Nail Fungus

What to do if you “smash” your toenail. 

Dr. Campitelli No Comments

Toenail trauma is very common and can create panic to many people. The biggest question is “what do you do to the toenail?”. Here are some guidelines on what to do if you injure your toenail.

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Reoccurrence of an ingrown toenail – A Nail Spicule

Dr. Campitelli No Comments

If you have every had an ingrown toenail removed and developed a reoccurent small portion of nail in the corner, it is called spicule.  This small sliver of nail will grow at the same rate of the full sized nail plate but will be a small detached portion of nail.  While it is nothing to worry about, it can be irritable and bleed if pulled out.  Many patients also describe that it catches on their socks and clothes and is painful.   Read More

Infected toenail or nail fungus?

Dr. Campitelli No Comments

An ingrown toenail is typically the result of the nail plate growing into the adjacent nail fold or skin next to the toenail. The break in the skin allows bacteria to enter and an infection occurs. 

Sometimes a toenail can acquire a bacterial infection under the nail plate itself. Examples of this can be due to a deformed toenail (which could be from nail fungus or trauma to the toe) causing the toenail to become loose and allowing bacteria to collect under the nail plate and eventual form an abscess. The abscess usually occurs in the eponycium or “cutical” area. 

Here is an example of a nail deformity in which the patient presented with severe pain and drainage from the toenail. Under these circumstances the nail needs to be removed to allow the infection to be drained.  An antibiotic is initiated and recovery is usually two weeks. It’s is important to catch this soon as neglect can lead to a bone infection in the toe. 

Toenail Fungus

Dr. Campitelli One comments

Suffering from toenail fungus?  It’s a tough problem to treat and cure.  If you catch it early enough, you can sometimes clear it.  Most over-the-counter topical agents do not work and more importantly are not studied or FDA approved.  There are currently three approved prescription topical agents:

  1. ciclopirox
  2. Jublia
  3. Keradyn

Oral agents, such as terbinfine  (Lamisil) are more effective in the treatment of more severe cases of fungal infections of the toenail.  Although it is commonly thought to cause liver problems, the truth is it’s a safe medication and is used frequently for the treatment of toenail fungus.  It is now generic and covered by most insurance plans.

Here’s an example of a patient treated recently in my office where a young female was able to resolve her toenail fungus with the use of Jublia.  This is after almost 6 months of treatment.  There are still mild changes to the nail plate which are superficial and will grow out and resolve.



How to treat toenail fungus.

Dr. Campitelli One comments

Need I say more?  The title pretty much sums it up.  What can a person do to clear up the thick and yellow appearance to their toenail? Well, it’s not that easy.

To begin with, there are a variety of conditions that can cause a toenail to become deformed or discolored.  These include:  fungal infection, psoriasis, peripheral vascular disease, trauma, and certain medications such as chemotherapy.  If the condition is a result trauma then it’s unlikely you will be able to fix the appearance. Read More

Dealing with a painful deformed toenail?

Dr. Campitelli No Comments

While many people may initially think this is a result of toenail fungus, it’s more likely caused by trauma resulting in a permanently deformed nail.  Think of the nail as being “scarred”. Read More

Melanoma under the toenail?

Dr. Campitelli No Comments

It is very common for patients to present with a discoloration of a toenail and are concerned about a melonoma. The above picture is an example of a patient who presented to me with discoloration to the right great toenail as a resulted of concern by the family doctor.

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Topical Nail Solution to soften and clear discolored toenails.
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