Nail fungus - Symptoms and causes (2024)

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Overview

Nail fungus

Nail fungus - Symptoms and causes (1)

Nail fungus

Nail fungus can cause the nail to become thick, ragged and discolored. An infected nail may separate from the nail bed.

Nail fungus is a common infection of the nail. It begins as a white or yellow-brown spot under the tip of your fingernail or toenail. As the fungal infection goes deeper, the nail may discolor, thicken and crumble at the edge. Nail fungus can affect several nails.

If your condition is mild and not bothering you, you may not need treatment. If your nail fungus is painful and has caused thickened nails, self-care steps and medications may help. But even if treatment is successful, nail fungus often comes back.

Nail fungus is also called onychomycosis (on-ih-koh-my-KOH-sis). When fungus infects the areas between your toes and the skin of your feet, it's called athlete's foot (tinea pedis).

Symptoms

Symptoms of nail fungus include a nail or nails that are:

  • Thickened
  • Discolored
  • Brittle, crumbly or ragged
  • Misshapen
  • Separated from the nail bed
  • Smelly

Nail fungus can affect fingernails, but it's more common in toenails.

When to see a doctor

You may want to see a health care provider if self-care steps haven't helped and the nail becomes increasingly discolored, thickened or misshapen. Also talk with your health care provider if you have:

  • Diabetes and think you're developing nail fungus
  • Bleeding around the nails
  • Swelling or pain around the nails
  • Difficulty walking

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Causes

Mayo Clinic Minute: Health Precautions You Need to Know About Pedicures

Vivien Williams: There's nothing like getting pampered with a pedicure. But before you dip your toes in the water, check to be sure the spa is licensed properly.

Rachel Miest, M.D., Department of Dermatology, Mayo Clinic: Oftentimes, those licenses come with the appropriate education, and following the appropriate protocols for how to keep you safe and how to prevent infection.

Ms. Williams: Dr. Rachel Miest says bacterial and fungal are the two most common infections. To avoid them, she says, don't be afraid to ask to make sure the spa cleans all equipment between customers.

Dr. Miest: Even if all of the appropriate precautions are taken from a cleaning standpoint, bacteria, viruses, fungi ─ these things are everywhere.

Ms. Williams: To reduce your risk, Dr. Miest says don't shave 24 hours beforehand and don't have your cuticles cut.

Dr. Miest: Ask that they only either leave your cuticles alone or gently push them back but not to aggressively push them back or clip them because that cuticle is a very, very important seal.

Ms. Williams: For the Mayo Clinic News Network, I'm Vivien Williams.

Mayo Clinic Minute: Fingernails are clues to your health

Vivien Willliams: Your fingernails are clues to your overall health. Many people develop lines or ridges from the cuticle to the tip.

Rachel Miest, M.D., Department of Dermatology, Mayo Clinic: Those are actually completely fine and just a part of normal aging.

Ms. Williams: But Dr. Rachel Miest says there are other nail changes you should not ignore that may indicate …

Dr. Miest: liver problems, kidney problems, nutritional deficiencies …

Ms. Williams: And other issues. Here are six examples: No. 1 is pitting. This could be a sign of psoriasis. Two is clubbing. Clubbing happens when your oxygen is low and could be a sign of lung issues. Three is spooning. It can happen if you have iron-deficient anemia or liver disease. Four is called "a Beau's line." It's a horizontal line that indicates a previous injury or infection. Five is nail separation. This may happen as a result of injury, infection or a medication. And six is yellowing of the nails, which may be the result of chronic bronchitis.

For the Mayo Clinic News Network, I'm Vivien Williams.

Nail fungus is caused by various fungal organisms (fungi). The most common is a type called dermatophyte. Yeast, bacteria and molds also can cause nail infections. The discoloration from a bacterial infection tends to be green or black.

Fungal infection of the foot (athlete's foot) can spread to the nail, and a fungal infection of the nail can spread to the foot. You can also get the infection from contact with spaces where fungi can thrive, such as the floor tile in a gym shower or inside dark, sweaty, moist shoes.

