Nail Fungus Treatment: Why Does It Take So Long?

Nail fungus treatment often feels endless. Many people use creams for weeks and see little change. However, the slow pace has a clear reason: the fungus lives inside a structure that grows very slowly.

In this article, you will learn why it takes so long, what works and how to prevent it from coming back.

Why nail fungus treatment takes so long

First, the fungus infects the nail plate and the nail bed. Medicines must reach these deep layers, which is hard. In addition, the damaged nail does not heal; instead, a healthy nail must grow and replace it.

Fingernails take about six months to grow out. Toenails, on the other hand, can take 12 to 18 months. Therefore, even when the fungus is gone, the nail still looks abnormal for a while.

Signs of nail fungus

  • white, yellow or brown discoloration;
  • thick nails that crumble;
  • nail lifting from the skin;
  • an unpleasant smell in some cases.

Still, other conditions, such as psoriasis, can look similar. For this reason, a lab test confirms the diagnosis before treatment.

Dermatologist examining a toenail before nail fungus treatment

Nail fungus treatment options

  • Topical solutions and lacquers: for mild cases that affect only part of the nail;
  • Oral antifungals: for more extensive infections, with medical monitoring;
  • Combined therapy: topical and oral treatment together;
  • Laser and nail debridement: as support in selected cases.

How to keep the fungus from coming back

  • dry your feet well, especially between the toes;
  • wear breathable shoes and change socks daily;
  • avoid walking barefoot in public showers;
  • do not share nail clippers;
  • treat athlete’s foot if you have it.

Read more in our article in Portuguese about micose de unha (onicomicose). The American Academy of Dermatology also recommends seeing a dermatologist to confirm the diagnosis.

Book your appointment

In short, nail fungus treatment takes months because the nail grows slowly, but the right plan works. Book your appointment with Dr. Julia Ocampo.