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Can Podiatrists Treat Fungal Nails?

Author
brant_radford
Published
May 27, 2026
Updated: May 27, 2026
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Can Podiatrists Treat Fungal Nails?
TVL Health •
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Most people will notice that their toenails have changed at some point. Initially, it may appear as a small yellow spot in the corner of the toenail or a slight thickening. People tend to ignore the condition because it develops slowly. The nail can become thicker, discolored, brittle, or painful to wear shoes.

It is more common than most people think, and it can affect people of all ages and walks of life. There are many treatment options available. A podiatrist is one of the health professionals who commonly treat this condition.

Can podiatrists cure fungal nails? Yes, it is simple. A podiatrist has been trained to diagnose and treat foot and nail conditions, including fungal infections. A Perth podiatrist can help you determine the cause of persistent nail changes and recommend a treatment plan.

What are Fungal Nails?

Onychomycosis is a medical term for fungal nail infections that occur when fungi penetrate the nail via tiny cracks and small openings in the nail bed. Toenails are more susceptible to infection than fingernails, as feet spend a lot of time in shoes and socks. This creates a moist and warm environment that fungi thrive in.

It is rare for a fungal nail infection to disappear on its own. Untreated, the infection can worsen over time.

The following are some of the most common signs and symptoms of fungal nail infection:

  • Yellow, white or brown discoloration
  • Thickened Nails
  • Edges that are brittle or crumbly
  • Distorted nail shape
  • Nails that lift off the nail bed
  • Walking causes pain or discomfort
  • Some people have a foul odor

It is possible for appearance to vary between individuals. Others may experience minor changes in appearance, while others have pain or difficulty with footwear.

What Causes Fungal Nail Infections?

A number of factors can increase your risk of getting a fungal infection.

Conditions of Warm and Damp

Fungi love moist environments. Fungal growth can be encouraged by wearing shoes for long periods of time, sweaty or damp feet, or wet socks.

Nail Injuries

A small cut to the nail may create a space where fungi could enter and spread.

Ageing

Fungal infections are more common in older adults due to slower nail growth, reduced circulation and decreased blood flow.

Athlete’s Foot

Untreated, skin fungus between the toes may spread to the nail.

Medical Conditions

Certain conditions, such as:

  • Consider Using Diabetes
  • Reduced blood circulation
  • Immune system weakness
  • Peripheral Vascular Disease

Public Areas

In communal areas such as gyms, swimming pools and locker rooms, feet can be exposed to fungus by walking barefoot.

What Can a Podiatrist Do?

After noticing changes to their nails, many people turn to home remedies. Some over-the-counter remedies may be helpful in mild cases, but persistent fungal infections require professional evaluation.

A Perth podiatrist can assess nail health to determine if a fungus is the true cause.

Not all abnormal nails are caused by fungi. The following can cause thick or damaged nails:

  • Trauma
  • Psoriasis
  • Skin disorders
  • Nail injuries
  • Ageing changes

The wrong treatment can cause unnecessary delays and waste of time.

Assessment and Diagnosis

The first step is usually to examine the nail and discuss symptoms.

The podiatrist will ask you questions like:

  • How long has this problem been present?
  • Does the nail hurt?
  • Is it spreading to other nails?
  • Has the previous treatment been used?

A small sample of nail may be taken for testing in some cases. This can confirm if fungi is present.

It is important to make an accurate diagnosis because the appearance of your nails alone may not reveal the cause.

Treatment Options that a Podiatrist may Recommend

The severity of infection and condition of the nail will determine the treatment.

Nail Debridement

Debridement is the process of reducing the nail's thickness.

It can be difficult and uncomfortable to treat thick fungal nails at home. The nail is thinned and trimmed by a podiatrist using professional tools.

This process can:

  • Reduce pressure and discomfort
  • Enhance your appearance
  • Other treatments can be made more effective
  • The nail can be penetrated better by medication

Debridement is often an important part in treatment, even though it does not remove the fungus.

