Fungal Nails
Assessment and treatment options for fungal toenails, with practical guidance to improve appearance and prevent spread.
- Nail care and debridement
- Topical/oral options explained
- Home hygiene advice
Step-by-step plan with realistic expectations and regular reviews where helpful.
Fungal Nail Treatment at the Foot & Ankle Centre provides effective, clinically proven solutions for toenails affected by fungal infection (onychomycosis). Fungal nail infections can cause nails to become discoloured, thickened, brittle, misshapen, or crumbly, and often worsen gradually over time if not properly treated. While common, these infections can be stubborn and difficult to resolve with over-the-counter products alone—particularly when the infection has been present for several months or has spread to multiple nails. Many patients experience not only physical discomfort, but also self-consciousness and embarrassment, especially in warmer months or when wearing open footwear. In some cases, fungal nails can become painful, catch on socks, or press uncomfortably inside shoes, affecting everyday activities. Without targeted intervention, the infection may spread to neighbouring nails or the surrounding skin, increasing the risk of further complications.
We combine careful nail reduction, tailored topical or oral treatments, and practical hygiene advice to improve nail health and prevent reinfection.
FAQs
Fungal nails (onychomycosis) occur when fungi infect the nail bed, causing the nail to become thickened, discoloured, flaky, or brittle. The infection may affect one or several toenails.
Exposure to fungal environments (gyms, pools, communal showers), nail trauma, excess sweating, tight or non-breathable footwear, reduced immunity, and athlete’s foot spreading to the toenails.
A clinician examines the nails and may take a small sample for laboratory testing to confirm the presence and type of fungus. Accurate diagnosis ensures the best treatment outcome.
Medical debridement to reduce thickened nails, topical antifungal medications, oral antifungal treatments (prescription only), Lacuna method to enhance topical penetration, and laser fungal nail therapy. Your clinician will recommend the best course based on your nail condition and medical history.
Most treatments are painless. Medical debridement involves gentle reduction of thick nails to relieve pressure. Laser treatment causes a warm sensation but is generally well tolerated.
Because toenails grow slowly, full clearance can take several months. Expect 3–6 months for visible improvement and 9–12 months for complete regrowth. Consistency and proper aftercare are essential.
Yes. Reinfection is possible if the underlying cause—such as sweaty feet, footwear issues, or untreated athlete’s foot—persists. We provide prevention advice and follow-up care to reduce recurrence.
Topical treatments are safe for most people. Oral medications may not suit those with certain liver conditions or medical histories. Your clinician will evaluate suitability during consultation.
Laser therapy is a non-invasive option that targets fungal organisms with heat while leaving surrounding tissue unharmed—useful for patients who cannot take oral medication.
Book via the Foot & Ankle Centre website, phone, or online enquiry form. Our clinicians will assess your symptoms and recommend the most effective treatment plan.