Toenail fungus is called onychomycosis.At first, the infectious process affects the thumb, but as it progresses it spreads to others.This disease goes through several stages.The sooner treatment is started, the easier it is to overcome the problem.This is especially true in relation to the thumbnail of the lower limb: it has a large bed and size, so the degree of damage is noticeable.
Stages of onychomycosis
Nail fungus goes through several stages of development, each characterized by specific symptoms.There are the following stages of disease development:
- The beginning.At this stage, no visible pathological deviations are observed: the changes are still external.The nail plates on the bottom of the toes lose their shine.White spots or streaks appear on the surface.In general, the nails look healthy and the person does not feel pain or discomfort.If onychomycosis is detected at this stage, you can quickly get rid of it.
- Moderate or progressive.The nail structure is subject to pathological changes.Plate acquires a clear yellowish color, flakes and breaks.There is also an unpleasant odor emanating from the affected feet.
- Advanced or dystrophic stage.Deep nail damage occurs.In this case, the infectious process passes from the thumb to the other.The entire surface of the nail plate is affected by the fungus and peels off from the bed, becoming loose.The patient is bothered by severe itching.When pressing on the affected area, pain and a throbbing sensation occur.Because of this, the patient cannot wear closed shoes.
Dystrophic stage of onychomycosis
In the third stage of the development of the infectious process, infection of the skin of the feet is possible.In this case, the fungus can be cured only with the help of complex therapy, which involves the use of both local drugs and systemic drugs (tablets for oral administration).
Reasons for the development of fungus on the big toe

The main reasons that cause the development of onychomycosis are:
- contact with someone who is a carrier of a fungal infection;
- neglect of sanitary standards;
- wearing someone else's shoes or tight shoes that don't fit;
- weak immune system;
- visiting a bathhouse, sauna, swimming pool or beauty salon, where non-sterilized instruments may be used;
- injuries to the nail and the skin surrounding it;
- flat feet;
- long-term use of antibacterial drugs;
- hyperhidrosis (increased sweating of the feet);
- the presence of endocrine or immune lesions;
- disorders in the circulatory system, which is very important for elderly patients;
- varicose veins;
- diabetes
Flat feet is one of the causes of onychomycosis
An important factor that increases the risk of getting onychomycosis is old age.Elderly people experience a lack of blood supply to the feet, which also increases the risk of getting fungal infections.The causative agent of this disease gets to the nails or skin from contaminated objects or through contact with the carrier.Pathogens spread quickly, capturing new areas.The fungus enters the subungual space through damaged areas of the nail plate or the surrounding skin area.The fungus spreads quickly, heading towards the nail.The rate of advancement exceeds the rate of plate growth.Soon pathogenic microorganisms reach their target and cause changes in the nail structure.It has been found that men are 3 times more likely to have fungus.The nail plate is affected by types of fungi such as dermatophytes, molds and yeasts.

When should you see a doctor?
You should see a doctor at the first manifestation of a fungal infection.You should not wait until obvious signs of the disease appear: the formation of white spots and even mild itching in the leg area should be a reason to contact a specialist - a mycologist or a dermatologist.
Diagnostics
Diagnostic measures that will help identify the disease and its stage include:
- visual inspection of the nail plate;
- take a tissue sample from the affected nail;
- culture examination - inoculation of material received from the patient on a nutrient medium to identify the type of microorganisms that have affected the nail.
In some cases, specialists carry out a differential diagnosis and distinguish onychomycosis from diseases such as lichen planus, psoriasis and keratoderma.
Treatment of fungal nail infections in the early stages of development
If the disease is detected at an early stage, it is easier to cope with it.In this case, it is usually enough to use a local agent that directly affects the affected nail.The duration of treatment depends on the condition of the nail plate and can vary from two to four weeks.Any medication intended to treat even a mild form of nail mycosis should be prescribed by a doctor.
Advanced onychomycosis therapy
In severe cases of fungus, as well as in cases of advanced infectious processes, complex treatment is indicated.Systemic antifungal agents must be prescribed if there are no contraindications.Patients are given medication:

