Toenail Fungus

Nail fungus, also known as Onychomycosis, is an embarrassing, usually chronic condition that impacts your quality of life and can lead to serious health problems for those with diabetes or immune disorders. Nail infection can cause permanent deformity of the nail, which can interfere with walking, participating in sports, and being able to wear shoes comfortably – not to mention the embarrassment from the way the nails look. It can also start as a result of a family history of susceptibility, increasing age, poor health, nail trauma, warm or moist climates, exposure to infected nails in sports/fitness and communal bathing areas, and tight shoes. Fungal infections vary in degree and in severe cases can be extremely painful, unsightly and difficult to treat.



  • Yellow streaks in the skin under the nail, or nail bed, and on the underside of the nail
  • Buildup of bits and pieces of skin and nail fragments under the nail
  • Discolored and thickened nail that may separate from the skin under the nail
  • Brittle, broken, and thickened nails
  • White spots or streaks on the nail surface
  • Soft and powdery nail surface, which appear as the infection worsens
  • Damaged, crumbly, brown or gray nail surface, with no separation of the nail from the underlying skin

Treatment of nail fungus is difficult because the infection is under and inside the nail. Treatments such as oral medications may be associated with side effects or serious drug interactions. Home remedies such as using bleach, vinegar, mouthwash, or household cleaners to resolve the problem are often tried but usually without success. Our physicians employ a wide array of treatment options and will help you choose the best one for you:

  • Over the counter anti-fungal creams and oils – best used in conjunction with other treatments. Click here to see the antifungal products we carry at Central Carolina Foot & Ankle Associates
  • Routine debridement and trimming of nails. This does not prevent the furtherance of the condition, but will provide relief from thick painful nails.
  • Prescription Oral Lamisil – requires baseline liver testing with ongoing monitoring of liver enzymes
  • Pinpointe Laser Treatments – highly effective laser treatments that destroy the fungus on the nail bed beneath the nail. Click here for more information on Pinpointe Laser Treatments
Call Central Carolina Foot and Ankle Associates at 919-477-9333 for an appointment or click the link below.

Central Carolina Foot & Ankle Associates

2609 N. Duke Street, Ste. 301
Durham, NC 27704
(near the corner of N. Duke St. and Stadium Dr.)

5107 Southpark Drive
Suite 202
Durham, NC 27713
(close to RTP and Chapel Hill)