Topical Treatments

Topical antifungal medication is applied directly to the nails.

The following products are available:

  • Nail lacquers with medicinal properties
  • Creams
  • You can find out more about this by clicking here.

Topical treatments tend to be most effective when:

  • The infection is mild
  • The nail only affects a small portion
  • The infection is not deep.

Nails grow slowly, so treatment often takes patience. It may take a few months to see visible improvement.

Oral Medications

Oral antifungal medications may be prescribed for more severe infections.

These drugs work inside the body, and are more effective in treating deeper infections.

They may not be suitable for everyone due to factors such as:

  • Existing health conditions
  • Other medications
  • Potential side effects

It is important to consider.

When oral medication is necessary, a podiatrist can work with a GP.

Laser Therapy

Laser treatment is available in some clinics for the treatment of fungal nail.

Concentrated light energy is used to target the fungi that live under the nail.

Laser treatment is a growing field of research, but results may vary from person to person.

The foot specialist in Perth will be able to explain if this is the best option for you depending on your specific case.

Nail Removal

If the infection or pain is severe, you may consider removing your nails completely or partially.

This option is reserved for the most difficult cases, and it is often discussed only when other treatment options have been exhausted.

Why Early Treatment is Important

Some people delay treatment, believing that fungal nail infections are painless in the early stages.

Waiting too long can cause the infection to spread.

Possible complications include:

  • The infection can spread to other nails
  • Increase nail thickness
  • Walking with pain
  • Fitting shoes can be difficult
  • Breaking or cracking nails
  • Secondary skin infections

Diabetes patients should be especially cautious as foot problems can become more complex.

Early management can reduce the likelihood of long-term problems.

Can Fungal Nails Return?

Recurrence of the disease is possible.

If you do not take preventive measures, fungal infection may return even after a successful treatment.

Foot care is important because fungi are found in many environments.

How to Prevent Fungal Nail Infections

Healthy habits can reduce the risk of cancer.

Keep your Feet Dry

After bathing, dry your feet thoroughly, concentrating on the area between your toes.

Replace socks regularly

Fresh socks help reduce moisture buildup.

Wear Breathable Shoes

Shoes that allow for air circulation can help reduce excessive sweating.

Use foot protection in public areas

In communal showers, pool areas and other public spaces, wear sandals or footwear that offers protection.

Share Personal Items

Don't share:

  • Nail clippers
  • Towels
  • Shoes
  • Socks

Trim Nails Properly

Avoid cutting your toenails too short.

Athlete’s Foot Can Be Treated Quickly

If ignored, skin fungus can spread to the nails.

Are Home Remedies Effective?

Many people search online for natural remedies that involve:

  • Tea tree oil
  • Vinegar soaks
  • Baking soda
  • Essential oils

Some people report improvements with these methods, but the evidence for consistent results is limited.

While home remedies can help to reduce mild symptoms, they may not be able to eliminate more serious fungal infections.

If you delay seeking professional advice and rely on only home remedies, the condition can sometimes worsen.

When Should You Visit a Podiatrist

If:

  • The nail becomes painful or thick
  • The discoloration is spreading.
  • Multiple Nails Affected
  • If home treatment fails
  • Walking becomes uncomfortable
  • Diabetes or circulatory problems

Most people wait until their nail is difficult to conceal or becomes painful enough to affect daily activities. Early assessment can make treatment planning much easier.

Final Thoughts

If ignored, fungal nail infections may seem to be a minor issue. However, they can become increasingly problematic. Discolored, thickened nails can negatively affect foot health, comfort and confidence.

There are treatment options available. Podiatrists regularly assess and treat fungal nail infections through nail care and treatment plans tailored to the individual situation.

Consult a Podiatrist perth foot specialist if you've noticed persistent changes in your nails. They can help clarify the situation and determine what path to take. Early treatment can improve your chances of successfully managing the infection and eventually restoring healthier nails.

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