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How to treat fungal nail infections
successfully
Mr John Miller BHSc (Podiatry) MBA
How to treat fungal nail infections successfully
Background
Structure of the nail
How to treat fungal nail infections successfully
Patterns
Five Patterns of Onychomycosis:
1. Disto-lateral Onychomycosis (DLSO)
2. White Superficial Onychomycosis (WSO/SWO)
3. Proximal Subungual Onychomycosis (PSO)
4. Endonyx Onychomycosis (EO)
5. Total Dystrophic Onychomycosis (TDO)
How to treat fungal nail infections successfully
Patterns
Five Patterns of Onychomycosis:
1. Disto-lateral Onychomycosis (DLSO) – most common
How to treat fungal nail infections successfully
Patterns
Five Patterns of Onychomycosis:
2. White Superficial Onychomycosis (WSO/SWO)
How to treat fungal nail infections successfully
Patterns
Five Patterns of Onychomycosis:
3. Proximal Subungual Onychomycosis (PSO)
How to treat fungal nail infections successfully
Patterns
Five Patterns of Onychomycosis:
4. Endonyx Onychomycosis (EO)
How to treat fungal nail infections successfully
Patterns
Five Patterns of Onychomycosis:
5. Total Dystrophic Onychomycosis (TDO)
How to treat fungal nail infections successfully
Treatment
Mechanical
• Reduce and shorten nails
• Removes bulk infected tissue
• Immediate improvement in appearance
• Immediate improvement in comfort
• Preparation for other treatments
• Treatment of symptom only
How to treat fungal nail infections successfully
Treatment
Laser
• Non-drug treatment
• Direct lethal effect- Photothermolysis of the fungal cell wall
• Instantly obliterates all varieties of fungus
• No damage to other tissues
• Quick
• No side effects
How to treat fungal nail infections successfully
Treatment
Combinations
Topical + Mechanical
Laser + Topical
Oral + Topical
How to treat fungal nail infections successfully
Preventing Reinfection
If you’re going to treat nail fungus then you must commit to:
Shoes
• The most overlooked site for reinfection!!!
• Pharmacy products often do not kill fungal spores
Socks / Linin
• Must wash at 60 0C
Shower
• Bleach
• In public showers wear jandals
Skin
• Treat Tinea Pedis asap
How to treat fungal nail infections successfully

More Related Content

How to successfully treat fungal nail infections - GP Workshop Summary

  • 1. How to treat fungal nail infections successfully Mr John Miller BHSc (Podiatry) MBA How to treat fungal nail infections successfully
  • 2. Background Structure of the nail How to treat fungal nail infections successfully
  • 3. Patterns Five Patterns of Onychomycosis: 1. Disto-lateral Onychomycosis (DLSO) 2. White Superficial Onychomycosis (WSO/SWO) 3. Proximal Subungual Onychomycosis (PSO) 4. Endonyx Onychomycosis (EO) 5. Total Dystrophic Onychomycosis (TDO) How to treat fungal nail infections successfully
  • 4. Patterns Five Patterns of Onychomycosis: 1. Disto-lateral Onychomycosis (DLSO) – most common How to treat fungal nail infections successfully
  • 5. Patterns Five Patterns of Onychomycosis: 2. White Superficial Onychomycosis (WSO/SWO) How to treat fungal nail infections successfully
  • 6. Patterns Five Patterns of Onychomycosis: 3. Proximal Subungual Onychomycosis (PSO) How to treat fungal nail infections successfully
  • 7. Patterns Five Patterns of Onychomycosis: 4. Endonyx Onychomycosis (EO) How to treat fungal nail infections successfully
  • 8. Patterns Five Patterns of Onychomycosis: 5. Total Dystrophic Onychomycosis (TDO) How to treat fungal nail infections successfully
  • 9. Treatment Mechanical • Reduce and shorten nails • Removes bulk infected tissue • Immediate improvement in appearance • Immediate improvement in comfort • Preparation for other treatments • Treatment of symptom only How to treat fungal nail infections successfully
  • 10. Treatment Laser • Non-drug treatment • Direct lethal effect- Photothermolysis of the fungal cell wall • Instantly obliterates all varieties of fungus • No damage to other tissues • Quick • No side effects How to treat fungal nail infections successfully
  • 11. Treatment Combinations Topical + Mechanical Laser + Topical Oral + Topical How to treat fungal nail infections successfully
  • 12. Preventing Reinfection If you’re going to treat nail fungus then you must commit to: Shoes • The most overlooked site for reinfection!!! • Pharmacy products often do not kill fungal spores Socks / Linin • Must wash at 60 0C Shower • Bleach • In public showers wear jandals Skin • Treat Tinea Pedis asap How to treat fungal nail infections successfully