![]() ![]() This is just the medicine working and can be debrided off. As the nail responds to treatment, sometimes a brownish discoloration is seen. The medicine must be used twice a day and compliance is very important. Follow-up grindings can be performed every 2-3 weeks using an Emory board or a dremel tool. This makes the nail plate porous allowing greater penetration of the medicine. This can be done with a “dremmel moto tool” with a sanding disk or sanding drum. The nail plate may require that it be ground with a rotary grinder prior to application of the medicine. However, the medicine often times has trouble penetrating the nail plate. Topical anti-fungals are usually liquids that can be painted on. ![]() There are effective topical and oral medications available for the treatment of fungal toenails. In more advanced cases, a prescription medication may be needed. It is also important to treat any concomitant athlete’s foot that may be present. In early cases, over the counter medications may be sufficient. It is best to treat the condition as soon as it is noticed. ![]()
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