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When Oral Treatment Is Used for Toenail Fungus

Toenail fungus, also called onychomycosis, often starts slowly, but can become stubborn, over time. Mild cases may respond to topical care, but thicker, discolored, or spreading infections often need a different approach. Oral treatment is sometimes recommended when multiple nails are involved, the nail is significantly thickened, or previous treatments have failed. These medications work from the inside out, reaching the nail through the bloodstream to target fungus beneath the nail plate. Because nails grow slowly, treatment usually continues for several months while healthy nails replace damaged nails. Oral therapy is not right for everyone and requires proper evaluation, including review of medical history and monitoring, when appropriate. Used correctly, it can improve nail appearance, comfort, and long-term results. If toenail fungus is persistent or worsening, it is suggested that you see a podiatrist to determine the most appropriate treatment plan.
For more information about treatment, contact Amy DeGirolamo, DPM of Florida Foot and Ankle Associates. Our practitioner can provide the care you need to keep you pain-free and on your feet.
Toenail Fungus Treatment
Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.
Antifungals & Deterrence
Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.
Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.
Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.
If you have any questions please contact our office located in Miami,FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
How Peripheral Artery Disease Affects Foot and Ankle Skin

Peripheral artery disease, or PAD, reduces blood flow to the lower limbs, limiting the oxygen and nutrients needed to keep skin healthy. In the feet and ankles, this often leads to dryness, thinning, and increased sensitivity. Skin may appear shiny, pale, or cool to the touch, and hair growth can diminish. Even minor cuts or pressure areas may heal slowly because circulation is impaired. Over time, poor blood supply increases the risk of skin breakdown, ulcers, and infection, especially when combined with reduced sensation. Color changes, cracking, or persistent redness should not be ignored, as they may signal worsening circulation. Wearing proper footwear, daily skin checks, and prompt care of small injuries are essential for protection. If changes in foot or ankle skin are noticed, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.
Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Amy DeGirolamo, DPM from Florida Foot and Ankle Associates. Our practitioner will assess your condition and provide you with quality foot and ankle treatment.
Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.
Symptoms
Symptoms of PAD include:
- Claudication (leg pain from walking)
- Numbness in legs
- Decrease in growth of leg hair and toenails
- Paleness of the skin
- Erectile dysfunction
- Sores and wounds on legs and feet that won’t heal
- Coldness in one leg
It is important to note that a majority of individuals never show any symptoms of PAD.
Diagnosis
While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.
Treatment
Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.
If you have any questions, please feel free to contact our office located in Miami,FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
