Short answer: If toenail fungus is left untreated for years, it can lead to thick, brittle, and discolored nails, pain while walking, nail lifting, and increased infection risk, especially for diabetics. Leaving it untreated makes the fungus harder to cure over time, and timely podiatry care can help prevent complications.
Why Toenail Fungus Worsens Over Time
Toenail fungus, medically known as onychomycosis, often starts as a small white or yellowish spot under the tip of the toenail. If left untreated, this fungal infection can spread deeper into the nail over time. As the fungus progresses, you might notice your toenails becoming thick, which makes them hard to trim or maintain. They may become brittle and may crack or crumble at the edges. Discoloration is common, with nails appearing yellow, brown, or even black. In advanced cases, the texture of the nail might change, and it could lift away from the nail bed, a condition called onycholysis. This makes walking or wearing shoes painful due to the increased pressure on the distorted nail.
Potential Complications from Chronic Toenail Fungus
Ignoring toenail fungus doesn’t just mean dealing with unsightly nails—it can lead to more serious health issues. The infection can spread to surrounding skin, causing conditions like athlete’s foot, or even reach other toenails. Sharing towels or being barefoot in communal areas like gyms or pools can spread the fungus to others. For individuals with diabetes, poor circulation, or weakened immune systems, untreated toenail fungus can be especially risky. The thickened nails can harbor bacteria, increasing the chance of a bacterial infection that can become severe. It’s crucial for these individuals to monitor for signs of redness, warmth, or swelling around the toes, which could indicate a more serious infection.
What a Podiatrist Can Do
Seeing a podiatrist is an important step in managing chronic toenail fungus. At the initial visit, the podiatrist will examine your nails and may take nail clippings or scrapings for laboratory analysis to confirm the presence of fungal infection. Treatment options can include topical antifungal creams or lacquers, oral antifungal medications, or advanced treatments like laser therapy that target and kill fungal cells. In some severe cases, the podiatrist might perform a minor procedure to remove the infected portion of the nail, which allows for a new nail to grow in. Consistent follow-up visits are important to monitor the progress of treatment and adjust as needed. More details about podiatric treatments are available at Can a Podiatrist Help with Toenail Fungus in Houston?.
What You Can Do at Home
While professional treatment is key, there are steps you can take at home to manage toenail fungus. Keep your feet clean and dry since fungi thrive in moist environments. Changing socks daily and choosing breathable footwear can help. Regularly trimming your nails straight across can prevent damage and limit fungal growth. Using over-the-counter antifungal creams might help mild infections. However, these measures are often not enough if the infection is severe, and they should not replace professional treatment. If using any topical products, follow the instructions carefully and keep an eye out for any skin reactions.
When to See a Podiatrist
Your nails are thick, discolored, or deformed and do not improve with home care.
You experience pain in the toes or feet, especially when walking.
The infection seems to be spreading to other nails or surrounding skin.
There is a foul odor coming from the infected nails.
You have diabetes, a condition that affects circulation, or a weakened immune system.
If you notice any of these symptoms, especially if you have diabetes or circulation issues, consult a podiatrist promptly. At DeNiel Foot & Ankle Center, we offer comprehensive care for toenail fungus and other foot health issues. Visit our DeNiel Foot & Ankle Center to schedule a consultation and find the relief you need.
