New Treatment For Fungal Toenails

Yellow, thick, crumbly, and ugly toenails are hiding behind shoes. They smell a little funky, they look a little funny, and they drive your significant other into frenzy! Toenail fungus is extremely common.

As a foot doctor, I see it every day. Over the last several years, treatment for nail fungus has been getting a lot of attention. There are topical options and oral options for treating the ugly toenails. In addition, there are newer treatments that are non-harmful and very effective. My patients are always very concerned about the treatments and how they will affect their body.

So let us discuss the pros and cons of the popular oral treatment, Lamisil as well as the new treatments. Why take a pill? There are many medications that can be applied directly to the nail but they are not always effective. If the fungus is only at the tip of the nail or less than half of the nail is infected, the topical treatments can work to eliminate the fungus. This can take up to 10 months and there is a high risk of recurrence. Once the fungus has infected the entire nail the topical agents are not strong enough to kill the fungus. The nail is too thick for the medication to penetrate to under the nail, where the fungus calls home.

Taking oral medication works from the inside of your body to fight the fungus and research, and in my personal experiences, has proven the pills to be more effective. How long until the fungus is gone? The oral medications, such as Lamisil, are taken for three months. It takes a nail ten to twelve months to grow out. Thus, after three months of treatment, your nail may still look a little funny. When the fungus lives under your nail, it causes damage to the nail and will make it turn yellow and thick. As new, healthy, and uninfected nail growth takes place the ugly portion with grow out and eventually be replaced. Many of my patients get nervous after three months of treatment when their nail doesn’t look normal yet. If the part of the nail that is closest to your body looks normal, then the treatment worked and the nail will start appearing more normal over the next several months.

Is Lamisil hard on my body? Lamisil, much like Tylenol and alcohol can cause damage to the liver. Luckily, the liver unlike most organs in our body can quickly and easily repair itself form minor damage. To ensure the medication is safe for the patient, blood work is done to check the patients liver function. If the patients liver enzymes do not come back normal, then the patient is never started on the medication. If the liver is healthy, as it is in most people, the patient is started on the oral medication and blood work is repeated again after six weeks of taking the medication. If there liver enzymes are still at normal levels, then no damage to the liver is taking place. If the enzymes levels are abnormal then the patient is taken off the medications. At this time, the damage is so minor that the liver easily repairs itself after the medication is discontinued. If the drug is managed correctly by your doctor, Lamisil can be safer than Tylenol on your liver!


If you suffer from these ugly looking nails, then our new combination of Keryflex/Laser treatment can be effective. Keryflex is a resin that has an anti-fungal in it. Our laser is the K-laser. This is a cost effective, safe and painless procedure. We perform the laser treatment for seven minutes per foot and then apply the Keryflex resin. We use one or two laser treatments and apply the resin once a month for five months. Your nails will look better immediately.

Lamisil works about 80 percent of the time which is the same efficacy as the Keryflex/Laser. Due to the lack of any side effects, I prefer to recommend the application of the resin and use of the laser over the Lamisil.

So, it is time to show your feet at the beaches and no more wearing socks to bed. Besides, your feet will love you for it.

Using CBT As an Effective Means of Addiction Counseling and Therapy

Life is not always a bed of roses. There are times when we have to face many challenges, trials and tribulations. This makes the task of facing up to life rather tough and challenging too. Sometimes these challenges are in the form of addictions that people contend with and find it very tough to come up trumps against.

Addictions can get quite debilitating sometimes. There are some folks who get so dependent on habits like taking drugs or alcohol, or perhaps even being addicted to sex that normal life becomes quite tough on them. You may have seen some people being so addicted to drugs or alcohol that they ruined their health as well as family life. Such people need help, and urgently, which could be in the form of CBT or Cognitive Behavior Therapy. CBT is extremely helpful and has seen to be very effective in helping people kick off various kinds of addictions that they may have got entangled with.

