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The basis of laser treatment is to try to heat the nail bed to these temperatures in order to disrupt fungal growth. As of 2013 research into laser treatment seemed promising. [2] There is also ongoing development in photodynamic therapy , which uses laser or LED light to activate photosensitisers that eradicate fungi.
Distal subungual onychomycosis is an infection of the nail plate by fungus, primarily involving the distal nail plate. [1] : 305.
To be effective, treatment includes all infected areas (such as toenails, hands, torso, etc.). Otherwise, the infection may continue to spread, including back to treated areas. For example, leaving fungal infection of the nail untreated may allow it to spread back to the rest of the foot, to become athlete's foot once again.
Mild onychomycosis sometimes responds to a combination of topical antifungal medication, sometimes applied as special medicinal nail lacquer, and periodic filing of the nail surface. For advanced onychomycosis, especially if more than one nail is infected, systemic medication (pills) is preferred.
Using intermittent antifungal treatment in susceptible people, and avoiding scratching the feet or picking at fungal toenail infections are further preventative measures. Avoiding washing socks in cold water may help, as well as dusting feet with Tolnaftate powder. [4]
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