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Toll-Free: 866-274-0285
Phone: 309-661-9975
Heartland Foot and Ankle Associates
Call 309-661-9975
Toll Free 866-274-0285
Fax 309-661-9920

I Have Toenail Fungus....Now What?

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Looking down at our feet and seeing a thick, yellow toenail is the LAST thing we want to experience.  It happens more commonly than you would think (almost 50% of the population will experience a fungal infection – usually on the feet! – at least once in their lifetime).  At Heartland Foot and Ankle, seeing this problem isn’t the end of showing off your feet or wearing sandals.  We have a comprehensive treatment plan that has had wonderful success for our patients with those ugly toenails!

We attack fungus in a variety of ways – studies have shown that attacking it from the outside in (topical and laser treatments) and the inside out (oral treatments) work best when used in combination together.  Check out the pros and cons of each treatment!

Topical  (We like Clarus Antifungal Solution – Oil Based Tolnaftate)

·         Effective 50% of the time by itself

·         Painless, few side effects

·         Sometimes hard to penetrate in the nail

·         Have to apply every day for a year (because it takes 9-12 months for a toenail to grow out!)


·         Effective 85-95% of the time (we like to use it in combination with topical medications and topical sprays for shoes to really get up to that 95%)

·         Painless, few side effects

·         Can usually treat in just one visit – Cosmetic procedure

·         Long term studies (over 5 years) are not available yet because it is so new to the market

Oral (We like to usually prescribe Lamisil 250mg)

·         Effective 80% of the time by itself

·         One pill, once a day for 90 days

·         Some side effects (metallic taste, stomach upset, allergic reactions, liver issues)

·         Have to perform 2 blood tests (one at the beginning, one in the middle) to check liver enzymes

When dealing with an ugly, discolored nail, the best thing to do is to be INFORMED about your options and chose accordingly!  Please feel free to contact our office @ 309-661-9975 or www.heartlandfootandankle.com any time to discuss!  Also check out our medi-spa today for other all natural treatment options!

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