Toenail Fungus

Toenail Fungus Treatment in Portsmouth & Nashua, NH

Get help for thick, discolored, brittle, or damaged toenails. Northeast Foot & Ankle can determine whether your nail changes are caused by fungus and recommend a personalized treatment plan.

Feet Sandy Beach
toenail fungus comparison

When Should You See a Podiatrist for Toenail Fungus?

Toenail fungus can be difficult to treat without professional care. It may gradually spread, worsen, or cause the affected nail to become increasingly thick and damaged.

Schedule an evaluation if:

  • Your toenail has become yellow, white, brown, or otherwise discolored
  • The nail is thick, brittle, cracked, or crumbling
  • The nail is lifting away from the nail bed
  • You have discomfort when wearing shoes or walking
  • More than one toenail is affected
  • You also have scaling, itching, or peeling skin on your feet
  • You have tried an over-the-counter product without improvement
  • The problem keeps returning after treatment
  • You are unsure whether the nail changes are caused by fungus
  • You have diabetes, poor circulation, neuropathy, or a condition that may affect healing

Not every thick or discolored toenail is caused by fungus. Nail injuries, psoriasis, aging, and other conditions can produce similar changes. A podiatrist can evaluate the nail and recommend the right treatment.

Featured Toenail Fungus Treatments

lunula laser therapy

Lunula Laser Treatment

Lunula Laser is a nonthermal, low-level laser treatment designed to promote an increase in clear nail growth in patients with toenail fungus. Treatment is painless, requires zero downtime, and can treat multiple toenails during the same session.

Prescription Medication

Oral Antifungal Medication

Prescription oral antifungal medication may be recommended for certain fungal nail infections. Your podiatrist will consider the severity of the infection, your medical history and any potential medication interactions before determining whether it is appropriate for you.

Neuroma

Toenail Removal

In severe or persistent cases, part or all of the infected toenail may be removed to relieve discomfort and allow the nail bed to be treated directly. Your podiatrist will determine whether temporary or permanent nail removal is appropriate.

What Is Toenail Fungus

Toenail fungus, also called onychomycosis, is an infection that develops beneath or within the nail. It can cause the toenail to become discolored, thick, brittle, misshapen, or separated from the nail bed.

The infection often develops gradually and may affect one or several toenails. Because other conditions can cause similar nail changes, an evaluation can help confirm the cause before treatment begins.

toenail fungus up close
Feet public pool

What Causes Toenail Fungus?

Fungi thrive in warm, damp environments and may enter through small cracks in the nail or surrounding skin. Common risk factors include:

  • Athlete’s foot
  • Damp or sweaty footwear
  • Public showers and locker rooms
  • Nail injuries
  • Shared nail tools
  • Poor circulation
  • Diabetes
  • Increasing age

The infection may also return if fungus remains in shoes, socks, nail tools, or the skin surrounding the nail.

Can You Treat Toenail Fungus at Home?

Over-the-counter products may help fungal infections on the skin, but they often do not reach fungus located beneath a thick toenail.

While waiting for an evaluation, keep your feet dry, change damp socks, wear breathable shoes, disinfect nail tools, and avoid sharing footwear or clippers. Schedule an appointment if the nail is painful, worsening, spreading, or not improving.

Close up photo of plantar wart on man's foot.
Couple walking without bunion pain

What Can I Expect During Treatment?

Your podiatrist will examine the affected nail, review your symptoms, and determine whether the changes are likely caused by a fungal infection.

Treatment may include Lunula Laser, oral antifungal medication, or nail removal in more severe cases. Because toenails grow slowly, it can take several months for clearer, healthier nail growth to become visible.

FAQs: Toenail Fungus

How do I know whether I have toenail fungus?

Toenail fungus can cause discoloration, thickening, cracking, crumbling, or separation from the nail bed. However, injuries, psoriasis, and other nail conditions may look similar. A professional evaluation can help determine the cause.

Will toenail fungus go away on its own?

Toenail fungus usually does not clear without treatment. The infection may gradually worsen or spread to other nails. Earlier treatment may be easier than waiting until much of the nail is affected.

Is toenail fungus contagious?

Yes. The fungi that cause nail infections can spread through shared surfaces, nail tools, shoes, socks, or direct contact. Not everyone who is exposed will develop an infection.

Can toenail fungus spread to the skin?

Toenail fungus and athlete’s foot are often caused by related fungi. An infection may affect both the nails and the skin, particularly between the toes or along the bottom of the foot.

How long does toenail fungus treatment take?

Treatment time depends on the severity of the infection and the method used. Toenails grow slowly, so it may take many months for the damaged nail to grow out even after treatment has begun working.

Can toenail fungus come back after treatment?

Yes. Reinfection is possible, particularly if fungus remains on the surrounding skin, inside footwear, or on nail-care tools. Keeping feet dry, treating athlete’s foot, disinfecting tools, and following your podiatrist’s home-care instructions can help reduce the risk.

The folks at Northeast Foot and Ankle are great! The staff were very kind and knowledgeable. The new patient process was very easy to do and they offered the ability to do it in advance on the portal. My appointment was on time and I was out in under 45 minutes.

Bridget

Very happy I chose Northeast Foot and Ankle! Dr. Sartori and the entire staff are very attentive and knowledgeable. I had a bunion removed and from my initial appointment, through the surgery, and to the last follow up I always had a great experience. I highly recommend this group!

Jennifer

Total experience rates a 10. Dr. Baczewski was the epitome of what a medical professional should be. She offered a choice of options to alleviate my foot pain. Once I opted for surgery, the process went smoothly both in the surgery center and the office for post operative laser and follow up. The entire staff was welcoming, courteous, and highly trained. The facility was easy to access with ample parking. The online reminders for appointments was also a plus.
I would highly recommend Northeast Foot and Ankle.

Leslie

Both doctors are excellent practitioners who explain things upfront and do not try to upsell/push unnecessary services. I recommend laser treatments if you have persistent warts.
They also saved my baby sister’s life when the ER doctors wanted to send her home while she had a huge infection on her heel—one call from Sartori and she was admitted for three days and got the right treatment. She turned 21 this summer ☺️ these people care and do a great job!!

Michael

Download Our Toenail Fungus Guide

Learn what causes toenail fungus, how to recognize the signs, and which treatment options may help. Download our free guide for practical information on managing fungal nails and knowing when to see a podiatrist.

Download the Free Guide

Get Help for Thick or Discolored Toenails

You don’t have to keep hiding or struggling with thick, damaged toenails. Our podiatrists can evaluate the affected nails, determine whether fungus may be present, and recommend a treatment plan based on your condition.

Schedule an appointment at our Portsmouth or Nashua office for professional toenail fungus treatment.

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Portsmouth Office

14 Manchester Square, Suite 250
Portsmouth, NH 03801

Nashua Office

17 Riverside Street, Suite 205
Nashua, NH 03062

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