Onychomycosis (Fungal Nail infection)

Fungal Nail Infection Overview

Onychomycosis (Fungal nail infection)  is a common foot condition that affects people of all ages.  It is commonly seen in older individuals or in individuals who have decreased immune system.

Fungi are a group of organism that like to live in dark, warm, moist areas and fungal skin infection (Tinea Pedis) is known to be a predisposing factor to fungal nail infection.

You may see:

  • White, yellow or brown discoloration under the nail plate
  • Nail plate may be discolored
  • Nail plate may be thickened
  • May have debris build up under the nail plate
  • Nail plate may be brittle, flaky and have crumbling edges
  • As the nail becomes thicker, it may become painful with shoe gear


A fungus that belongs to a group of fungi called dermatophytes typically causes fungal nails infections.

Conservative Treatment:

  • Over the counter or prescription topical medications (solutions, cream)
  • Laser treatment (in office treatment)
  • Anti fungal medications by mouth

Surgical Treatment:

Rarely invasive / surgical intervention is indicated for fungal nail infection.  Surgical treatment / removal of nail plates are usually reserved for painful / symptomatic fungal toenails.

We encourage you to consult with a foot and ankle specialist for a complete assessment of your condition.