Fungal Nail Infection – 6 Top Questions Answered

Blog, Fungal Nails, General Podiatry, Ingrown Nails

In this article, we are going to answer some of your questions around Fungal Nail Infections! 6 Top Questions Answered: What exactly is nail fungus? How does nail fungus spread? Where do I catch this nasty little blighter from? What is the cause of the nasty nail fungus? What does it look like? And finally, are fungal nails infectious?

Yes yes yes this is an exciting foot topic so hold on to your socks we are ready to Rock! (Yes, I am a fun-guy (boom-tish)

Fungal Nail Infection – Heavy

What is nail fungus?

Nail fungus is also called onychomycosis (on-ih-koh-my-KOH-sis). Nail fungus is caused by Fungal organisms or “Fungi.”

The most common type is Dermatophytes. These appear to be most prevalent in temperate climates while Candida is more common in tropical or subtropical (think Warmer northern areas of Australia. Another possibility is nondermatophytic molds, which is more common in warmer climates.

When the fungal nail infection is due to Dermatophytes, it is often referred to as tinea unguium. Of these, it is most likely to be a Trichophyton rubrum. Now, less common but also possible runners up in the dermatophytes stakes are, T. interdigitale, Epidermophyton floccosum, T. violaceum, Microsporum gypseum, T. tonsurans, and T. soudanense.

If you’re a layperson wondering why your nail looks odd the names of these are going to be important, but perhaps you’re a nerdy foot geek and this is really exciting stuff. OK, perhaps not!

What does fungal nail look like?

Most nail fungus Will start by looking like a yellow or brown spot or streak in your toenail. Most people will notice that their nail seems to be lifting away from the skin.

Nails that are heavily infected will become very yellow or brown discoloured and may also appear thickened. At times it may look a little crumbly and even “worm-eaten”. This appearance, for most people, will take years to occur and does not spontaneously happen overnight.

How does fungal nail spread?

Fungal nail infections are highly contagious. The fungus produces spores or perhaps easier thought of as eggs. These are invisible to the human eye. They are also very hearty and may Live in multiple areas that have come in contact with a live fungus, such as your socks or shoes. They may also be found in areas such as showers. This makes communal areas in gymnasiums and swimming pools such as change rooms A hotbed for fungal nail transmission.

Reinfection of fungal nails is also quite high if the areas that they live in, and produced spores in, is not treated also. Or the patient continues to use the same infected spaces that they did before their treatment

Tinea – flaky skin blisters-mild

How does fungal nail start?

Obviously, patients need to come in contact with a live fungus or with the spores (or eggs).

The first sign for many people is a tinea infection on their skin. This usually presents as dry white flaky skin or in its very early stages tiny waterless blisters on feet

There are certain groups of people that are more predisposed to fungal infections. Patients with diabetes, those who are immunosuppressed, and there seems to be an increased incidence in people over 60 years of age; which of course may include the two previously mentioned groups

What is the cause of fungal nail?

Most laypeople commonly misunderstand fungal infections. They are a completely different group to both bacteria and viruses. With this in mind, their treatment is also significantly different. For example, antibiotics and antivirals will not affect fungal nail infections.

Fungal nail infections are not a result of being unclean or unhygienic. Many people mistakenly believe that they simply need to wash their towels or socks more frequently and wash between their toes, and the infection will go away. However, this will have no result on the fungal infection whatsoever.

Worried you have a Fungal Nail Infection? See your GP or Podiatrist for a diagnosis.

Are fungal nail infectious or contagious?

Fungal nail Infections are highly infectious! It is common to see in family groups, in particular, those that share the same communal wet areas such as showers and bathrooms.

They are also highly infectious in the same communal areas in workplaces and also gymnasiums and schools, for example.

Where to from here?

Fungal nails are one of the most challenging and annoying to treat conditions that podiatrists and other medical professionals come across. This, in my experience, is mostly due to The high reinfection rate and the need to treat not only the infected area but the surrounding environment as well.

