it as well. Fungal infections affect toenails more commonly than fingernails, likely because your toes are usually confined to shoes, where they’re in a warm, moist environment.

Treatment for Ingrown Toenail

Fungal nail infections can be difficult to treat. Talk with your doctor if self-care strategies and over-the-counter products haven't helped.

Treatment depends on the severity of your condition and the type of fungus causing it. It can take months to see results. And even if your nail condition improves, repeat infections are common.

Medications

Doctor may prescribe antifungal drugs that you take orally or apply to the nail. In some situations, it helps to combine oral and topical antifungal therapies.

Oral antifungal drugs. 

These drugs are often the first choice because they clear the infection more quickly than do topical drugs. Options include terbinafine and itraconazole. These drugs help a new nail grow free of infection, slowly replacing the infected part.

The FDA has approved the following systemic (works throughout the body) medicines to treat nail fungus:

·         Fluconazole

·         Griseofulvin

·         Itraconazole

·         Terbinafine

Medicated nail polish. 

Doctor may prescribe an antifungal nail polish called ciclopirox. You paint it on your infected nails and surrounding skin once a day. After seven days, you wipe the piled-on layers clean with alcohol and begin fresh applications. You may need to use this type of nail polish daily for almost a year.

 The US Food and Drug Administration has approved the following medicines that you apply to the nail to treat nail fungus:

  • Amorolfine
  • Ciclopirox
  • Efinaconazole
  • Tavaborole

Medicated nail cream. 

Doctor may prescribe an antifungal cream, which you rub into your infected nails after soaking. These creams may work better if you first thin the nails. This helps the medication get through the hard nail surface to the underlying fungus.

To thin nails, you apply a nonprescription lotion containing urea. Or your doctor may thin the surface of the nail with a file or other tool.

Nail removal: 

If you have a severe infection or other treatments just don’t work, your dermatologist may recommend removing the nail(s) to get rid of the infection. Your dermatologist will use one of the following techniques to remove the nail:

  • Nonsurgical nail removal
  • Surgical nail removal

 

Your dermatologist can perform both types of nail removal in a medical office or a clinic. With either procedure, the nail can grow back. If the infection fails to clear, however, your dermatologist can treat the nail so that it cannot grow back.

Treatment Reference

 

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