Thick nails not due to fungus

Q: I have two toenails on each foot that only get thicker and will not grow. It’s as if they are layering. This has been a problem since my late teens. I visited a dermatologist once and was told it was not a fungus. Is there anything that can correct the abnormality?

A: Thick toenails are an annoying condition. The nails may appear unhealthy and discolored, or indicative of other undiagnosed problems such as hidden infection, injury to the root of the nail (which should be temporary), or psoriasis and eczema. Nails are made of a tough protein known as keratin. As our skin becomes irritated and inflamed by a skin condition, the tissue around the nail roots can be the cause. Should the cause be a fungus, you might have noticed a discoloration years ago as the initial problem began.

First, the problem you have may be genetic. If your parents or grandparents had thick nails, you have your answer. It may also be a difficult task to keep your nails trimmed if they are exceedingly thick. You might consider purchasing a pair of heavy duty nail clippers for the chore. Begin by soaking your feet in warm water to soften the nails as much as possible. Then trim the nails back carefully to avoid skin damage. This is critical in the case of diabetics.

Then you might consider getting a thick emery board and file the thickness of the nails down. Follow this by applying two or three drops of tea tree oil to the affected areas with a cotton swab. Repeat the process daily until results are observed but don’t expect miracles overnight. I wouldn’t recommend you file your nails down all in one sitting, so to speak, but rather over a period of several days or weeks. Another option is to apply a thick coating of medicated chest rub to the affected nails at night before going to bed. Cover your feet with white socks that you will leave on overnight. It sounds lengthy, but the process may need to be repeated nightly for up to six months.

You indicate you visited a dermatologist who stated you didn’t have a fungal infection, but I will touch on that issue lightly because one might be present at this stage. It’s easy for a fungal infection to be present under your thick nails that cannot be visually detected. The infection is technically known as onychomycosis, one of the most common causes of thick nails. In fact, reports indicate that more than 10% of the population of North America is infected with onychomycosis. Any location where people walk barefoot such as a public locker room, swimming pool area, or using another person’s towel or wearing their socks or shoes can be a source of contamination. The condition can be so embarrassing to an individual that he or she will refuse to wear sandals or open-toed shoes in public.

One over-the-counter item that works well is Miranel that contains natural tea tree oil, menthol, eucalyptus, and camphor. The product comes with its own applicator brush, file and instruction booklet – everything you need to remedy your long-standing problem if there should be a hidden bacterial infection under those thick nails. The nails are simply trimmed back as much as safely possible and coated with the ointment. The process should be applied daily and may take up to a month before healthy, natural-looking nails appear. Visit your Walgreens, Meijer, USA Drug, or most local independent pharmacies for the product or visit their website at www.MiranelBrands.com. Miranel contains miconazole nitrate which is recognized by the FDA as a safe and effective anti-fungal, making it an excellent alternative to prescription products.

Providing the cause for your thick nails is an undetected infection, you might also soak your feet in Listerine four times a day for up to three weeks.

If you remain unsuccessful with the options given, I recommend you visit a podiatrist, a specialist who can provide assistance. Good luck.

Miranel helps persistent nail fungus

DEAR DR. GOTT: I had used every nail fungus treatment under the sun, plus vinegar, Vicks VapoRub, bleach, you name it. Like other readers, the Miranel finally worked. It was a little more expensive but I had been dealing with the nail fungus for over two years and was sick of it. Within a week I started seeing results. That has been at least two years. It took a few months for the new nail to grow out good but the results were almost immediate. Thank you.

DEAR READER: I have written about Miranel several times in the past. It is an over-the-counter topical medication used in the treatment of certain infections, such as ringworm, athlete’s foot and nail fungus.
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Pau d’arco trees endangered, benefits questionable

DEAR DR. GOTT: I saw on a discussion site that you no longer recommend pau d’arco as a cure for athlete’s foot. Well, I have to tell you that years ago when nothing else worked, I used this for my son. Finally, his feet were cured. I used it again when he had eczema and it again worked when nothing else did. I have no idea why it would work on eczema, except maybe the oils in the bark did the trick.