In a later article, I will discuss treatments that are recommended for onychomycosis. (Stay tuned)

Written by

Dr Brenden Brown
Sydney based Podiatrist and Founder of A Step Ahead Foot & Ankle Care
St Mary’s and Penrith

Articles used

https://en.m.wikipedia.org/wiki/Onychomycosis

https://www.healthline.com/health/fungal-nail-infection#diagnosis (Although much of this information I disagree with based on my 24 plus years of experience)

https://www.mayoclinic.org/diseases-conditions/nail-fungus/symptoms-causes/syc-20353294

https://www.scirp.org/(S(oyulxb452alnt1aej1nfow45))/reference/ReferencesPapers.aspx?ReferenceID=1407378

https://onlinelibrary.wiley.com/doi/abs/10.1046/j.0933-7407.2003.00933.x

Fungal Nail Laser Therapy Mistakes Therapists Make

Blog, Fungal Nails, General Podiatry, Ingrown Nails

Do you have a Fungal infection and want to know what treatments to avoid? Laser has fast become a gold standard treatment for fungal toenail infections. Over the counter medications that do not penetrate the nail have been shown to at times be highly ineffective. Dr Brenden Brown, Podiatrist, takes you through Fungal Nail Laser Therapy and the Mistakes Therapists Make.

Fungal Nail Laser Therapy Mistakes Therapists Make Transcript

The warning signs from me that your fungal nail laser treatment won’t be successful are really whether or not the therapist is actually treating all ten toes, so the fungal nail is actually infected. Those little fungal infections are actually laying eggs all over your skin and the other nail. If you only treat the nail that you can see that’s been infected, then you won’t get rid of this infection.

The moment you stop treating it, those spores or eggs are going to come back exactly to where they were.

The other thing that I see as a big mistake when people treat this is that they don’t remove as much as possible of the dead nail or the area that’s actually been attacked by the fungal infection. That’s where we actually start to remove that area or penetrate that area as much as possible so that your treatment can access there.

Finally, I think the really important thing that many people miss out on doing is that they don’t treat the entire environment. Again, those spores actually not only live in the nail, but they leave in the skin around the outside. They live in your socks, they live in your shoes, and they live in the base of your shower. If you’re not treating that whole environment, then the moment you stop treatment or you no longer have your laser therapy, then those fungal infections are just going to come straight back and starting infecting again, and you’re back to square one.

If you haven’t booked your appointment time for your gap-free heel pain assessment yet, please call our friendly reception team on (02) 9673 2987 to secure your appointment today.

Fungal Nail Infection – 5 questions to ask anyone providing Fungal nail treatment

Blog, Fungal Nails, General Podiatry, Ingrown Nails

Fungal nail infection treatment options are wide and varied; there are several different options anywhere from prescription medication to over-the-counter paints and ointments and also several laser light treatments. In particular Thermal laser has become one of the gold standards for treating patients with fungal nail infections. Dr Brenden Brown, Podiatrist in Penrith, talks about fungal nail infections and 5 questions to ask anyone providing Fungal nail treatment.

Not all lasers are the same, and in particular, we are talking about Thermal laser. This laser uses both the laser light spectrum but more importantly, the temperature increase occurring in the nail bed, which is highly effective at killing both the live fungal infection and it’s smalls or eggs.

Fungal infection and spores cannot live when exposed to temperatures above 40°C Celsius.

Fungal-Nail-Infections-5-Questions-to-Ask-Your-Therapist

Fungal Nail Infections just love feet. Proper care needs to be provided to stop reinfection

Are Fungal Nail Reinfection Rates High?

An issue that occurs with fungal nails is the highly contagious nature of the fungal infection is meaning that it is both easy to contract and, despite having a successful treatment, easy to re-contract after your therapy – leading to high levels of reinfection without proper care and advice

Fungal spores are invisible and are not seen when living in nails. Any evidence of fungal infection on a toenail is the result of a past infection. What you are seeing when looking at the yellow or brown discolouration is the area that has essentially been attacked by the fungal infection.

Are Fungal Nail Spores Invisible?

The eggs that are produced by the fungal infection are completely invisible; they will often live in the other toenails and on the skin surrounding the nails with no evidence whatsoever. Be warned that if you do not treat these, they will simply wait till the treatment is completed on the nail you are treating and because the two toes are in such close proximity to will simply transfer across to the freshly treated nail

Is Thermal Laser advanced treatment the Answer for Fungal Nail Infections?

