
Toenail fungus, also known as onychomycosis, can be a bothersome and embarrassing issue for many people. This infection not only causes physical discomfort but can also have a negative impact on self-esteem. Fortunately, podiatrists have advanced methods to effectively treat this condition. In this post, we will explore five cutting-edge approaches that podiatrists use to help patients eliminate toenail fungus.
Topical Antifungals Eliminate Toenail Fungus
Topical antifungals remain a popular treatment recommended by podiatrists. These medications, such as ciclopirox and efinaconazole, are applied directly to the infected toenail and surrounding skin. They work by penetrating the nail to attack the fungus at its source.
It’s important to note that topical treatments can take several months to show results. For example, applying efinaconazole daily can lead to a noticeable improvement in approximately 44% of patients after 48 weeks of consistent use. Patience is key as the new, healthy nail grows in over time.
Oral Terbinafine
In cases where toenail fungus is more severe, podiatrists may suggest oral terbinafine. This systemic antifungal works from within the body to eradicate the infection. A typical treatment duration ranges from 6 to 12 weeks, depending on how serious the infection is.
Oral terbinafine is effective because it raises the drug concentration in the nails, promoting a higher success rate of around 60% to 70% for complete fungal clearance. However, patients should be aware of possible side effects, which makes it essential to have regular check-ups and lab testing with their healthcare provider.
Diflucan Pulse Therapy
Diflucan pulse therapy represents another innovative option podiatrists use to treat toenail fungus. In this treatment, fluconazole is administered in a pulsed manner—usually for 1 dose per week for 6-9mo. This approach allows a higher concentration of medication in the body to combat infection while minimizing the risks associated with prolonged use compared to Lamisil.
Many patients prefer pulse therapy as it offers a strong treatment route without the commitment of daily medication. Studies show that this method can be up to 80% effective in fighting toenail fungus.
Laser Therapy
Laser therapy is a modern approach that has gained popularity in podiatric practices. It uses focused light energy to destroy the fungus without damaging surrounding tissues.
Patients often appreciate laser treatment due to its non-invasive nature and minimal recovery time. Most experience significant improvement after two to three sessions, with success rates reported as high as 90% for marked nail improvement.
Combination Therapy
Many podiatrists advocate for combination therapy to maximize treatment effectiveness. This approach might involve taking both topical and oral antifungal agents or enhancing topical treatments with laser therapy.
For instance, using an oral medication like terbinafine while applying a topical antifungal can lead to faster results and a higher success rate than using either treatment alone. This personalized approach allows podiatrists to tailor therapies to fit the unique needs of each patient.
Final Thoughts
Toenail fungus may be stubborn, but with the right support from a podiatrist and these advanced treatment methods, effective solutions are available. Whether through topical antifungals, oral medications, laser therapy, or a combination of treatments, patients can reclaim the health and appearance of their toenails.
If you suspect you may have toenail fungus, consult with a podiatrist to discuss the best treatment options for your condition. Don't let toenail fungus affect your quality of life—effective solutions are within your reach! Call Dr. Johnston at Heel and Toe Podiatry Today!

R. Scott Johnston D.P.M.
1021 Sandusky St. Suite A
Perrysburg, OH
419-474-7700
Office Hours:
  Tuesday 8:30 am - 4:30 pm
  Wednesday 8:30 am - 12 pm
  Thursday: 8:30am - 4:30 pm
  Friday: 8am - 1pm
A foot Doctor Near Me in Perrysburg, Wood County, and North West Ohio