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The Complete Guide to Preventing and Treating Toenail Fungus

Toenail fungus, also known as onychomycosis, is a widespread fungal infection affecting millions of people worldwide. It causes nail discoloration, thickening, and crumbling, making it a persistent issue if not treated. Though it’s not life-threatening, toenail fungus can be uncomfortable, unsightly, and stubborn to cure. This comprehensive guide provides preventive measures and treatment options to help manage toenail fungus effectively.


By Jeff Strauss

A doctor scrutinizes a patient's foot.
Close-up of a man's toenail fungus.

How to Prevent Toenail Fungus Infection

Outside of toenail fungus being unsightly and potentially embarrassing, it can be difficult and time-consuming to treat. Therefore, prevention is the best approach.

Maintain Proper Foot Hygiene:

  • Keep your feet clean and dry, especially after activities that cause perspiration.
  • Use mild soap and warm water to wash your feet daily, paying attention to areas between the toes.
  • Dry your feet thoroughly, focusing on the spaces between the toes, as moisture is a breeding ground for fungus.

Wear Appropriate Footwear

Fungi thrive in dark, moist environments, making it essential to wear breathable footwear that allows proper air circulation. Here are a few tips:

  • Choose shoes made of natural materials like leather, canvas, or mesh, which promote better airflow.
  • Avoid tight-fitting shoes that squeeze your toes, as they create the perfect environment for fungus to grow.
  • Rotate your shoes, giving them time to dry out completely between uses.
  • Never share shoes with others, especially those with toenail fungus, as this can spread the infection.

Related: What Socks are Best for Toenail Fungus?
Browse Amazon for Best Antifungal Socks to Prevent Toenail Fungus

Morning photo of woman's feet on bed.
Close-up of a man's toenail fungus.

Practice Good Nail Care

Proper nail hygiene is crucial for preventing toenail fungus from developing.

  • Trim your toenails straight across, avoiding excessively short cuts or rounded edges.
  • Regularly disinfect nail clippers and pedicure tools to prevent fungal transmission.
  • Avoid picking at the skin around your nails, as this can create an entry point for fungus.
  • Visit reputable nail salons with high hygiene standards to minimize the risk of infection.

Protect Your Feet in Public Areas

Public areas such as gyms, pools, and showers are prime environments for fungi to thrive and spread.

  • Always wear shower shoes or waterproof sandals in public areas to avoid direct contact with surfaces.
  • Use a clean towel or disposable tissues to cover surfaces before placing your feet on them.
Morning photo of woman's feet on bed.
Close-up of a man's toenail fungus.

Maintain a Healthy Lifestyle

Your immune system and general health affect your body’s ability to prevent infections like toenail fungus.

  • Eat a nutrient-rich, balanced diet that supports your immune system.
  • Exercise regularly to improve blood circulation, which promotes healthy nails and helps prevent infections.

How to Treat Toenail Fungus Infection

Once infected, it’s important to use the right treatment to prevent the fungus from spreading further, as it can become more difficult to treat over time.

Over-the-Counter Treatments:

  • Topical antifungal creams, ointments, and sprays are available for mild cases, though they may not penetrate deeply enough to eliminate the infection.
  • Look for active ingredients such as clotrimazole, miconazole, or terbinafine.
  • However, these products are rarely enough for serious infections.
Morning photo of woman's feet on bed.
Close-up of a man's toenail fungus.

Prescription Medications and Alternative Treatments

For more severe cases, stronger prescription treatments are necessary.

  • Oral antifungal medications: Common options include terbinafine, fluconazole, and itraconazole. They offer better penetration to the site of infection.
  • Topical prescription medications: Ciclopirox lacquer and efinaconazole are common choices for more effective treatment.
  • Laser therapy: While still emerging, this option involves using laser light to destroy the fungus. It may require multiple sessions, with varying results.
  • Surgical intervention: In severe cases, partial or complete nail removal may be necessary for direct antifungal treatment. This is generally a last resort.

Conclusion: Cure Toenail Fungus for Good with a Complete Approach

Toenail fungus, while not life-threatening, can be persistent. The best course of action is to maintain proper hygiene, wear suitable footwear, practice good nail care, and protect your feet in public areas. A healthy lifestyle also plays a role in prevention.

If an infection does occur, treatment options range from over-the-counter solutions to prescription medications, laser treatments, and even surgery. Consulting a healthcare provider is crucial to determine the best course of action based on your condition.

STRIDE offers a comprehensive approach to toenail fungus treatment with a combination of topical and oral medication proven to be up to 89% effective.

About the Author:
Jeff Strauss has over 20 years of experience in dermatology and is the CEO and Co-Founder of Distinct Dermatology Inc. He holds a pre-med/biology degree from Villanova University and is an expert in skin health.

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