- Systemic antibiotics in tablet form.The active ingredient of the drug achieves the localization of pathogenic microorganisms and has a fungicidal effect.
- This medicine prevents the development of pathogens and destroys them.The course of treatment and dosage is determined by the attending physician.The product causes adverse reactions.
- This drug has a fungicidal effect.The active substance gradually accumulates in the layer of the nail plate, which makes it possible to destroy even the fungus localized deep enough.
Also, with advanced nail fungus, an effective procedure that allows you to get rid of the infected plate.You can do this in the following ways:
- Surgical removal.This method involves prying the plate with a sharp surgical instrument and tearing it from the bed.After the operation, a bandage is applied.Surgical methods are traumatic and rarely used.Instead, minimally invasive methods are used.
- Removes the plate using chemicals that promote rapid exfoliation of the affected nail.In this case, the problem area is treated with a special solution, wait until the drug begins to act, and then use a tool that helps to quickly separate the plate from the nail bed.
- Laser treatment.This is a modern and painless method that will quickly get rid of nail fungus.The laser acts on the plate, heating it to a high temperature as quickly as possible.The beam penetrates deeply and neutralizes pathogenic microorganisms.This method is bloodless and completely safe, as it does not cause burns.
In advanced stages of onychomycosis, it is necessary to strictly follow the doctor's recommendations, because the lack of adequate treatment increases the risk of general damage to the body by fungal infection.

Traditional method
Treatment of nail fungus on the big toe can also be carried out using traditional medical methods.Such methods are supplementary in nature and cannot be the basis of therapy.The most popular folk remedies include the following:
- Onion porridge.You need to grate some onions and apply the resulting mass on the affected nails.Secure the top with a bandage.Leave for 15-20 minutes, rinse.
- Hydrogen peroxide.First soak the affected foot in a water bath to soften the nail as much as possible.After this, remove the top layer from the plate.Soak a piece of gauze with hydrogen peroxide and wrap the phalanx of the finger with the affected nail, catching the lesion immediately.Leave for 40-50 minutes.You can repeat the procedure up to twice a day.
- Apple cider vinegar.It is important to use natural products.Take 2 tablespoons of vinegar and add the same amount of vodka, as well as one tablespoon of glycerin.Soak a cotton ball in the resulting mixture and apply it to your nails for 15 minutes.Repeat 4 times a day.
Traditional recipes help reduce the severity of disease symptoms and eliminate discomfort, but they cannot destroy the causative agent of the disease.
The course of the disease and features of the treatment of nail fungus in children
Onychomycosis is relatively rare in children.The main cause of this disease is weak immunity due to incomplete development.Symptoms of onychomycosis in children are:
- the plate loses its natural pink color, the appearance of gray or white spots on the surface;
- unevenness and tuberosity of the nail plate;
- crumbling and brittle nails;
- redness and swelling of the skin surrounding the infected child's nails.
To treat nail fungus in children, only topical preparations are usually used.If necessary, systemic agents are also prescribed.Capsules are the safest for children.Antifungal drugs for oral administration should only be prescribed by a doctor.
Features of treatment in pregnant and lactating women
During pregnancy, there is a high risk of developing onychomycosis if the woman previously had the disease and did not completely cure it.This is due to the weakening of the immune system that occurs during pregnancy.It is important to cure the fungus in time, because in severe cases it poses a risk of bacterial infection, which threatens the health of the mother and the fetus.Systemic drugs should not be used during pregnancy, as they have a high level of toxicity.During pregnancy and breastfeeding, local drugs should be used, but only drugs that are safe for the expectant mother and her child.These include sulfur-salicylic ointment, amikazole ointment.

Treatment in the elderly
In older people, decreased immunity is a natural phenomenon associated with age, which creates an additional risk for the development of onychomycosis.In this case, experts also show caution when choosing drugs to treat nail fungus.Systemic drugs are prescribed if the disease lasts a year or more, as well as in the case of extensive lesions and dystrophic changes in the nails.
Preventive measures
If you see signs of fungus on your little finger or thumb, you should see a doctor immediately.But you can take steps to prevent the development of this disease.The following recommendations should be followed:
- wash your feet at least once a day;
- Wash your socks every day and wear clean ones;
- in case of excessive sweating, use special deodorizing products for feet;
- wear shoes that fit properly, they should not be too tight, and they should also be washed every day;
- use only personal hygiene products, as well as tools for manicure and pedicure;
- when visiting the swimming pool, beach, sauna, use personal rubber shoes;
- wash your feet with soap after visiting the swimming pool, bathhouse, and, if necessary, use pharmaceutical products for prevention.
Toenail fungus is a disease that is quite difficult to cure in the advanced stages.At the first symptoms you need to see a doctor.Treatment depends on the stage of development of onychomycosis: in the early stages, local medicine is sufficient;in advanced stages, systemic antifungal agents are required.

















