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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.
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.
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.
Treatment includes antibiotics and antifungals, and if pus is present, the consideration of incision and drainage. [2] Paronychia is commonly misapplied as a synonym for herpetic whitlow or felon .
Treatment. Antifungal treatments include topical agents such as miconazole, terbinafine, clotrimazole, ketoconazole, or tolnaftate applied twice daily until symptoms resolve — usually within one or two weeks. Topical treatments should then be continued for a further 7 days after resolution of visible symptoms to prevent recurrence.