Toenail fungus is called onychomycosis.Initially, the infectious process affects the thumb, but as it develops it spreads to others.The disease goes through several stages.The sooner treatment is started, the easier it will be to deal with the problem.This is especially true in relation to the thumb of the lower limb - it has a large bed and size, so the magnitude of the damage is significant.
Stages of onychomycosis
Nail fungus goes through several stages of development, each of which is characterized by certain symptoms.There are the following stages of development of the disease:
- Initial.At this stage, no visible pathological deviations are observed: the changes are still external in nature.The nail plates of the fingers of the lower extremities lose their shine.White spots or streaks appear on the surface.In general, the nail looks healthy and the person does not feel pain or discomfort.If onychomycosis is detected at this stage, you will be able to get rid of it quickly.
- Average or progressive.The structure of the nail is already subject to pathological changes.The plaque acquires a pronounced yellowish tint, peels off and breaks.There is also an unpleasant odor emanating from the affected foot.
- Advanced or dystrophic stage.Deep damage occurs to the nails.In this case, the infectious process passes from the thumb to the rest.The entire surface of the nail plate is affected by the fungus and detaches from the bed, becoming loose.The patient is bothered by intense itching.When pressing the affected areas, pain and a pulsing sensation occur.For this reason, the patient cannot wear closed shoes.
Dystrophic stage of onychomycosis.
At the third stage of the development of the infectious process, infection of the skin of the foot is possible.In this case, the fungus can be cured only with the help of complex therapy, which involves the use of both local and systemic medications (tablets for oral administration).
Reasons for the development of fungus on the big toe.

The main reasons provoking the development of onychomycosis are:
- contact with a person carrying a fungal infection;
- abandonment of hygiene rules;
- wearing foreign or tight shoes that do not fit well;
- weakened immune system;
- visiting baths, saunas, swimming pools or beauty salons, where undisinfected instruments can be used;
- injuries to the nail and the skin surrounding it;
- flat feet;
- long-term use of antibacterial drugs;
- hyperhidrosis (increased sweating in the feet);
- the presence of endocrine or immune lesions;
- disturbances in the circulatory system, which is especially important for elderly patients;
- varicose veins;
- diabetes mellitus
Flat feet are one of the causes of onychomycosis.
An important factor that increases the risk of developing onychomycosis is old age.Older people suffer from poor blood supply to the extremities, which also increases the risk of developing fungal infections.The disease-causing agent reaches the nails or skin through contaminated objects or through contact with a carrier.The pathogen spreads quickly and captures new areas.The fungus enters the subungual space through damaged areas of the nail plate or areas of the skin surrounding it.The fungus spreads quickly and moves towards the nail bed.The rate of advancement exceeds the rate of plate growth.Soon the pathogenic microorganism reaches its target and causes changes in the structure of the nail.It has been found that men are 3 times more likely to suffer from the fungus.Nail plates are affected by types of fungi such as dermatophytes, molds and yeasts.

When should you see a doctor?
You should consult a doctor at the first manifestations of a fungal infection.You should not wait until obvious signs of the disease appear: the formation of white spots and even moderate itching in the foot area should be a reason to consult a specialist - a mycologist or dermatologist.
Diagnosis
Diagnostic measures that will help identify the disease and its stage include:
- visual inspection of nail plates;
- take a tissue sample from the affected nail;
- cultural examination: inoculation of the material received from the patient into a nutrient medium to identify the type of microorganisms that have affected the nails.
In some cases, a specialist makes a differential diagnosis and distinguishes onychomycosis from diseases such as lichen planus, psoriasis and keratoderma.
Treatment of fungal nail infections in the initial stage of development.
If the disease is detected at an early stage, it will be much easier to deal with it.In this case, it is usually sufficient to use local agents that directly affect the affected nail.The duration of treatment depends on the condition of the nail plate and can vary from two to four weeks.Any medication intended to treat even mild forms of nail mycosis should be prescribed by a doctor.
Therapy of advanced onychomycosis.
In severe cases of fungus, as well as in the case of an advanced infectious process, complex treatment is indicated.Systemic antifungal agents should be prescribed if there are no contraindications.The patient is prescribed medications:

