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What are nail infections?

There are three types of nail infection that we treat.

Fungal Nail Infections
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Fungal nail infections, or onychomycosis, are common infections of the fingernails or toenails that can cause nails to become discolored, thick, and more likely to crack and break. Infections are more common in toenails than fingernails.

Bacterial Nail Infections
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Bacterial nail infections, or acute paronychia, are the most common infection of the hand that result from local injuries to the nail fold. Skin normally has many types of bacteria on it. When there is a break in the skin, bacteria can enter the nail fold and grow there.

Periungual Warts
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Periungual warts are caused by the human papilloma virus (HPV). These warts are benign, contagious growths around the nail.

Treatment & Pricing

Treatment for nail infections will depend on the type of infection you are diagnosed with. Common treatments include prescription antibiotics and topical ointments.

Fungal Nail Infections
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Fungal nail infections typically don’t go away without anti-fungal treatment and often recur even with treatment. For mild to moderate fungal nail infections, either topical or oral tablets are options. The best treatment for a fungal nail infection is usually prescription anti-fungal pills taken orally. In severe cases, a doctor might remove the nail completely. It can take several months to a year for the infection to go away.

  • Terbinafine
  • Ciclopirox Topical Solution (nail lacquer)
  • Jublia
Bacterial Nail Infections
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Bacterial nail infections are treated with topical or oral antibiotic drugs, and/or incision and drainage of pus pockets. In addition to medication, your provider may recommend warm water or antiseptic soaks.

  • Mupirocin (topical)
  • Fucibet cream (topical)
  • Dicloxacillin (oral)
  • Cephalexin (oral)
  • Trimethoprim/sulfamethoxazole (oral)
  • Clindamycin (oral)
  • Doxycycline (oral)
Periungual Warts
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Intranasal corticosteroid and antihistamine sprays help prevent and treat runny nose and nasal inflammation and itching caused by hay fever. Nasal corticosteroids are the mainstay treatment of allergies.

  • Prescription salicylic acid (topical)
  • Prescription tretinoin (topical)
  • Prescription glycolic acid (topical)

Suffering from a nail infection? Alpha Providers can help.

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Learn About Nail Infections

How do you know if you have a fungal or bacterial nail infection, or cutaneous warts? How can you avoid nail infections?

Symptoms & Causes
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SYMPTOMS

Bacterial Nail Infection:

  • Redness of the skin around your nail
  • Tenderness of the skin around your nail
  • Pus-filled blisters
  • Changes in nail shape, color, or texture
  • Detachment of the nails

      Fungal Nail Infection:

      • Discolored nails (yellow, brown, or white)
      • Thick nails
      • Fragile or cracked nails
      • Distorted shape of nails

      Periungual Warts:

      • Small, fleshy, grainy bumps on fingers or hands
      • Flesh-colored, white, pink, or tan warts
      • Rough to the touch
      • Black pinpoints (small, clotted blood vessels)

      causes

      Bacterial Nail Infection:

      • Overzealous manicuring
      • Nail biting or picking hangnails
      • Thumb-sucking

      Fungal Nail Infection:

      • Fungi (yeast or molds) that live in the environment
      • Brittle and dry nails
      • Weakened immune system
      • Athlete’s foot (for toenail fungal infection)

      Periungual Warts:

      • Caused by the human papillomavirus (HPV)
      • Spread by casual skin contact or through shared objects like towels
      • Spreads through breaks in the skin (hangnail or scrapes)
      Tips & Advice
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      TIPS TO HELP PREVENT NAIL INFECTIONS

      • Keep your hands and feet clean and dry
      • Clip your fingernails and toenails short and clean
      • Don’t walk barefoot in areas like locker rooms or public showers
      • Don’t share nail clippers with other people
      • Avoid cutting your cuticles
      • Avoid shared, unsterilized nail manicure equipment
      • Opt to bring your own sterilized manicure equipment to a nail salon
      • Don’t pick at warts on hand (if present)
      • Clean and cover cuts to minimize the risk of HPV getting into your body

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      Frequently asked questions

      What are the most common nail infections you treat?
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      The most common nail infections we treat at Hello Alpha are:
      Paronychia (nail skin infection)
      Onychomycosis (fungal nail infection)
      Chloronychia (green nail syndrome)

      What are risk factors for developing fingal nail infections?
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      There are several risk factors for developing funal nail infections, including:
      Diabetes
      Obesity
      Nail trauma
      Smoking
      Exposure to sports and fitness activities
      Advancing age

      How do you treat nail fungal infections?
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      There are several effective topical and oral treatments. Your Hello Alpha provider will help you decide the best approach.

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