As a foot doctor or podiatrist with more than 24 years experience, this is one of the most frustrating conditions to deal with. Fungal Nail infections are notoriously difficult to beat.

In 2014 I travelled to the United States to investigate the emerging thermal laser treatment protocols. After this trip, I returned to Australia and introduced the thermal laser technology we now use in our clinics and now numerous others across Australia

As I am highly involved in this area, these are the questions I would ask before undertaking treatment with any clinic!

Here are 5 questions to ask any clinic before undergoing treatment for fungal nail infections.

1) Why is the clinic only treating one nail?

As I have explained fungal infection is are incredibly contagious and also riotously difficult to eradicate. The spores regularly live on at least 3 to 4 nails on each foot, despite the fact that these cannot be seen, it is estimated that there is a 97% chance that the other nails have live spores infecting them!

Treating one nail only that being the nail that has obvious signs of the past infection is most would suggest a guaranteed way of not successfully treating this condition

2) How does a patient treat the unseen fungal nail infection?

All clinics should address with the patients they see a number of after-care steps this includes eradicating the unseen spores that are living in numerous other areas, these include on your skin, in your shoes, in your socks, in your shower and living areas. Ask the clinic treating you how they suggest you Address these areas.

3) What system does the clinic have to keep the Fungal Nail Infection at bay?

It’s fine to treat the infection while you are there but what after-care is the clinic suggesting do they have a thorough after-care protocol for patients to undertake. This is a highly contagious infection and to think that it only resides on the nails is either misinformed or naive.

4) What treatment do they advise for current footwear?

It is almost 100% positive that patients with fungal nail infections will have spores living inside the shoes, that they have been wearing while they have a fungal nail infection. If a clinic does not suggest patients should treat footwear that the client has been wearing, I will put forward they do not entirely understand how to manage this incredibly contagious condition. Find another clinic!

5) Are all Fungal Nail treatments the same?

Since later therapy for fungal nails was introduced to Australia, there have been a number of clinics add this technology as a way of increasing clinical turnover.

Unfortunately, they do not completely understand the condition or understand how to reduce the very high reinfection rate.

There is no way to prevent reinfection completely; however, without a significant Plan put in place it is almost a certainty that after treatment, it will quickly return. For this reason, it is important to ensure the clinic that is treating you has a thorough understanding of how to reduce this reinfection rate and to assist patients in beating this nasty condition.

How can we help?

We have treated thousands of patients with fungal nail infections literally. As one of the first clinics to introduce thermal laser technology, we are pioneers in the field and with this extensive experience have developed treatment protocols to overcome many of the problems surrounding the reinfection of nails. Yes, we think we are pretty good at beating this!

Our Doctors all fully qualified Podiatrists have extensive hands-on experience treating fungal nail infection.

Where to from here?

If you are serious about beating fungal nail infection and then the quickest and most effective way is to call our clinic on 9673 2987 we are based in western Sydney, with patients travelling from all over New South Wales to have this treatment due to our team’s profession leading experience.

Our helpful front desk team have spoken to thousands of people with fungal nail infection and will help guide you through the suggested process and guide you to the best laser package for beating this.

Why you’re not getting better and what you can do about it

Blog, Fungal Nails, General Podiatry, Growing pains, Heel Pain, Ingrown Nails, Kids Feet, Shockwave

Why You’re Not Getting Better and what you can do about it

Have you ever wondered why you’re not getting better after seeing a therapist, and what you can do about it? Dr Brenden Brown, the Leading Podiatrist at A Step Ahead Foot and Ankle Care, Penrith, explains that it could be you, not the therapist.

It’s Father’s Day. I love my dad, and I’m sitting in the entertainment area of my childhood home after cooking my dad his Father’s Day breakfast. My brothers are here with their children as well, and we are discussing my parents impending trip to Europe, but more concerning in the discussion is the Back Pain that has my Mum currently in a wheelchair.

Mum has been to see a therapist. She’s been given exercises and a treatment plan that she needs to undertake. My dad says, “Oh well. I think from here it’s all up to Peter.” I look at him, and I ask, “Who is Peter.” My dad replies, “Your Mum’s therapist. It’s up to him whether or not your Mum will get to Europe. Let’s hope he can get her better in time.” Pardon?