- Systemic antibiotic in the form of tablets.The active ingredient of the drug reaches the location of pathogenic microorganisms and has a fungicidal effect.
- The drug inhibits the development of pathogens and destroys them.The course of treatment and dosage are determined by the treating doctor.The product causes adverse reactions.
- The drug has a fungicidal effect.The active substance gradually accumulates in the layers of the nail plate, which makes it possible to destroy even those fungi that are located deep enough.
Also, with advanced nail fungus, procedures that allow you to get rid of the infected plaque are effective.You can do this in the following ways:
- Surgical removal.This method involves prying the plate with a sharp surgical instrument and tearing it off the bed.After the operation, a bandage is applied.The surgical method is traumatic and is rarely used.Instead, minimally invasive methods are used.
- Remove the plate using chemical products that promote rapid peeling of the affected nail.In this case, the problem area is treated with a special solution, waiting until the drug begins to act, and then tools are used that help quickly separate the plate from the nail bed.
- Laser treatment.This is a modern and painless method that will quickly eliminate nail fungus.The laser acts on the plate by heating it to high temperatures as quickly as possible.The beam penetrates deeply and neutralizes pathogenic microorganisms.The method does not require blood and is absolutely safe, as it does not cause burns.
In advanced stages of onychomycosis, it is necessary to strictly follow the doctor's recommendations, since the lack of adequate treatment increases the risk of widespread damage to the body from a fungal infection.

Traditional methods
Treatment of big toe nail fungus can also be done using traditional medicine methods.These methods are additional in nature and cannot be the basis of therapy.The most popular home remedies include the following:
- Onion porridge.It is necessary to grate several onions and apply the resulting mass to the affected nails.Secure the top with a bandage.Leave on for 15-20 minutes, rinse.
- Hydrogen peroxide.First soak the affected feet in a water bath to soften the nails as much as possible.After this, remove the top layer of the dishes.Soak a piece of gauze with hydrogen peroxide and wrap the phalanx of the finger with the affected nail, capturing the immediate injury.Leave to act for 40-50 minutes.You can repeat the procedure up to two times a day.
- Apple cider vinegar.It is important to use a natural product.Take 2 tablespoons of vinegar and add the same amount of vodka, plus a tablespoon of glycerin.Soak a cotton swab in the resulting mixture and apply it to your nails for 15 minutes.Repeat 4 times a day.
Traditional recipes help alleviate the severity of the symptoms of the disease and eliminate discomfort, but cannot destroy the causative agents of the disease.
The course of the disease and features of treatment of nail fungus in children.
Onychomycosis is quite rare in children.The main cause of the disease is weak immunity due to incomplete development.The symptoms of onychomycosis in children are:
- the plates lose their natural pink color, the appearance of gray or white spots on the surface;
- irregularities and tuberosity of the nail plates;
- brittle and brittle nails;
- redness and swelling of the skin around the child's infected nail.
To treat nail fungus in children, only topical preparations are usually used.If necessary, systemic agents are also prescribed.Capsules are the safest for children.Antifungal medications for oral administration should only be prescribed by a doctor.
Features of treatment in pregnant and lactating women.
During pregnancy, there is a high risk of developing onychomycosis if the woman previously suffered from the disease and was not completely cured.This is due to the weakening of the immune system that occurs during pregnancy.It is important to cure the fungus in a timely manner, since in severe cases it creates a risk of bacterial infection, which threatens the health of both the mother and the fetus.Systemic drugs cannot be used during pregnancy because they have a high level of toxicity.During pregnancy and breastfeeding, local medications should be used, but only those that are safe for the future mother and her child.These include salicylic sulfur ointment and amikazole ointment.

Treatment in the elderly
In older people, decreased immunity is a natural age-related phenomenon, which creates additional risks for the development of onychomycosis.In this case, the specialist also shows caution when choosing a remedy to treat nail fungus.Systemic medications are prescribed if the disease lasts a year or more, as well as in case of extensive lesions and dystrophic changes in the nails.
Preventive measures
If you notice signs of fungus on your little finger or thumb, you should immediately consult a doctor.But you can take steps to prevent the development of this disease.The following recommendations should be followed:
- wash your feet at least once a day;
- Wash your socks daily and put on clean ones;
- in case of excessive sweating, use special deodorizing products for the feet;
- wear shoes that fit well, they should not be too tight and should also be washed daily;
- use only personal hygiene products, as well as tools for manicure and pedicure;
- when visiting the pool, beach, sauna, wear personal rubber shoes;
- Wash your feet with soap after visiting the pool, bathhouse, and if necessary, use pharmaceutical products for prevention.
Toenail fungus is a disease that is quite difficult to cure in an advanced stage.At the first symptoms you should consult a doctor.Treatment depends on the stage of development of onychomycosis: at the initial stage, local medications are sufficient;in advanced stages, systemic antifungal agents are necessary.

