The basic premise on which CBT is based on is the fact that we are creatures who are guided by our thoughts. Thoughts are the source from which emotions and actions spring up in our life. If you dwell on this, you will realize that this is quite true. When you feel sad or perhaps angry, you would know that thoughts would be at the root of such emotions, as we think first and then we feel or act. After all, we are thinking beings and not mindless zombies or robots.

CBT helps addicts to analyze their behavior patterns and addiction induced actions, so that they can isolate those thoughts that make them prone to addiction. It is true that an addict to drugs or alcohol is feeling some lack, which is prompting him to indulge in addiction to fill that need. With CBT, the trained therapist would be able to help the addict understand as to what are the specific situations and thoughts that act as triggers forcing the person to give in to addiction.

Using CBT, it would be possible for the patient to replace negative and addiction causing thought with positive and wholesome thoughts that can slowly but surely cause less dependence on the addiction. Thought replacement is a very powerful technique that CBT is able to very effectively induce. This helps the addict to kick the habit that is so harmful.

Fungal Infections During Pregnancy

What is a fungal disease?

Fungal infection (yeast infection) – this is a common type of vaginal infections. They are very common in pregnant women. The causative agent of these infections, also called vaginal candidiasis, is a microscopic fungus genus Candida, usually Candida albicans.

A number of fungi (yeast) naturally present in the vagina and the gastrointestinal tract. Fungi become a problem when they begin to multiply so quickly that their number to inhibit other microorganisms.

Because of the increased level of estrogen during pregnancy in the vagina to produce more glycogen, which promotes the proliferation of fungi. According to some experts, estrogen may exert a direct effect on the fungus, so that they grow quickly and easily, stick to the walls of the vagina.

Risk of yeast infection is increased by using antibiotics, especially if you take them frequently or for long periods. This is due to the fact that antibiotics not only kill the harmful bacteria but also the good bug as well.

What are the symptoms of fungal disease?

If you have symptoms of a fungal (yeast) infection, they will bother you (and worse) until you are cured. However, sometimes the symptoms go away.

The main symptoms include:

-itching, irritation, pain, burning, redness (sometimes swelling) and vaginal labia,

-white or cream cheesy vaginal discharge with an unpleasant odor,

-discomfort or pain during sex

-burning sensation during urinating (when the urine reaches the inflamed areas of the genitals).

What To Do If You Suspect A Fungal Infection?

If you suspect an infection contact your doctor. Keep in mind that, despite the availability of antifungal drugs, do not self-medicate without consulting your doctor. The cause of the symptoms may not only be a yeast (fungal) infection, but it may be sexually transmitted infections (STIs). They can develop on their own or simultaneously with fungal infection.


If you have a fungal (yeast) infection, the doctor will prescribe a prescription such as an anti-fungal vaginal creams or medicines that are safe for pregnant women. Oral antifungal medications to treat vaginal yeast infections are contraindicated in pregnancy.

The cream or suppository inserted into the vagina for seven consecutive days, preferably at bedtime. (Short courses of treatment to which you may have to resort earlier, may not be effective during pregnancy). You can also put the cream on the outer parts of the vagina.

After several days of treatment you will feel better. At this time, you can reduce the discomfort and itching if you apply ice or lie down for ten minutes in a cool bath.

If you do not like the treatment or it does not bring positive results, tell your doctor. He may prescribe a different drug.

How To Reduce The Risk Of Fungal Infection?

Infections can be avoided by making sure that the genital area is always dry (yeast thrive in heat and humidity), and vaginal flora – are normal. The following rules are simple to follow, and can help you to reduce the risk of fungal infection?

Wear breathable cotton underwear, do not wear tight pants, synthetic.

Remove wet bathing suit after swimming, change clothes after exercise, especially if you sweat.

If possible, sleep without underwear. You can wear a nightgown. It is better than pajamas.

Avoid bubble baths, scented soaps, perfumed sprays and cleaning products for personal hygiene. They not only contribute to the development of infection, they can also cause irritation of the genitals.

Wash your genital area with warm water.