My head twirled, my eyes roll, and I’m quite sure I probably became the colour of an orange. I reply with all the love I can muster, “This has very little to do with Peter and a whole stack to do with Mum.”

That’s right; It’s not Peter’s responsibility to get my Mum better! Peter has developed a treatment plan, and the biggest participant in that plan is Mum. Peter can show her what to do, tell her when to do it, but in the end, who is the person that is responsible – MUM!

I have no idea who Peter is as I’ve never met the guy. Still, I know from experience that this is a common expectation of patients that somehow it is the practitioners’ responsibility to get patients better. I’ve got to tell you that while Peter and I have our patients’ best interest in mind and as therapists work hard to help out our patients reach their goals. I think there is very little further from the truth than it’s “up to us” to get patients better. Dad… Mum… listening?

If I were to make a list of the most common reason that I see for people not getting better, at least half would be the laid at the feet of the patient themselves. Yes, I know this is a bitter pill to swallow if you are a patient and reading this blog is not going to make me at all popular, but them’s the breaks, so to speak.

So what is the on “The list”:

Not following your treatment plan – broadly speaking
Not completing your exercise program as instructed
Not Completing exercises as often as required
Not wearing the footwear your practitioner suggests
Picking and choosing the best bits of your treatment plan
Holding your practitioner responsible for your success

Now, of course, other reasons can contribute to your lack of recovery and yes, at times they relate to therapy or perhaps the diagnosis. Yes, practitioners get it wrong but so do patients! As humans, we seem pretty programmed to point the finger at others than recognize that we may be a contributor to our problems.

If you find following your therapist’s instructions difficult, let them know, SPEAK UP! Sometimes 13 different stretches in a day is too much. But equally, if they tell you that you need to do this to get better, you’ve two choices – 1. Get to it or 2. Get a second opinion. But that’s it! Choosing not to follow the plan and then blame a therapist for your lack of progress is like not taking your medication the doctor prescribes and returning to them complaining that you’re not getting any better.

Why you’re not getting better – Its not ME its YOU

To the therapist who is reading this: Stop being walked over! If your patient isn’t following their plan and you know it or they are negotiating not completing vital parts of the program, fricken speak up! Tell them straight! You are in no way helping either of you by following that course. The patient doesn’t improve, you look stupid and incapable, and that is a lose-lose for you all! That patient will see someone else and will bad mouth you to their friends, loved ones and the next therapist they see! I know because they see me!

Why You’re Not Getting Better – Its not me its you

Well, after my head stopped twirling like the cast of the Exorcist, I had to make sure my Mum had a clear understanding that Europe was not only physically thousands of kilometres away, but the same distance metaphorically. Unless she stuck to HER part of HER treatment plan, she was not going anywhere.

The result? My Mum is, as I write, jumping on and off buses in Europe enjoying her holiday!

Ingrown toenails Ouchi Mumma these can hurt!

Blog, Ingrown Nails

Ingrown toenails Ouchi Mumma these can hurt

Ingrown toenails Ouchi Mumma these can hurt! Most patients think it will be super painful to remove these BUT THIS IS NOT TRUE!!

Many patients, of course, head straight to YouTube to look up the grossest and disgusting ingrown toenail videos they can find to further convince themselves that these will be painful to remove. ? Nothing can be further from the truth (apart from the part about patients running to Youtube!)

Ingrown toenails are generally fairly painless to remove. Local anaesthetic can be used to further reduce pain (and your anxiety)

Many people think they will immediately need surgery, but yet again this is not the case! Most people will be able to be treated on the day, on the spot with minimal if any pain at all!

Yes our doctors, all qualified Podiatrists, can do surgery if you need. This is a procedure again done in the clinic under sterile conditions and a local anaesthetic applied to the toe. Patients will not need stitches sutures. Healing times vary however most people see their toe return to normal within 4 to 6 weeks.

Isn’t it good that all of those concerns you had about this being horrendous and all of those YouTube videos you watched were unfounded? Phew! sounds like we can get you started to being more comfortable much sooner than you first thought!

