Causes
As the name suggests, fungal nail infection is caused by fungus. In fact, it is the same fungus that causes athlete's foot, which is why nearly a third of people who have athlete's foot eventually develop this unsightly disease in their toenails. Hands that are in and out of water many times a day can also develop fungal nail infections, although less often.
The fungus normally attacks the nail from the free end, or the side of the nail, and spreads slowly backwards towards the base. The nail changes colour to creamy white or yellow, thickens and crumbles, and the end may separate from the nail bed.
Treatment
Fungal nail infection is unlikely to go away without treatment. If you think you have the condition, visit your family doctor, who can now prescribe effective treatments. If you have tried treatments for this condition in the past with little success, you may find it is now worth going back to your doctor for further advice. If you file your nails, avoid using the same file on an infected nail as a normal nail, since this can help spread the disease.
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A fingernail or toenail can be injured by a blow to the nail or by closing the finger or toe in a door or drawer. This kind of trauma commonly results in blood under the nail, a condition called subungual hematoma. Nails also can be accidentally torn or split, or a splinter can get under the nail.
Repeated trauma to toenails, caused by ill-fitting shoes, can lead to deformities in the nails. The deformities may resemble a fungal infection; nails can be thickened or discolored and can lift away from the nail bed, which causes cosmetic concerns.
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