![](https://hackmd.io/_uploads/HJMmHTy9h.png) Onychomycosis or toenail fungus, is a common fungal infection that affects the toenailscaused by various types of fungi, including dermatophytes, yeasts, and molds. **[Toenail fungus](https://denielfootandanklecenter.com/toenail-discoloration-from-toenail-fungus/)** begins as a white or yellow spot under the tip of the toenail and gradually spreads deeper into the nail. It eventually results indiscoloration, thickening, brittle, and distorted shape. It leads to discomfort, pain, and an unpleasant odor. Factorsthat increase the risk of developing toenail fungus, include a history of athlete's foot, excessive sweating, poor circulation, diabetes, weakened immune system, walking barefoot in public places like locker rooms or swimming pools, wearing tight-fitting shoes or non-breathable footwear, and having a family history of fungal infections. Taking preventive measures helps reduce the risk of toenail fungus. Keep the feet clean and dry, wear moisture-wicking socks and breathable shoes, use antifungal powders or sprays, avoidsharing personal items like nail clippers or shoes, and wear protective footwear in public places. To diagnose toenail fungus, our podiatrist at DeNiel Foot and Ankle Center examines the affected nail(s) and takes a sample for laboratory testingto identify the specific fungus causing the infection.Consulting with a podiatrist is crucial for appropriate an laser therapytreatment plan. **Key points about laser treatment for toenail fungus:** 1.Minimally invasive laser treatment has varying degrees of success in treating toenail fungus, with some studies reporting favorable outcomes. The effectiveness varies depending on the severity of the infection and the laser device used, and the patient's response. 2.Laser treatment involves multiple sessions, spaced several weeks apart, to effectively treat the fungal infection. The laser cannot penetrate the nail deeply to reach all the fungal organisms in one session. The number of sessions depends on individual circumstances. 3.The treatment is considered safe, with minimal discomfort and a low risk of complications. However, some experience temporary discomfort or heat sensations during the procedure. Potential side effects are typically mild redness, swelling, or changes in nail color or texture. 4.Combining treatments increases the chances of successful eradication of the fungus. The treatment may be used together with other therapies such as topical antifungal medications or nail debridement (trimming and filing of the infected nail). •Topical antifungal creams, ointments, or nail lacquers are applied directly to the affected toenail(s) and surrounding skin to target the fungus. Can be used in combination with laser therapy to help eradicate the infection. •Oral antifungal medicationsare often used as the primary treatment for moderate to severe cases of toenail fungus. •Nail debridement is performed by a [podiatrist Houston](https://denielfootandanklecenter.com), it involves trimming, filing, or removing the infected portion of the toenail to allow topical medications to penetrate better.Mechanical debridement uses special instruments to physically remove diseased nail tissue. It is performed by a podiatrist to reduce the infected nails and improve the effectiveness of other treatments. 5.Improvement in toenail appearance may not be immediately noticeable, as it takes time for the new, healthy nail to grow.Complete resolution of the infection can take several months. Patients resume normal activities immediately after the procedure.