Fungal Infection Treatment

Fungal infections of the feet are common and can affect both the skin and toenails. A fungal skin infection, known as tinea pedis or athlete’s foot, commonly causes itching, redness, peeling, waxy or cracked skin, particularly between the toes. When a fungal infection affects the toenails, it’s known as onychomycosis or tinea unguium. This can cause nails to become thickened, brittle, discoloured or crumbly.

Athlete’s foot and fungal nail infections are among the most common fungal infections affecting the feet. These superficial fungal infections affect the outer layers of the skin or nails. Other types of tinea infections can affect different areas of the body, including ringworm (tinea corporis), jock itch (tinea cruris) and scalp ringworm (tinea capitis). However, tinea pedis and fungal nail infections are particularly relevant to foot health.

Although a fungus on the skin may initially cause mild irritation, fungal infections can spread or persist if left untreated. Cracked skin caused by athlete’s foot can also provide an entry point for bacteria, potentially leading to secondary skin infections. This is particularly concerning for people with diabetes, poor circulation or a weakened immune system.

At Advance Foot Clinic Podiatry, our podiatrists assess fungal skin and nail infections and help patients understand the appropriate treatment and prevention strategies for their foot health.

Image of fungal infected toes

Main contributing factors

Many fungal infections, including tinea pedis and tinea corporis, are caused by dermatophytes – fungi that grow on the outer layers of the skin and nails. These dermatophyte infections commonly occur in warm, moist environments and can spread through direct contact or contaminated surfaces.

Common sources of fungal infections include:

  • Other humans: Tinea infections are contagious and can spread through direct skin contact or shared items such as towels, socks and footwear.
  • Animals: Some fungal infections, including ringworm (tinea corporis), can spread from infected animals such as puppies and kittens.
  • Gardens and soil: Certain fungi are found in soil and may cause infections following contact with contaminated material.
  • Shared facilities: Public bathrooms, communal showers, swimming pool surrounds and changing rooms can expose bare feet to fungi left on damp surfaces.

Athlete’s foot can also spread to other areas of the foot or toenails. Good hygiene and early attention to symptoms can help prevent the spread of infection.

 

A few factors can predispose a person to contracting a fungal infection

While exposure to fungi is common, some conditions make it easier for an infection to develop.

These risk factors include:

  • Walking barefoot: Particularly in communal showers, changing rooms and other shared damp areas.
  • Hot, humid environments: Closed-in shoes and footwear that trap heat and moisture create favourable conditions for fungal growth.
  • Excessive foot perspiration: Sweaty feet can leave the skin damp for extended periods, increasing the risk of tinea pedis.
  • Cracked or damaged skin: Small breaks in the skin can make it easier for infections to develop.
  • Nail damage: Injured or damaged toenails may be more susceptible to fungal nail infections.
  • Certain health conditions: People with diabetes, reduced circulation or weakened immune systems may be more vulnerable to fungal infections and their complications.

 

Tinea pedis commonly occurs between the toes, although this fungal skin infection can also affect the soles and sides of the feet. Symptoms may include itching, burning, cracked skin, a rash or scaly patches. Some tinea infections produce a rash with a well-defined border, while other symptoms may include redness, irritation or peeling. When fungal infection occurs between the toes, skin often takes on a white, waxy, macerated appearance. If left untreated, the infection may spread to other areas of the skin or nails.

Because other skin conditions can produce similar symptoms, it’s important not to assume that every rash, patch of cracked skin or discoloured toenail is caused by skin fungus.

Treatment for Fungal Infections

Fungal infection treatment depends on whether the infection affects the skin, toenails or both, as well as its severity and how long symptoms have been present.In most cases, fungal infection treatment involves antifungal medicine selected according to the type and location of the infection. Mild fungal skin infections, such as athlete’s foot, may respond to topical antifungal creams, while fungal nail infections can require a different approach. The appropriate treatment depends on the diagnosis, severity and whether the infection has spread. For some confirmed fungal nail infections, prescription oral terbinafine may be considered as a first-line therapy, subject to individual medical suitability.Common treatment options include:

  • Antifungal creams and medications: Topical antifungal treatment, such as creams containing terbinafine or clotrimazole, is commonly used for athlete’s foot. Fungal nail infections can be more difficult to treat and may require medicated nail products or prescription oral antifungal medicine.
  • Professional assessment: A podiatrist can examine the affected skin or nails and may recommend skin scrapings, nail samples or fungal microscopy to help confirm the diagnosis and identify an appropriate treatment. Advance Foot Clinic offers an in-clinic rapid nail clipping test to confirm fungal infections.
  • Fungal nail laser treatment: For selected fungal nail infections, painless laser treatment may be considered following an assessment. Treatment suitability and results vary, and laser therapy is not a guaranteed cure.

 

Tea tree oil and apple cider vinegar soaks are sometimes used as a home remedy, but evidence of its effectiveness is limited. It may also cause skin irritation and should not replace proven antifungal treatment.

If symptoms persist, keep returning or affect several toenails, it’s worth having your feet assessed. Our podiatrists can help identify the likely cause and discuss suitable management options.

For more information about nail symptoms, see our Fungal Nails condition information, or learn about our Fungal Nail Laser Treatment service.

What can you do?

Good foot hygiene plays an important role in preventing fungal infections and reducing the risk of reinfection. Alongside appropriate antifungal treatment, a few everyday habits can help keep your feet clean and dry.

  1. Wash your feet and socks daily. Clean your feet regularly and change into fresh, dry socks each day. Wash socks and towels according to their care instructions, using a hot wash where the fabric permits. Use antifungal laundry wash to kill off any fungal cells attached to clothes.
  2. Wear thongs in communal showers. Avoid walking barefoot in public bathrooms, changing rooms and shared showers. If someone in your household has athlete’s foot, wearing thongs in shared wet areas may also help reduce transmission.
  3. Keep the skin between your toes dry. Moisture can encourage fungal growth, so dry carefully between each toe after showering, bathing or exercising.
  4. Use your own towel. Avoid sharing towels, socks, shoes or nail clippers with other household members to help prevent the spread of fungal infections.
  5. Use antifungal medicines as directed. Follow the recommended treatment duration, even if symptoms improve earlier. The length of treatment varies depending on the infection and medication, so seek advice before extending treatment beyond the recommended course.
  6. Treat all affected areas. Athlete’s foot and fungal nail infections can occur together. Identifying and managing all affected areas can help reduce the risk of ongoing infection or reinfection.
  7. Rotate your footwear. Try not to wear the same shoes on consecutive days, allowing time for moisture to dry out between uses.
  8. Choose breathable socks and shoes. Moisture-wicking socks and well-ventilated footwear can help reduce sweat buildup. Change damp socks promptly, particularly after exercise or long periods in enclosed shoes.

Take the first step towards happy and healthy feet.

Dealing with itchy skin, recurring athlete’s foot or changes to your toenails? Our podiatrists can assess your symptoms, discuss fungal infection treatment options and help you manage your foot health.

Book your appointment online or call us to arrange a consultation at one of our five clinic locations across North Brisbane, Western Brisbane and Mount Isa.