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Fungal NAILS

Onychomycosis is a fungal infection of the toenails or fingernails. Currently estimate that 4.3% of the population is infected. Onychomycosis causes fingernails or toenails to thicken, discolor, disfigure, and split. At first, onychomycosis appears to be only a cosmetic concern. Without treatment, however, the nails can become so thick that they press against the inside of the shoes, causing pressure, irritation, and pain. Fingernail infection may cause psychological, social, or employment-related problems.

 

Half of all nail disorders are caused by Onychomycosis, and it is the most common nail disease in adults. Toenails are much more likely to be infected than fingernails. The incidence of Onychomycosis has been increasing and is related to diabetes, a suppressed immune system, and increasing age. Adults, especially the elderly, are more likely to have Onychomycosis than children.

Signs and Symptoms

Onychomycosis usually does not cause any symptoms unless the nail becomes so thick that it causes pain when wearing shoes. People with Onychomycosis usually go to the doctor for cosmetic reasons, not because of physical pain or problems related to onychomycosis.

 

  • As the nail thickens, onychomycosis may interfere with standing, walking, and exercising.

  • Paresthesia (a sensation of pricking, tingling, or creeping on the skin having no objective cause and usually associated with injury or irritation of a nerve), pain, discomfort, and loss of agility (dexterity) may occur.

  • Loss of self-esteem, embarrassment, and social problems can also develop. Severe cases of Candida infections can disfigure the fingertips and nails.

Onychomycosis is caused by three main classes of organisms: All three classes cause the very similar early and chronic symptoms or appearances, so the visual appearance of the infection may notreveal which class is responsible for the infection.

 

  1. Dermatophytes (including epidermophyton, Microsporum and Trichophyton species) are, by far, the most common causes of onychomycosis worldwide.

  2. Yeasts cause 8% of cases

  3. Nondermatophyte molds cause 2% of onychomycosis cases.

Risk Factors

  • Male Sex

  • Elderly

  • Family History

  • Hx of fungal infections

  • Nail Trauma

  • Exposure to pools

  • Exposure to public showers

  • Diabetes

  • Vascular disease

  • Immunosuppression

  • Psoriasis

  • Atheletes Foot

Topical nail antifungal

$25.00Price

Topical Treatment Options

Topical agents should only be used if less than half the nail is involved or if the person with onychomycosis cannot take the oral medicines. Prescription medicines include ciclopirox olamine (Penlac), Efinaconazole (Jublia), and tavaborole (Kerydin). These topical medications are very costly and current studies show an cure rate of 9.1- 17%. The average costs of these medications are $100- $1200 for a single precription.

 

Over the Counter evidence supporting the efficacy  of over the counter agents and home remeides such as foot socks with bleach, hydrogen peroxide, acids and vapor rub and tree oil.

 

Photo Dynamic Therapy

Photodynamic therapy (PDT) involves the use of  photochemical reactions mediated through the interaction of photosensitising agents, light, and oxygen. When the photosensitiser, fungal nail solution is exposed to a specific wavelength of light  delivered by LED, it becomes activated from a ‘ground’ to an ‘excited’ state. As it returns to the ground state, it releases energy, which is transferred to oxygen to generate reactive oxygen species (ROS), such as singlet oxygen and free radicals. These ROS mediate cellular toxicity and induce fungal cell death without affecting surrounding tissue whose cells are impenetrable by the photo-sensitiser.
 

Advantages

  • No pain

  • No pills

  • No creams

  • One low price for all treatments

  • Includes After Care Kit

  • Includes Shoe Sterilization

  • NOT covered by insurance. Cost of the treatment is dependent on the amount of nails infection.

  • Treatments are HSA and Flex-spending account friendly and the total average cost is $500

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Patient Reviews

 

Kurt                  Verified Patient December 11th, 2013

 

 

 

"The few times I've met with Dr. Martins I find him knowledgeable, well spoken, easy going personality, explained everything well and offers a friendly office environment.  I would recommend him to patients who have ankle and foot concerns".

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