Fast forward ten years, the same young man is now in combat in Afghanistan. First, it is so hot that their boots are soaked every day, then it is freezing all the time. After eight months he came home on a visit and his feet and hands looked like they’d been through their own war. The creams and oils and lotions that we had sent just didn’t help. So once again I went back to the old standby, pau d’arco. At the time that he headed back to war his feet weren’t completely healed, [Read more…]

Vicks for nail fungus

DEAR DR. GOTT: What was the recommendation for toenail fungus — Vaseline or Vicks VapoRub?

DEAR READER: Vicks VapoRub. However, generic or store brands (mentholated chest rub) work just as well. Simply trim the nails back as far as possible (without causing pain) and rub the product into the skin all around the nail. Some readers have had success using a product called Miranel as well. This is less messy because it is simply “painted” onto the nail. Other options include white vinegar and Pau D’Arco tea soaks.
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Is it the camphor that helps?

DEAR DR. GOTT: A columnist in my local paper claimed that you had endorsed Vicks VapoRub for treatment of nail fungus. She thought that the thymol found in the petroleum jelly was the answer. Several months ago, I tried Vicks on my minor case of nail fungus, with some success noted. My last experience with the smell of the vapors from this concoction was more than 30 years ago, when my children were young. I know the smell comes mostly from the eucalyptus oil; however, it brought back another, even older memory of when I was a child and my mother would put Campho-Phenique on a cold sore. Sure enough, camphor is one of the active ingredients in Vicks VapoRub. Much to my surprise, Campho-Phenique is still available at my drugstore in its pure form. Applied with a cotton swab, the camphor oil penetrated easily under and around the nail. Twice a day, and in very short order, my nail was clear. I would recommend using the active ingredient, camphor, full strength rather than dealing with the petroleum jelly. Is this safe?
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Nail fungus may not be the real problem

DEAR DR. GOTT: I have followed your advice about using Vicks to kill a toenail fungus I had for years. My problem is that the toenails on my big toes have lifted and they don’t want to return to normal. Any suggestions?

DEAR READER: Perhaps something other than a fungus is going on. Make an appointment with a podiatrist to determine whether the nails will fall off freely or need to be cut back, and whether a fungal infection persists or an unidentified issue remains.

A review of home remedies

DEAR DR. GOTT: In a recent column, you referred to two possible cures for toenail fungus other than menthol salve. One was an over-the-counter product, and the other was a soaking agent. Could you please relate what these two potential cures are?

DEAR READER: The article to which you are probably referring can be found on my website at www.AskDrGottMD.com/nail-fungus-home-remedies.
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Lysol for fungus

DEAR DR. GOTT: I am looking for plain Lysol. I can’t find it anywhere. My mother used it to control fungus, ringworm and other contagious skin outbreaks. Where is it available?

DEAR READER: Lysol sells and distributes disinfectant sprays, wipes, no-touch hand soap, all-purpose cleaners, mildew remover, kitchen, bath and toilet-bowl cleaners, but nowhere did I find plain Lysol. Upon calling the company, they indicated they discontinued the original “scent” in January 2010. They have a 12-ounce concentrate, but it is not intended for use on the body; nor is any of their other products. So I guess you will have to improvise. Sorry!

Nail fungus home remedies

DEAR DR. GOTT: How do I get rid of nail fungus? Is there a home remedy? I have had it on my big toenail for years, following a pedicure, and it’s now on two of my fingernails.

DEAR READER: Home remedies include soaking the toes or fingers in warm water to make the nails softer and easier to cut. Trim the nails, and remove as much of the debris as possible. Apply a petrolatum/menthol salve around the top and under the tip of the nail twice daily. The process may take a month or more but is worth a try.

Apply decolorized iodine to affected dry nails twice daily. Again, this will take some time but offers another option.
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Winter toenail fungus

DEAR DR. GOTT: I often have a problem with toenail fungus in the summertime, but it’s understandable because I spend a lot of time at our town pool and in the locker room afterward so I can change out of my bathing suit. This I have learned to accept.

I live in the upper northwest section of the country, and I have the start of another fungal infection. This is the first time this has happened during the winter, and I am totally confused as to why. Our pool is closed until warm weather returns, and I’m in my home, which I thought was safe from the problem. I was wrong. Can you shed some light on this annoying problem?

DEAR READER: You’re not the first person with this complaint. We tend to forget that damp, cold weather can also trigger just such an infection. [Read more…]