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Serenity Rejuvenation Center

Serenity Rejuvenation Center PLLC, is a Medical Spa in Bellevue, WA with expertise in Physical Medicine and Rehabilitation (PM& R), aesthetic laser medicine & surgery, and weight loss.


Conquering Onychomycosis: Understanding, Prevention, and Treatment

Imagine this: you’re getting ready for a summer pool party, slipping into your favorite sandals, but then you notice something unsightly – your toenails are discolored, thickened, and brittle. You may be dealing with a common yet frustrating condition known as onychomycosis or nail fungus. Don’t worry; you’re not alone. In this blog post, we’ll dive into the world of onychomycosis, exploring its causes, prevention methods, and various treatment options to help you conquer this stubborn foe and restore the health and beauty of your nails.

Understanding Onychomycosis

Onychomycosis, often referred to as fungal nail infection, is a prevalent condition caused by various fungi that invade the nails. The most common culprit is a group of fungi known as dermatophytes, but other species, such as yeasts and molds, can also be responsible. These fungi thrive in warm and moist environments, making the feet, particularly the toenails, the ideal breeding ground.

Causes of Onychomycosis

The primary cause of onychomycosis is the invasion of fungi into the nails. However, several factors can contribute to the development and spread of the infection:

  1. Fungal overgrowth: Fungi, particularly dermatophytes, thrive in warm and moist environments such as swimming pools, public showers, and communal areas where people walk barefoot. Walking barefoot in these areas increases the risk of fungal exposure.
  2. Weakened immune system: Individuals with weakened immune systems, such as diabetes, HIV/AIDS, or autoimmune disorders, are more susceptible to fungal infections, including onychomycosis.
  3. Trauma to the nails: Any injury or trauma can create an entry point for fungal infection. This includes repetitive stress from ill-fitting footwear, sports activities, or even stubbing or jamming a finger or toe.
  4. Poor nail hygiene: Neglecting proper nail care, such as failing to keep the nails clean, trimmed, and dry, can increase the risk of onychomycosis. Moisture trapped under the nails provides an ideal environment for fungi to grow.

Types of Onychomycosis:

Onychomycosis can manifest in different ways, depending on the area of the nail that is affected. The most common types include:

  1. Distal subungual onychomycosis occurs when the infection starts at the nail bed and spreads toward the distal end of the nail. It often causes discoloration, nail thickening, and brittleness.
  2. Proximal subungual onychomycosis: In this type, the infection starts at the proximal nail fold (the base of the nail) and progresses toward the distal end. It is commonly associated with immune system disorders.
  3. White superficial onychomycosis is characterized by white spots or patches on the nail’s surface. It is typically caused by non-dermatophyte fungi and is considered less invasive than other types.
  4. Candidal onychomycosis: Candida species, a type of yeast, can cause onychomycosis, often affecting the fingernails. A thickened nail plate, irregular shape, and a soft or crumbly texture typically characterize this type.

Symptoms of Onychomycosis

Identifying onychomycosis can be quite straightforward if you know what to look for. Common symptoms include:

  1. Discolored nails: Nails may turn yellow, brown, or greenish, making them appear unattractive and unhealthy.
  2. Thickened nails: As the infection progresses, the affected nails become thicker and more difficult to trim.
  3. Brittle and crumbling nails: Infected nails tend to become brittle and break easily, leading to discomfort or pain.
  4. Distorted nail shape: Over time, the nails may become distorted, irregular, or jagged.
  5. Foul odor: In some cases, a foul odor may emanate from the infected nails, indicating a severe fungal infection.

Effects and Complications of Onychomycosis

Besides the physical changes to the nails, onychomycosis can have various effects on individuals, both physical and psychological:

  1. Pain and discomfort: As the infection progresses, the affected nails may become increasingly painful, making walking or wearing shoes uncomfortable.
  2. Self-consciousness and reduced self-esteem: Onychomycosis can affect a person’s self-image, leading to self-consciousness and reduced confidence, especially when exposing the affected nails in social or intimate situations.
  3. Spreading to other nails: Onychomycosis can easily spread from one nail to another if left untreated or if proper preventive measures are not taken. This can prolong the duration of the infection and make it more challenging to treat.
  4. Bacterial infections: Sometimes, onychomycosis can lead to secondary bacterial infections. The thickened and damaged nails provide a favorable environment for bacterial growth, leading to additional complications.

Preventing Onychomycosis:

Prevention is always better than cure, and the same applies to onychomycosis. Follow these simple steps to reduce your risk of developing this common fungal infection:

  1. Keep your feet clean and dry: Regularly wash them with soap and water, and thoroughly dry them, especially between the toes.
  2. Choose breathable footwear: Opt for shoes made from materials like leather or mesh to allow proper ventilation.
  3. Wear moisture-wicking socks: Moisture-wicking socks help keep your feet dry by absorbing sweat and preventing fungal growth.
  4. Protect your feet in public areas: Wear shower shoes or sandals in public pools, locker rooms, and communal showers to avoid direct contact with potentially infected surfaces.
  5. Avoid sharing personal items: Don’t share nail clippers, files, or other personal care tools to prevent the spread of fungi.
  6. Practice good nail hygiene: Trim your nails straight across and keep them at a moderate length. Avoid cutting them too short or excessively rounding the corners, as it will result in ingrown nails, creating an entry point for fungal infections.

Treating Onychomycosis

If you suspect that you already have onychomycosis, don’t despair. There are several treatment options available to combat this persistent condition:

  1. Topical antifungal medications: Over-the-counter creams, lotions, and nail lacquers can be effective for mild cases of onychomycosis. It’s essential to follow the application instructions carefully and apply the medication consistently.
  2. Oral antifungal medications: In more severe cases, your healthcare provider may prescribe oral antifungal drugs. These medications travel through your bloodstream to target the fungus and are typically taken for several weeks or months.
  3. Laser therapy: Advancements in medical technology have introduced laser therapy as a non-invasive and promising treatment option. Laser treatment targets the fungi while preserving the surrounding tissues, promoting faster healing.
  4. Surgical intervention: In rare cases when other treatments fail, surgical options such as nail removal may be considered. This procedure involves removing the infected nail to allow a healthy new nail to grow.


Onychomycosis may be a common condition, but it must not be a lifelong burden. Understanding the causes, practicing preventive measures, and seeking appropriate treatment can help you conquer nail fungus and restore the health and beauty of your nails. Early intervention is key, so don’t hesitate to consult an expert if you suspect you have onychomycosis. With determination and the right approach, you can confidently put your best foot forward, free from the shackles of onychomycosis.

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Serenity Rejuvenation Center PLLC, is a Medical Spa in Bellevue, WA with expertise in Physical Medicine and Rehabilitation (PM& R), aesthetic laser medicine & surgery, and weight loss. The Serenity Rejuvenation Center team’s goal is to partner with our patients/clients in optimizing self-confidence thereby improving quality of life.