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Seeking Expert Care for Toenail Fungus: Why Dermatologists Can Help

March 27, 2024
Piction Health


Toenail fungus is a common and bothersome condition that affects millions of people worldwide. While it may seem tempting to try over-the-counter remedies, seeking care from a board certified dermatologist is often the most effective solution. In this article, we will explore the importance of dermatologists in treating toenail fungus and why their expertise can make a significant difference in your journey toward healthy, fungus-free nails.

Understanding Toenail Fungus

Toenail fungus, scientifically known as onychomycosis, is a fungal infection that affects the toenails, causing them to become thickened, discolored, brittle, and crumbly. It is caused by various types of fungi, and the warm and moist environment inside shoes provides an ideal breeding ground for them. The infection can be challenging to treat and may persist for a long time if not managed properly.

The Expertise of Dermatologists

Dermatologists are medical professionals who specialize in diagnosing and treating conditions affecting the skin, hair, and nails. When it comes to toenail fungus, dermatologists possess extensive knowledge and experience in identifying the specific type of fungus causing the infection. This knowledge is crucial because different fungi respond to different treatments, and misdiagnosis can lead to ineffective or prolonged treatment. Furthermore, other conditions can mimic the look of toenail fungus, such as psoriasis, lichen planus, or contact dermatitis. 

Accurate Diagnosis

A dermatologist can accurately diagnose toenail fungus by visually examining the affected nails and in some cases, taking nail samples for laboratory analysis. In a virtual care setting, dermatologists can frequently diagnose toenail fungus via images alone. If an in-person exam is needed, a virtual dermatologist can refer you to an in-person provider and allow you to receive care more quickly by bypassing long wait times. 

The diagnostic process allows dermatologists to identify the specific type of fungus and determine the appropriate treatment. In some cases, the symptoms of toenail fungus may mimic other conditions, such as psoriasis or trauma, and a dermatologist's expertise can help differentiate between them.

Tailored Treatment Plans

Once the type of fungus is identified, dermatologists can develop personalized treatment plans tailored to your specific needs. They may recommend a combination of treatments, including topical antifungal medications, oral medications, laser therapy, or surgical interventions if necessary. Dermatologists are also knowledgeable about potential drug interactions and can adjust the treatment accordingly, taking into consideration your medical history and any other medications you may be taking.

Monitoring and Follow-up

Treating toenail fungus requires patience (fresh new toenails can take up to 1 year to grow out!) and consistency. Dermatologists not only prescribe the appropriate treatment but also monitor your progress over time. They will schedule regular follow-up appointments to assess the effectiveness of the treatment and make any necessary adjustments. This comprehensive approach ensures that your treatment is optimized, increasing the chances of successful eradication of the fungus.

Preventing Recurrence

Toenail fungus has a tendency to recur, especially if proper preventive measures are not taken. Dermatologists provide valuable guidance on preventing reinfection and minimizing the risk of recurrence. They can advise on proper foot hygiene, the use of antifungal powders or sprays, and avoiding common sources of fungal contamination. Following their recommendations can significantly reduce the likelihood of a recurring fungal infection.


When it comes to treating toenail fungus, seeking care from a dermatologist is undoubtedly the wisest choice. Their expertise in accurately diagnosing the condition, tailoring treatment plans, monitoring progress, and preventing recurrence ensures that you receive the best possible care. As summer approaches (along with sandal weather), don't let toenail fungus dampen your confidence and comfort any longer – consult a dermatologist and take the first step toward healthy and beautiful nails. If you’re currently in Connecticut, Florida, Massachusetts, or New Hampshire, you can get care from our board-certified dermatologists at Piction Health today.