Risk factors

Factors that can increase your risk of developing nail fungus include:

  • Older age
  • Wearing shoes that make your feet sweat heavily
  • Having had athlete's foot in the past
  • Walking barefoot in damp public areas, such as swimming pools, gyms and shower rooms
  • Having a minor skin or nail injury
  • Having a skin condition that affects the nails, such as psoriasis
  • Having diabetes, blood flow problems or a weakened immune system

Complications

A severe case of nail fungus can be painful and may cause permanent damage to your nails. And it may lead to other serious infections that spread beyond your feet if you have a suppressed immune system due to medication, diabetes or other conditions.

Prevention

The following habits can help prevent nail fungus or reinfections and athlete's foot, which can lead to nail fungus:

  • Keep your nails clean and dry. Wash your hands and feet regularly. Wash your hands after touching an infected nail. Dry well, apply an antifungal foot powder and moisturize your nails. Consider applying a nail hardener, which might help strengthen nails and cuticles.
  • Keep your nails trimmed. Cut nails straight across, smooth the edges with a file and file down thickened areas. Disinfect your nail clippers after each use. Letting your nails grow long creates more places for the fungus to grow.
  • Wear absorbent socks or change your socks throughout the day.
  • Choose shoes made of materials that breathe.
  • Discard old shoes or treat them with disinfectants or antifungal powders.
  • Wear footwear in pool areas and locker rooms.
  • Choose a nail salon that uses sterilized manicure tools for each customer. Or disinfect tools you use for home pedicures.
  • Give up nail polish and artificial nails.
  • If you have athlete's foot, treat it with an antifungal product.

By Mayo Clinic Staff

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May 15, 2024

Print

  1. AskMayoExpert. Fungal nail infection (onychomycosis). Mayo Clinic; 2022.
  2. Kelly AP, et al., eds. Nail disorders. In: Taylor and Kelly's Dermatology for Skin of Color. 2nd ed. McGraw Hill; 2016. https://accessmedicine.mhmedical.com. Accessed May 3, 2022.
  3. Onychomycosis. Merck Manual Professional Version. https://www.merckmanuals.com/professional/dermatologic-disorders/nail-disorders/onychomycosis. Accessed May 3, 2022.
  4. Toenail fungus. American Podiatric Medical Association. https://www.apma.org/Patients/FootHealth.cfm?ItemNumber=1523. Accessed May 3, 2022.
  5. Foley K, et al. Topical and device-based treatments for fungal infections of the toenails. Cochrane Database of Systematic Reviews. 2020; doi:10.1002/14651858.CD012093.pub2.
  6. Lipner SR, et al. Onychomycosis: Clinical overview and diagnosis. Journal of the American Academy of Dermatology. 2019; doi:org/10.1016/j.jaad.2018.03.062.
  7. Ameen M, et al. British Association of Dermatologists' guidelines for the management of onychomycosis 2014. British Journal of Dermatology. 2014; doi:10.1111/bjd.13358.
  8. Taylor Frazier W. Onychomycosis: Rapid evidence review. American Family Physician. 2021;104:359.
  9. Gibson LE (expert opinion). Mayo Clinic. May 25, 2022.
  10. Biotin. Natural medicines. https://naturalmedicines.therapeuticreseardch.com. Accessed May 3, 2022.
  11. Tea tree oil. Natural medicines. https://naturalmedicines.therapeuticreseardch.com. Accessed May 3, 2022.

Related

  • Mayo Clinic Minute: Health Precautions You Need to Know About Pedicures
  • Nail fungus
  • Nail infection

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Nail fungus - Symptoms and causes (2024)

FAQs

What is the main cause of nail fungus? ›

You're more likely to get a fungal nail infection if you: don't keep your feet clean and dry. wear shoes that cause your feet to get hot and sweaty. walk around barefoot in places where fungal infections can spread easily, like communal showers, locker rooms and gyms.

Is toenail fungus a symptom of something else? ›

Other Conditions That Look Like Toenail Fungus

Other conditions that can resemble a toenail fungus are: Psoriasis: Psoriasis is an autoimmune condition affecting the skin and nails. It causes white, yellow, or brown discoloration, pitting, crumbling, blood under the nail, and the nail separating from the toe.8.

What deficiency causes nail fungus? ›

Additionally, biotin deficiency can increase the risk of fungal nail infections and subsequent nail plate discoloration. Changes in nail shape and surface.

Does toenail fungus indicate health problems? ›

People with toenail fungus are at a higher risk of developing other fungal infections—including those that affect the heart. Toenail fungus can sneak up on you—especially if you're immunocompromised or have preexisting health conditions.