Yes, we can treat you! We are open and have very strict infection control measures in place to keep you safe!

Oh, packages and appointments available so if you’d like our help please call our office on 96732987 we’d Love to help!

Ingrown Toenails Do I Need Surgery?

Blog, Ingrown Nails

Ingrown toenails do I need surgery?

You probably aren’t as in need of ingrown toenail surgery as you believe you may be.

Ingrown toenails can be incredibly painful. They can be so tender to touch that even the bedsheet or a sock can create pain that makes you wish you could simply remove the whole toe.

This ingrown toenail requires treatment by a podiatrist

The side of the toe most often first becomes painful then a red discolouration begins and progresses to become looking like a sore with blood, puss or a discharge coming from the area (mmmm yum)

Many people resort to pain killers and numerous Home remedies, hacks or tips provided as advice by great aunt Norma to get relief.

Other patients will head to their local medical centre to consult a GP who diligently provides you with antibiotics to clear the now infected nails. Unfortunately, antibiotics will not fix the problem. You see the nail is “ingrown” and the offending piece of nail acts as an irritant.

Think about having a splinter of wood or metal in your finger if you take antibiotics. Yes, the infection will temporarily go away, but unless you remove the offending piece of the splinter, the infection will quickly return once antibiotics have finished.

The answer to Ingrown toenails?

The answer is a visit to the foot doctor. Yes, one of our highly qualified podiatrists will, on most occasions, be able to GENTLY and painlessly remove this ingrown nail. YES! With remarkably little pain!

Our Penrith Podiatrists deal with the more tricky problems, like infected ingrown toenails than most other podiatrists; who either don’t like dealing with or don’t deal with a lot, so don’t gain the experience and details our doctors do. Our doctors see infected ingrown nail several times a day and undertake a day a week of surgeries for patients with this painful condition.

Ingrown toenails do I need surgery?

Do you really need surgery?

It is very common for patients to consult our doctors with the notion that they will require surgery to have the infected nail removed.

Come on, we know you’ve been on YouTube and search up ingrown toenails, and you’ve seen the magnificently Gory and gross surgeries, right? As a heads up, the reason you have found those surgeries on YouTube is that they are the most extreme and gross looking surgeries. When you stop and think about it if it was a relatively easy, non-gory surgery, would it have entertained you and kept you watching? Probably not! These videos are the ones you come across first because they are the worst of the worst Humans love a bit of gore.

In truth, the vast majority of ingrown toenails will only require surgery. All of our doctors are very experienced and highly qualified to undertake these types of surgeries. Surgery is only required if these nails are recurrent, ongoing or have reached a stage where regular chairside treatment is not possible.

Again, it’s important to point out that while we understand you feel your ingrown nail is VERY BAD and can be very, very painful. Most patients are very pleasantly surprised that surgery is not required.

The Process of Fixing an Ingrown Toenail

Our qualified, Western Sydney based Podiatrists understand how painful this condition can be.

Our Doctors have an incredibly gentle touch and, of course, use a local anaesthetic if required or requested. The anaesthetic will reduce any discomfort whilst removing the splinter of nail in the side of your toe.

The Podiatrist will use a small and delicate tool to gently remove the little splinter of nail quickly and painlessly. (We understand your worried and convinced we are kidding you) Your toe is then dressed, and our team will give you instructions on how to Maintain the area keeping it clean and reducing any The risk of ongoing pain or infection.

Once the fragment of nail has been removed, most patients will find the nail heals quite quickly, once again reducing the pain from swelling and infection.

Next steps

We realise how painful this can be and as our doctors are generally heavily booked we attempt to leave appointments through the week so that patients like yourself can be attended to as quickly as possible as you’re in pain!

A Step Ahead Foot and Ankle Care’s helpful Front Desk team will run through what is going on for you right now.

What you have tried and will provide you with details of the best type of appointment and package suited to relieving this problem. The team will then work with you to confirm a time that is best to get you in to have the ingrown nail gently removed. It really is that simple!

You can call our team on 9673 2987. We have offices in Western Sydney, conveniently located in both Penrith and St Mary’s with new offices opening soon.

