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Fungal Toenails

Fungal Toenail Treatments

Our patients come to our Richmond podiatrist office for treatment of conditions that are causing many different issues. Pain and impaired function are certainly common reasons for someone to seek medical care from our foot experts, but another important one is to have an infection treated.

One of the more common infections we see are cases of fungal toenails. This may seem like a fairly superficial issue, but toenail fungus can detract from a patient’s quality of life by causing embarrassment and self-consciousness. For our diabetic patients, any form of infection can become a major problem. It is our goal to take these concerns away by providing the care you need for this common fungal infection.


Recognizing that you have a case of onychomycosis is the first step in being able to receive the treatment you need. The most obvious symptom is the discoloration of your nail tissues, but others include toenails that are:

  • Thickened and/or distorted in shape
  • Ragged, brittle, or crumbly
  • Dull in appearance, lacking the shine of healthy nail tissue
  • Darkened in color, which is often attributed to debris build-up under the nail
  • Separated from the nailbed
  • Emitting a funky odor

These nail infections are usually the result of a dermatophyte fungus, which is a microscopic organism. Since the fungus does not require sunlight to live, it can thrive in environments that are warm, damp, and dark (which can accurately describe feet covered in socks and shoes).

The fungus is frequently found in warm, moist places like showers, gym locker rooms, and swimming pool decks. These dermatophytes can enter tiny cuts or even a small separation between the nailbed and corresponding nail.

toenails award

Fungal Toenail Treatments in Richmond VA

Complications from Fungal Toenails

If you live with diabetes, you should already be aware of the importance of diabetic foot care. One component of this is a daily foot inspection for anything unusual, including infections. It is worth mentioning that diabetic individuals are at greater risk of infections on account of reduced blood circulation and impaired nerve function. If you suspect that you have developed a fungal infection, come see us at your earliest opportunity.

Treating Fungal Nails

You have essentially three options to treat this condition:

  • Oral MedicationAs we look at the two different medicinal approaches, oral medication is simply more effective at handling the infection underneath the nail.
  • Topical MedicationOral medications, while more effective, can come with undesired side effects; this is not usually the case with topical medicine.
  • Tolcylen™ Nail SystemTolcylen™ Solution features emulsified tolnaftate in a solution form, providing both curative and preventive treatment to infection sites of the skin. Our comprehensive treatment softens the nail, bleaches the nail to normal color, and treats the underlying fungal infection.

Sesamoiditis is a painful condition that occurs when the tendons surrounding your big toe are injured and become inflamed. Rest and ice can help ease the pain. You can try using foot pads in your shoes as well.


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We are certainly able to provide the treatment you need when a case of toenail fungus develops, but our patients typically prefer to avoid the condition altogether. Fortunately, there are measures you can take to reduce your risk and, even better, they are not particularly difficult or complicated. These include:

  • Keep your feet dry
  • Wash your feet daily with soap and water.
  • Choose footwear that allows your feet to breathe.
  • Keep your nails properly trimmed.
  • Wear socks that wick away moisture.Choose footwear that allows your feet to breathe.
  • Wear shower shoes or sandals in locker rooms, public showering areas, and on pool decks.
  • Be careful when visiting nail salons.
  • Use antifungal powder or spray in your shoes.


This common fungal infection is unsightly, embarrassing, and can even pose a risk to those who live with diabetes, but you can have it treated by our experts at Achilles Foot and Ankle Center. We provide exceptional podiatric services for our patients from the Ashland, Glen Allen, Mechanicsville, Richmond, West Point and greater Richmond, VA communities. Discover for yourself how we consistently redefine podiatric excellence by contacting us today. Call our Richmond foot doctor office at (804) 273-1717 or schedule your appointment with us online.


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Tuesday09:00 - 06:00

Our Doctors Provide Treatment for Fungal Toenails

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