Ingrown Toenail Videos | Issaquah Foot & Ankle Specialists

  • Fungal Toenails
    Timothy W. H. Young, DPM
    by Timothy W. H. Young, DPM This email address is being protected from spambots. You need JavaScript enabled to view it.

    What Is Toenail Fungus?

    Toenail fungus, or onychomycosis, is an infection underneath the surface of the nail caused by fungi. When the tiny organisms take hold, the nail often becomes darker in color and smells foul. Debris may collect beneath the nail plate, white marks frequently appear on the nail plate, and the infection is capable of spreading to other toenails, the skin, or even the fingernails. If ignored, the infection can spread and possibly impair your ability to work or even walk. The resulting thicker nails are difficult to trim and make walking painful when wearing shoes. Onychomycosis can also be accompanied by a secondary bacterial or yeast infection in or about the nail plate.

    Because it is difficult to avoid contact with microscopic organisms like fungi, the toenails are especially vulnerable around damp areas where you are likely to be walking barefoot, such as swimming pools, locker rooms, and showers, for example. Injury to the nail bed may make it more susceptible to all types of infection, including fungal infection. Those who suffer from chronic diseases, such as diabetes, circulatory problems, or immune-deficiency conditions, are especially prone to fungal nails. Other contributing factors may be a history of athlete's foot and excessive perspiration.

    Toenail fungus is often ignored because the infection can be present for years without causing any pain. The disease is characterized by a progressive change in a toenail's quality and color, which is often ugly and embarrassing.

    Home Treatment
    A daily routine of cleansing over a period of many months may temporarily suppress mild infections. White markings that appear on the surface of the nail can be filed off, followed by the application of an over-the-counter liquid antifungal agent. However, even the best over-the-counter treatments may not prevent a fungal infection from coming back.

    When to Visit a Podiatrist
    You should visit a podiatrist when you notice any discoloration, thickening, or deformity of your toenails. The earlier you seek professional treatment, the greater your chance at getting your nails to clear.

    Diagnosis and Treatment
    Treatments may vary, depending on the nature and severity of the infection. Your podiatrist can detect a fungal infection early, culture the nail, determine the cause, and form a suitable treatment plan, which may include prescribing topical or oral medication, and debridement (removal of diseased nail matter and debris) of an infected nail.

    Newer oral antifungals, approved by the Food and Drug Administration, may be the most effective treatment. They offer a shorter treatment regimen of approximately three months and improved effectiveness. Your podiatrist may also prescribe a topical treatment, which can be an effective treatment modality for fungal nails.

    In some cases, surgical treatment may be required. Temporary removal of the infected nail can be performed to permit direct application of a topical antifungal. Permanent removal of a chronically painful nail that has not responded to any other treatment permits the fungal infection to be cured and prevents the return of a deformed nail.
    Trying to solve the infection without the qualified help of a podiatrist can lead to more problems. With new technical advances in combination with simple preventive measures, the treatment of this lightly regarded health problem can often be successful.

    Proper hygiene and regular inspection of the feet and toes are the first lines of defense against fungal nails. Clean and dry feet resist disease.

    • Wash your feet with soap and water, remembering to dry thoroughly.
    • Wear shower shoes when possible in public areas.
    • Change shoes, socks, or hosiery more than once daily.
    • Clip toenails straight across so that the nail does not extend beyond the tip of the toe.
    • Wear shoes that fit well and are made of materials that breathe.
    • Avoid wearing excessively tight hosiery to decrease moisture.
    • Wear socks made of synthetic fiber that “wicks” moisture away from your feet faster than cotton or wool socks do.
    • Disinfect instruments used to cut nails.
    • Disinfect home pedicure tools.
    • Don't apply polish to nails suspected of infection (those that are discolored, for example). 
  • Ingrown Toenails
    A video with information about ingrown toenails, what is it, the causes, the treatments, and prevention of them. Dr. Timothy Young and Dr. Brandon Nelson are Board-certified in foot surgery. They have helped thousands of people since the start.
  • Toenail Fungus Treatment Options

    Fungal toenail infections are difficult to treat and an unsightly condition roughly affects 30 million Americans.  Known medically as onychomycosis, a nail fungal infection is typically treated through the use of various topical and oral therapies, but such treatment options have demonstrated limited success or caused adverse side effects.