Kids Growing Pain Calculator

Would you like a quick idea of what treatments could be best for your child? Are you worried about Growing Pains? Curious if its time to look at an assessment for you child? Curious about what treatment may be worth looking at? Try our online Calculator!

Enter your responses and our online calculator will provide you with Personalised Treatment Recommendations* you can consider. You can also download your personalised results* and recommendations for you to keep – completely free!

TRY OUR GROWING PAIN CALCULATOR

WANT TO KNOW MORE?

Want more information? That’s fantastic. There are stacks of videos that we’ve made. Look down below. There’s most likely a link there, or check us out on YouTube, Facebook, Instagram, etc., all the normal socials because we’ve got stacks of educational videos on heel pain and all the other conditions that we look after. Thanks and stay happy, healthy and active.

Fungal Nail Laser Therapy Mistakes Therapists Make

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Do you have a Fungal infection and want to know what treatments to avoid? Laser has fast become a gold...

Fungal Nail Infection – 5 questions to ask anyone providing Fungal nail treatment

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Why you’re not getting better and what you can do about it

by Peter Kelly | 24/05/2020 | Blog, Fungal Nails, General Podiatry, Growing pains, Heel Pain, Ingrown Nails, Kids Feet, Shockwave | 0 Comments

Have you ever wondered why you're not getting better after seeing a therapist, and what you can do about it? Dr Brenden Brown, the Leading Podiatrist at A Step Ahead Foot and Ankle...

Ingrown toenails Ouchi Mumma these can hurt!

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Ingrown Toenails Do I Need Surgery?

by Peter Kelly | 13/03/2020 | Blog, Ingrown Nails | 0 Comments

You probably aren’t as in need of ingrown toenail surgery as you believe you may be. Ingrown toenails can be incredibly painful. They can be so tender to touch that even the bedsheet or a sock can create pain that makes you wish you could simply remove the whole toe....

Ingrown Toenails – Need Solutions?

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ABOUT DR BRENDEN BROWN

Founder of A Step Ahead Foot + Ankle Care in Sydney, and former president of the Australasian Podiatry Council, Dr Brenden Brown (A.K.A Dr Foot) is a wealth of knowledge on how to take care of your feet, including how to find the best shoes.

Follow him on social media:
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* No medical treatment can guarantee 100% success. Registered medical and health professions in Australia are by law not allowed to guarantee success. This comes as a result of all human bodies reacting differently to treatments. Patients should thoroughly consider all treatment options available to them.

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Fungal Nail Infections

6 Top Questions Answered

What is nail fungus?

What does fungal nail look like?

How does fungal nail spread?

How does fungal nail start?

What is the cause of fungal nail?

Are fungal nail infectious or contagious?

Where to from here?

Articles used

Fungal Nail calculator

ABOUT DR BRENDEN BROWN

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Fungal Nail Laser Therapy Mistakes Therapists Make

Fungal Nail Laser Therapy Mistakes Therapists Make Transcript

Fungal Nail calculator

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Fungal Nail Infections

5 questions to ask anyone providing Fungal nail treatment

Are Fungal Nail Reinfection Rates High?

Are Fungal Nail Spores Invisible?

Is Thermal Laser advanced treatment the Answer for Fungal Nail Infections?

Here are 5 questions to ask any clinic before undergoing treatment for fungal nail infections.

1) Why is the clinic only treating one nail?

2) How does a patient treat the unseen fungal nail infection?

3) What system does the clinic have to keep the Fungal Nail Infection at bay?

4) What treatment do they advise for current footwear?

5) Are all Fungal Nail treatments the same?

How can we help?

Where to from here?

Fungal Nail calculator

ABOUT DR BRENDEN BROWN

Free Report “10 things to know before choosing a Podiatrist”

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Why you’re not getting better

and what you can do about it - Its you not me

ABOUT DR BRENDEN BROWN

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More from Our Blog

Recent Posts

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Ingrown toenails Ouchi Mumma these can hurt!

More from Our Blog

Recent Posts

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Ingrown toenails do I need surgery?

The answer to Ingrown toenails?

Do you really need surgery?

The Process of Fixing an Ingrown Toenail

Next steps

Kids Growing Pain Calculator

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ABOUT DR BRENDEN BROWN

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