Summertime Feet: Protecting Against Toenail Fungus

With summertime in full swing, many of us are eagerly slipping into our favorite sandals and flip-flops, ready to show off our feet. However, toenail fungus is a common condition that can put a damper on our confidence and self-esteem. The good news is that there are simple steps we can take to prevent infection, and effective medications are available for treatment.  Risk Factors: Toenail fungus can affect anyone, but certain factors increase the risk of developing an infection. These include diabetes, immunosuppression, peripheral vascular disease, obesity, nail trauma, ineffective nail care, participation in athletic activities, wearing close-toed shoes for extended periods, smoking, advanced age, and having family members with nail fungal infections.

Signs and Symptoms: Toenail fungus often starts as discoloration of the toenail, typically appearing at the corner of the first toe. The affected nail may become white, yellow, or brown in color. As the infection progresses, the nail becomes thick, brittle, and may even break off. In some cases, the nail can lift up, causing discomfort or pain.

Complications: If left untreated, toenail fungus can lead to various complications. These include nail disfigurement, chronic nail pain, and other foot infections such as tinea pedis (athlete's foot), tinea cruris (jock itch), and tinea corporis (ringworm). Individuals with diabetes or compromised immune systems are particularly vulnerable to bacterial infections like cellulitis.

Treatment: When it comes to treating toenail fungus, oral antifungal medications such as terbinafine are often prescribed. These medications may require periodic testing of liver function. Alternatively, antifungal creams can be used, although they tend to be less effective in severe cases. In some instances, when the infection causes significant pain, portions of the affected nail may need to be removed.

Prevention: Preventing toenail fungus starts with good foot hygiene. It is essential to keep feet clean and dry, especially after activities that cause sweating. Avoid sharing tools used to clean and shape nails, such as clippers, as this can spread the infection. When using common areas like gyms or showers, wearing protective footwear like flip-flops can significantly reduce the risk of picking up the fungus.

Taking these preventive measures and promptly seeking treatment when necessary, can help keep toenail fungus at bay. By protecting our feet, we can confidently enjoy the summer months while sporting our favorite open-toe footwear.

Dr. Torres is a resident physician who sees patients of all ages and provides obstetrical services at Lone Star Family Health Center, a non-profit 501©3 Federally Qualified Health Center operating facilities in Conroe, Spring, Willis, Grangerland, and Huntsville, and serving as home to a fully integrated Family Medicine Residency Program to increase the number of Family Medicine physicians for Texas and our community.