Charlotte Covello, DPM

Pamela Eernisse, DPM

Anna Garbula, DPM

Stacey Oaks, DPM


Chicago Office
30 N Michigan Ave

Suite 720
Chicago, IL 60602
312-701-0705 fax

Justice Office
9050 W. 81st Street
Suite 500
Justice, IL 60458
708-594-3524 fax


708-748-4332 FAX



Many people don't realize they have a fungal nail problem and, therefore, don't seek treatment. Yet, fungal toenail infections are a common foot health problem and can persist for years without ever causing pain. The disease, characterized by a change in a toenail's color, is often considered nothing more than a mere blemish. Left untreated, however, it can present serious problems.

Also referred to as onychomycosis, fungal nails are infections underneath the surface of the nail, which may also penetrate the nail. Fungal nail infections are often accompanied by a secondary bacterial and/or yeast infection in or about the nail plate, which ultimately can lead to difficulty and pain when walking or running. Symptoms may include discoloration, brittleness, loosening, thickening, or crumbling of the nail.

A group of fungi, called dermophytes, easily attack the nail and thrive on keratin, the nail's protein substance. In some cases, when these tiny organisms take hold, the nail may become thicker, yellowish-brown, or darker in color, and foul smelling. Debris may collect beneath the nail plate, white marks may frequently appear on the nail plate, and the infection is capable of spreading to other toenails, the skin, or even the fingernails.

Nail bed injury may make the nail more susceptible to all types of infection, including fungal infection. Those who suffer chronic diseases, such as diabetes, circulatory problems, or immune-deficiency conditions, are especially prone to fungal nails. Other contributory factors may be a history of Athlete's Foot or excessive perspiration.

You can prevent fungal nail infections by taking these simple precautions:

  • Exercise proper hygiene and regularly inspect your feet and toes.
  • Keep your feet clean and dry.
  • Wear shower shoes in public facilities whenever possible.
  • Clip nails straight across so that the nail does not extend beyond the tip of the toe.
  • Use a quality foot powder (talcum, not cornstarch) in conjunction with shoes that fit well and are made of materials that breathe.
  • Avoid wearing excessively tight hosiery, which promotes moisture. Socks made of synthetic fiber tend to "wick" away moisture faster than cotton or wool socks, especially for those with more active lifestyles.
  • Disinfect home pedicure tools and don't apply polish to nails suspected of infection.

Depending on the type of infection you have, over-the-counter liquid antifungal agents may not prevent a fungal infection from recurring. A topical or oral medication may need to be prescribed, and the diseased nail matter and debris removed, a process called debridement. Note: Please consult your physician before taking any medications.
In severe cases, surgical treatment may be required to remove the infected nail. Permanent removal of a chronically painful nail, which has not responded to any other treatment, permits the fungal infection to be cured and prevents the return of a deformed nail


                    There are a number of treatments available for toenail fungus.Topical treatments (preparations applied directly to the nail) may be helpful in the early stages of infection. Generally if the nail has become thickened or loosened from the nail bed, the infection is progressed to the point that it cannot be cured by topical treatments alone.  Some topical treatments help to improve the appearance of the nail by softening thickened toenailand helping to reduce dry and brittleness which often accompany onychomycois.

Oral medications have been FDA approved for  nail fungus since the late '90s. The medication which is generally prescribed in our practice is Lamisil (terbinifine). Lamisl has a cure rare of around 80% and has an excellent safety profile. The medication is processed by the liver and should not be used by people with liver disease. To ensure safe use, it is the standard in our office to establish that the liver is healthy by performing a simple blood test. 
The most recent FDA approved treatment for nail fungus is laser treatment. This treatment is painless and performed in the office. one to three treatments are usually required depending upon the severity of the infection. 
These treatments may be used alone or combined for the greatest chance of cure. Our doctors will review your overall health, your current medication, evaluate your infection,  and help you decide which treatment is best for you. 




Stop suffering the pain and embarrassment of unsightly nail fungus. PinPointe™ FootLaser™ is the easy and convenient treatment that helps turn your discolored and disfigured nails into clearer, healthier nails. Safe and effective, this in-office treatment is pain free with no harmful side effects. Ask us about treatment today!


Before and After Treament





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Michigan Avenue Podiatry
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PinPointe FootLaser
Cynosure's PinPointe Laser is the ideal treatment for nail fungus. Cynosure is known for quality lasers, treating aesthetic concerns ranging from facial redness to uneven skin texture.




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