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Toe nail

I am 74 years of age.3 years back my right toe nail started turning black.U went to dermatologist.Started medicines anti fungal as ointment and tabelets.but it git completely black and with cracks. i had to got it extracted.it was very painful.New nail came white n healthy but 3 months later it too turned black..and my toe got inflammation due to injury and again nail got removed. now it has been 4th time nail extraction. Dr says its fungal infection but its not getting cured.after removal the new nail comes i  to parts/broken.and offlate i started pain from this toe to right foot..kind of nervine pain..no reluef after medicines from nerrophysician. is it reklated to my Toe? extremely worried..please advice..
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Avatar universal
Dear Doctor
Thanks a lot for your detailed reply.usually old people and their problems are not taken seriously often.God bless you.
Yes my nail culture has been done thrice and report is normal.. I will follow the tips you have given and would be informing you.
feeling relieved ..thanks v much
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Avatar universal
MEDICAL PROFESSIONAL
Hi,

Was there confirmatory test or culture done? Onychomycosis or tinea unguium is a fungal infection of the nail bed, matrix or plate. Toenails are affected more often than fingernails and occurs primarily in adults, most commonly after 60 years of age. Treatment for a fungal nail infection includes using medications, taking steps to prevent the infection from returning, and removing the affected nail. However, treatment does not work for 20% to 25% of people with the condition. It is important to confirm the diagnosis of onychomycosis  by potassium hydroxide (KOH) preparation, culture or histology. Culture reports often identify multiple organisms, including possibly nonpathogenic molds, and treatment should be directed at the organisms most likely to be causative.

To improve treatment outcomes and prevent recurrence,  the following may help:  wear dry cotton socks and change them often; choose breathable footwear; protect feet in shared bathing areas; keep feet dry throughout the day; recognize and treat tinea pedis; avoid injuring the nail, and maintain and improve chronic health conditions such as diabetes control and  smoking cessation. You can read more about this through this link: http://www.aafp.org/afp/20010215/663.html

Take care and keep us posted.
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