Blog Post

Fungal Infections

  • by Nikki Grant
  • 06 Nov, 2018

FAQs of fungal infections 

Fungal infections are one of the most common complaints that Podiatrist’s see in clinics around the globe. They are the third most common skin disease in the World. Primarily fungal infections occur on the skin, this condition is known as Tinea Pedis or commonly known as Athletes foot. Once on the skin it can transfer to finger nails and toenails, by a process which is said to take around two years. The nail condition is then known as Onychomycosis. Three percent of the adult population of the UK are said to have a fungal nail infection. Recurrence rates of nail infections have been found to be as high as 87%.  

Fungal skin infections are preventable and treatable by Podiatrists.


What causes a fungal infection?

Fungi called Dermatophytes live harmlessly on the skin. In a fungal infection these dermatophytes multiply if the conditions for them to thrive are just right, causing a huge increase in the incidence of dermatophytes. In fungal infections of the nail and skin the main dermatophytes involved are Trichophyton Rubrum and Trichophyton Interdigitale. Dermatophytes thrive in warm, dark, moist areas, which is why feet, shoes and socks are the perfect climate for them.

There are many factors that can increase your chances of developing a fungal infection, these include;

·    Being male

·    Increasing age

·    Occlusive footwear

·    Poor personal hygiene

·    Repeated nail trauma

·    Genetic predisposition

·    Health conditions such as Diabetes, poor circulation, HIV infection and immunosuppression


What does a fungal infection look like?

On the skin, Athletes foot can look like;

·    Itchy white patches between the toes

·    Red, sore flaky patches on the feet

·    Skin that may crack and bleed

·    Small broken blisters

In the nails;

·    Colour can change to brown, yellow, green and even black

·    Texture can change becoming thicker and more brittle

·    Often have a distinct musty smell

·    Stripes and lines can appear 


How can you confirm if it is a fungal infection?

Podiatrists commonly diagnose fungal skin infections by assessing your symptoms and looking at the skin on your feet. 

Nail fungal infections often require testing to confirm a diagnosis. We are pleased to offer the Five Minute Fungus test in clinic where we can test a sample of nail with 97% of accuracy. The Five Minute Fungus test provides;

·    Rapid results

·    Does not require sending nail samples to a lab

·    Accurate and reliable results

·    Can detect the presence of all common dermatophytes

Please ask one of our Podiatrists for more information about this test.




How do you treat it?

It is important to get a confirmed diagnosis from a health professional. If you have a Diabetes or any condition affecting your immune system, it is essential you seek medical advice prior to treatment.

It is imperative to treat both the nail and skin infection when treating a fungal condition. Treatments can come in cream, powder or spray form.

The nails are the most difficult to treat and treatment can take up to 12 months for a new fungal free nail to grow.

In clinic we offer a treatment called Clearanail which bores tiny holes into the nail plate to allow the application of topical treatments. Please ask one of our team for more information.

Fungal residue can build up in towels and socks, so it is important not to share towels and wash in a hot wash regularly. Shoes and insoles are also a perfect environment for fungus to thrive so spray inside your shoes with an antifungal spray regularly.


What can I do to prevent it?

 Prevention is easy;

·    Dry your feet carefully after bathing, pay special attention to between the toes

·    Change your socks daily- cotton or bamboo fibres are more breathable than synthetic materials

·    Wear shoes made from natural materials 

·    Leave your shoes to dry out if they get damp

·    Wear flipflops in shared areas such as swimming pools and gyms

·    Don’t share towels, socks or shoes with anyone

  

What do I do if I suspect I have one?

 If you suspect you have a fungal skin or nail infection and are not sure what to do, seek help from a Podiatrist. We are foot care professionals trained to diagnose and treat conditions of the feet.

If you have any further questions or require any information regarding your first visit, please do not hesitate to contact us on 01324 621809 / 01506 826286.


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From a young age I always knew I wanted to do a job that involved helping people. I remember as a child trying to convince family members to play games of Drs and nurses with me. Sticking plasters on imaginary wounds and listening to hearts with my plastic stethoscope. I had grown up in a family where both my parents and grandparents were Podiatrists, so I was used to hearing discussions about people's health and the family business at the dinner table. As a pre-school child I remember visiting a nursing home with my mum as I sat on a big chair being fed biscuits by a line of patients waiting to have their feet treated. My Mum's clinic was annex from our family home, as it still is to this day, so I was used to being in and around a clinical setting. 

As I grew up I was really interested in learning about the sciences, especially human biology. So when it came to make my subject choices in 2nd year of high school it was an easy decision to take three sciences. Unlike a lot of people my age I knew that my future lay in healthcare, but I wasn't sure in exactly what field. 

When I was 17 years old our school encouraged us to do work experience. I knew this was my opportunity to see a bit more about what other health professionals did. I managed to get a placement at The Western General hospital in Edinburgh based at the Neurosurgical department. I spent two incredible weeks shadowing lots of medical professionals from brain surgeons, to Drs, specialist nurses, physiotherapists and occupational therapists. I even managed to chat to patients and their families on the wards. I loved every minute of the experience. One of the most unforgettable experiences was being invited into the operating theatre to observe a brain surgery. The team were so welcoming and made me feel completely at ease in this dramatically different environment. From that minute on, I was hooked! I knew that this was something I needed to do.

I did as most students in Scotland do I filled in my UCAS forms and waited to see what would happen next. I applied to a variety of allied health professions including optometry, podiatry and even medical sciences. I was invited for an interview at the Podiatry department at Queen Margaret University in Edinburgh and was delighted. I remember walking into the department and it just feeling right. After that everything seemed to fall into place! I received an unconditional offer and the rest they say is history! 

I studied Podiatric medicine at QMU for four years, graduating with a 1st class honours degree. I really enjoyed my time at university and met some incredible lecturers and friends along the way. I felt that I had more to prove than others coming from a family of Podiatrists, people assumed I knew the syllabus already, possibly by osmosis. But I worked hard to prove that I was no different from any other student.
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