    Onychomycosis can cause the toenails to become discolored, thickened and separated from the nail bed.  If left untreated, the infection causes spreads and can causes nails to become painful. Oral medications are available but often require monitoring of liver enzymes to ensure safety.  New technology has become available to eradicate this fungus with diode laser technology.  Success rates are reported as high as 80-90%. This new procedure is safe and with no side effects.  What is the right treatment for your fungal toenail(s)?

    If you suffer from toenail fungus, there are many available treatments. However, if you have experienced toenail fungus before or are dealing with a long-term toenail fungus infection you already know this can be difficult to solve. The reason why toenail fungus can be difficult to treat is because properly diagnosing the potential causes and complications are necessary to determine the best possible treatment protocol.

    There are over the counter topical medicines, fungal toenail laser treatments and even oral medications that can be used to treat this condition. If you have previously tried over the counter treatments for fungal toenail infections you already know that they can be less effective than you may have hoped.

    It is not that the medication is ineffective, however to effectively treat this condition more than one treatment may be necessary. The doctors of Issaquah Foot & Ankle Specialists have developed highly effective treatment protocols for patients to effectively treat fungal toenail infections.

    The fungal toenail infection specialists Dr. Timothy Young and Dr. Brandon Nelson of Issaquah Foot & Ankle Specialists will tailor a treatment plan specific to your fungal toenail infection and desired treatment plan. They prescribe the latest breakthroughs for fungal toenail treatment. If you are ready to address your fungal toenail infection request an appointment online now.


    Fungal Toenail Treatment Options

    Learn about several of the most common treatments used and the treatment protocol of Dr. Young and Dr. Nelson to effectively treat fungal nail infections:

    Oral Medications:

    While oral medications have exhibited some success, such treatments are often associated with common adverse side effects, including gastrointestinal and skin disorders, headaches and abnormal liver function.

    Topical Medications:

    Over the counter medications alone are generally unable to clear the nail because of insufficient nail plate penetration. However, we have identified and can prescribe the most effective topical medications for fungal toenail as part of your specific treatment protocol.

    Laser Treatments:

    Issaquah Foot & Ankle can provide our patients with the leading therapy to improve the appearance of nails affected by onychomycosis through the use of a new noninvasive laser therapy system.  The system applies laser energy to the nail plated and surrounding tissue.  The laser light gradually heats the fungus and promotes healthy, clear nails. Our laser fungus treatment procedure is FDA approved, quick, virtually painless with only minimal discomfort ever reported by a patient, and highly effective.

    The HyperBlue 1530 multiuse diode laser is FDA-cleared in podiatry to remove warts, perform matrixectomies, and to temporarily increase the growth of clear nail in patients with onychomycosis. Onychomycosis is nail fungus, and various treatments have been used to treat this condition. To learn more about the treatments people have used before highly-effective laser treatments you can read about the causes, treatment and prevention of toenail fungus.

    Fungal toenail treatment that is fast, powerful and effective. You will not have to hide your toes any longer! Many people hide their “ugly toenails” because they have either figured there is nothing that can be done, or have given up hope after trying ineffective treatments. With our fungal toenail laser treatment using the HyperBlue 1530’s laser allows us to treat all 10 toes in just three ten-minute treatments. You will not have to hide your “ugly toenails” anymore!

    The treatment is safe, FDA approved and virtually painless. The laser delivers results with minimal patient pain or discomfort. 

    In an effort to ensure you receive the most effective treatment for fungal toenail infections we may also prescribe Cidacin. Many instances of fungal toenail infections are persistent and because of this our treatment plan includes the latest technology and medication.


    Cidacin has been acknowledged as one of the top ten innovations for 2013 in Podiatry.  This new antifungal cream combines tolnaftate with dimethyl sulfoxide and penetrates into deeper levels of the nail bed.  In a clinical study, Cidacin antifungal eradicated 85% of the pathogens by week 12 in patients with severe fungal toenail infections. When this medication is used in conjunction with our laser treatment patients receive a treatment plan that delivers reasonably fast results with exceptionally high success rates.

    Other Treatment Options:

    The doctors of Issaquah Foot & Ankle Specialists are dedicated to the effective treatment of this condition and continually evaluate new treatment protocols. As a result, new treatment options may be available for you. Contact us today and request an appointment.

    Our fungal toenail laser treatment is one of the most effective treatments available for fungal toenails. Watch a short video of an actual treatment session for fungal toenails. See for yourself how quick and painless your treatment can be and stop hiding your toes!

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