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Hi, my wife had her toe nail removed after it was about to fall off because of a fungus infection.

She now had a stub which is ugly and continues to have pain.

My question is what are her options, surgery, replant, medications etc.

Can you advice as to what options she has? Thank you



Dear AJ,

Treatment of Toenail infections may include topical creams or oral medications (antifungal drugs), but topical antifungal agents may only help treat very mild cases.

Rarely, surgery may be required. Removal of the infected nail can be performed to permit direct application of a topical antifungal.

Often, people rush into surgery hoping to eliminate pain only to find out that it may not produce the results expected.

If she has fungus that is causing the problem lamisil is a very good option. It is very effective with a proper work up.

Itraconazole (Sporanox) , Fluconazole (Diflucan) and Terbinafine (Lamisil) are very effective for fungus toe nails.

These medications help a new nail grow free of infection, slowly replacing the infected portion of the nail.

Your wife should take these medications for six to 12 weeks but won't see the end result of treatment until the nail grows back completely. It may take four months or longer to eliminate an infection.

Toenail infections are more difficult to treat than fingernail infections because the toenail grows more slowly. In addition, a damp, warm environment of a shoe or boot can encourage fungal growth.

You can see more related information at:

Nails questions

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