What kills nail fungus the fastest? ›

If you want to get rid of a toenail fungus quickly, you will likely need to see a doctor for prescription medication such as fluconazole (Diflucan). Natural remedies may be able to relieve your symptoms, but there isn't certainty that they will work, and even if they do, it will likely take longer.

What can be mistaken for nail fungus? ›

If you have crusty, cracked, crumbling, or discolored nails, it's likely more than just a cosmetic problem. Nail fungus and nail psoriasis are two common causes of such nail changes. And they look pretty similar, which makes it hard to tell them apart.

Why does Vicks VapoRub work on nail fungus? ›

Topical treatment with Vicks VapoRub: The combination of camphor, eucalyptus oil, and menthol, the three main ingredients in Vicks VapoRub, is believed to stop the growth of certain fungi. Follow the same application process as for tea tree oil. Numerous readers swear by this.

What worsens toenail fungus? ›

Older age. Wearing shoes that make your feet sweat heavily. Having had athlete's foot in the past. Walking barefoot in damp public areas, such as swimming pools, gyms and shower rooms.

Should I cut my toenail off if it has fungus? ›

Studies show that taking antifungal pills and applying medicine to your nails can be more effective than using either treatment alone. Nail removal: If you have a severe infection or other treatments just don't work, your dermatologist may recommend removing the nail(s) to get rid of the infection.

What autoimmune disease causes nail fungus? ›

Onychomycosis is a fungal nail infection. It can be a symptom of nail psoriasis. If a person does not have psoriasis or other symptoms of nail psoriasis, then onychomycosis may be due to another cause, such as an injury to the nail, weakened immune system, diabetes, or venous insufficiency.

What should you avoid if you have nail fungus? ›

Don't go barefoot in public places. Use a spray or powder that fights fungus on your feet and in your shoes. Don't pick at the skin around your nails. Don't use nail polish or fake nails on your nails.

What vitamin cures nail fungus? ›

Then a friend suggested rubbing a capsule of vitamin E oil on my affected nails daily, and it worked!” she wrote. “Of course, it has taken awhile for the nails to grow out, but soon they looked normal again.”

What happens if you have nail fungus for too long? ›

If you let a nail fungus infection go for too long, several problems emerge. The infected nail can become misshapen and increasingly separated from your nail bed. Itching and pain are unpleasant side effects; if they're too severe, you can have trouble wearing shoes or walking.

What is the root cause of nail fungus? ›

What causes nail fungus? Tiny, microscopic organisms called fungi (the plural of fungus) cause a fungal nail infection. Many people pick up the fungi when they have skin-to-skin contact with someone who has a fungal infection such as athlete's foot or ringworm on their hands.

Why do I suddenly have toenail fungus? ›

These fungi use the keratin in your nails to grow and multiply and make onychomycosis highly contagious. They thrive in warm, moist environments, and are frequently transferred to your feet when you're exposed to sweat or go places, like gym locker rooms, saunas, or public showers.

What is the most common way to get nail fungus? ›

What causes nail fungus? Tiny, microscopic organisms called fungi (the plural of fungus) cause a fungal nail infection. Many people pick up the fungi when they have skin-to-skin contact with someone who has a fungal infection such as athlete's foot or ringworm on their hands.

How can I stop my nail fungus? ›

You can try OTC antifungal creams, gels, and nail polishes or home remedies like Vicks VapoRub or tea tree oil. Be sure to trim and thin your nails while you do this. Give it a few months to see improvement. Depending on how bad your fungus is, you may still need to see a doctor.

What happens if you have toenail fungus for too long? ›

A severe case of nail fungus can be painful and may cause permanent damage to your nails. And it may lead to other serious infections that spread beyond your feet if you have a suppressed immune system due to medication, diabetes or other conditions.

What is the number one home remedy for toenail fungus? ›

8 Home Remedies To Get Rid of Toenail Fungus
  1. Vinegar. Some evidence suggests that white vinegar, or acetic acid, may possess antifungal qualities. ...
  2. Mouthwash. While any mouthwash may work, Dr. ...
  3. Baking Soda. ...
  4. Vick's VapoRub. ...
  5. Garlic. ...
  6. Essential Oils. ...
  7. Snakeroot Extract. ...
  8. Over-The-Counter Medication.
Sep 6, 2023

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