Distal Subungual Onychomycosis: Causes, Symptoms, Remedies And Much More

Distal Subungual Onychomycosis


Our today’s topic is about a very common toenail fungus type i.e Distal Subungual Onychomycosis. So, take complete overview of this particular toenail fungus type. As, the following post emphasize on the detailed information regarding; distal subungual Onychomycosis, causes, treatment options and precaution etc.

What Is Distal Subungual Onychomycosis?

Onychomycosis is a nail infection caused by fungus like, dermatophytes, non-dermatophyte moulds and yeasts.

Well this Onychomycosis infection is divided into  proximal subungual onychomycosis (PSO), superficial white onychomycosis (SWO), distal and lateral subungual onychomycosis (DLSO), candidial onychomycosis and total dystrophic onychomycosis.

Distal and lateral subungual onychomycosis:

Distal and lateral subungual onychomycosis

Distal and lateral subungual onychomycosis is commonly caused by dermatophyte infection. Initially this type of nail fungus infection starts at the lateral edges and later on spreads proximally along the nail bed. Eventually the nail bed becomes free and may get break, often because of the trauma. Although nail shape destruction is may be related to invasion of the plate by dermatophytes which have keratolytic properties. Close examining of the surrounding skin reveals the evidence of tinea pedis.


How Distal Subungual Onychomycosis  looks like?

Distal Subungual Onychomycosis begins under the leading edges of nail or along the lateral edges. It is characterized by the accumulation of crumbling subungual debris and thickened, discolored nails. Meanwhile the evaluation of the onycholysis, sharp whitish longitudinal indentations also known as spikes, towards the proximal nail fold, can easily been observed.

What Are The Sign And Symptoms Of Distal Subungual Onychomycosis ?

Here are the visible signs of a Distal Subungual fungal nail infection mentioned below:

  • scaling under the nail, also known as subungual hyperkeratosis
  • appearance of white or yellow streaks on the nail, which is also called lateral onychomycosis
  • your toenail corners or tip of the nail gets crumbled which is called distal onychomycosis.
  • Also encounters flaking white areas on the nail surface, this may include pits in the nail.
  • Loss or sudden removal of the nail.
  • Distorted nail which may get lifted up from its nail bed.
  • Infected nail starts spreading smelly odor.
  • Nails starts getting brittle or thickened.

What Are The Cause Of The Distal Subungual Onychomycosis?

One of the most common causes of this toenail fungus problem is T. rubrum and non-dermatophyte molds. Besides that the Distal Subungual is also caused because of the following causes:

  • poor Blood circulation
  • wearing of nails artificial decorative accessories
  • swim in a public swimming pool
  • skin around the nails gets injured
  • having moist fingers or toes for longer period of time
  • your weak immune system
  • If you are an Diabetic patient
  • wearing of tight and compact shoes, like tennis shoes or boots

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How Is Distal Subungual Onychomycosis Treated?

Well an Over The Counter products are not recommended to treat nail infections because they don’t provide reliable results. But a systematic treatment is always needed for Subungual Onychomycosis, like: Terbinafine (250 mg per day) for 2 (fingernails) or 3 (toenails) months is seen quiet effective for treating dermatophyte infections.

Your doctor may prescribe an oral antifungal medication, like:

  • terbinafine (Lamisil)
  • griseofulvin(Gris-Peg)
  • itraconazole (Sporanox)
  • fluconazole(Diflucan)

You can also use other antifungal treatments, such as antifungal nail lacquer or topical solutions.  In this type of treatment medicines are brushed onto the nail just like the way that you apply the nail polish.

As, per the type of fungus causing the infection and also as the extent of infection. You may need to take these medications for several months. Topical solutions are not that effective in curing Distal Subungual toenail fungus.

Home Remedies To Treat Distal Subungual Toenail Fungus Infection:

Home Remedies To Treat Distal Subungual Toenail Fungus Infection

Orange Essential Oil

Orange essential oil is a natural anti-fungal ingredient that works wonders to cure toenail problems. Because of its citrus allergies it is recommended to test orange oil on your health skin portions before applying it on the infected nail portion.

Apply 1-2 drops of Orange Oil on the nails and between toes. After then leave the oil to get soak completely for at least an hour.

This oil is too strong for sensitive skin people. So, sensitive skin people firstly dilute this oil with some other oils like olive oil.


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Corn Meal

You can also cure this type of toenail fungus with organic cornmeal. As corn naturally hosts a form of fungus is harmless for the body but found effective for treating Subungual Toenail Fungus Infection.

Take a bucket in which you can completely submerge your feet. Now in that bucket take two quarters of water and one cup of cornmeal. Leave the cornmeal to soak in water for 1 hour.  After the passage of 1hr, submerge your infected foot in the mixture and keep it over there for half an hour.

Cornmeal is totally harmless to skin and nails. So, you can repeat this treatment as much as time you want.

Baking Soda and Borax

Fungus grows more in acidic environment, so the alkaline property of baking soda actually prevents toenail fungus from spreading just by creating an unfavorable environment for it.

Whereas, Borax is a natural occurring mineral which works great as a powerful fungicide. Combination of these two substances make a powerful remedy that can cure the toenail fungus fast. Take equal parts of borax powder and baking soda with enough water to make a thick consistency paste. Now wet your feet and gently apply this mixture onto the infected part.

Try this for daily for two weeks even though the fungus appears to have cleared up.

Coconut Oil

 In coconut oil, one of the medium chain fatty acid is present known as Caprylic Acid. This fatty acid has the ability to penetrate into the durable wall of toenail fungus. And thus effectively destroys the infection.

Mask a thin layer of coconut oil over the infected area and let it soak for at least 15 minutes. Coconut oil has several skin benefits, so there is no such restriction on how often you can use this treatment.

How To Prevent Distal Subungual Onychomycosis ?

Prevent Distal Subungual Onychomycosis

Home remedies mentioned above will surely help to get rid of this specific Distal Subungual fungus infection. But apart from this, some preventive measures will works to stop this unsightly condition.

Clip Your Toenails –

Make a habit of clipping your toenail regularly so as to protect yourself from fungal infection.  Always use properly sanitized clipping tools. Cut your toenail straight across without making any angle. With the help of filler just file down any sharp edges.


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Select shoes that fit right –

To avoid the problem of toenail fungus again in future make selection for the right footwear. Choose the Shoes that must not touch your toenails. Avoid wearing tight or ill –fitting shoes.

Make selection of the high quality shoes that are made from breathable materials like canvas or leather.

Sanitize –

Don’t forget to clean and sanitize your feet before going to bed. Wash and dry your feet daily and be sure that you keep them moisturized just by applying the moisturizer.

Rotate your shoes –

Keep changing your shoes because wearing the same pair of shoes for longer day elevates the risk of toenail fungus. So, it will be better if you regularly switch up your shoes. Also keep your shoes in open sunlight or in some open area where it can take plenty of air and remove out the tacky smell from your shoes.


Nail fungal infection develops with the time, so any immediate difference in the way your nails look or feels; may be too slight to get noticed. Don’t let a toenail infection get the best of you and badly affect your lifestyle. So just try these easy and effective remedies and prevention tips for treating Distal Subungual Onychomycosis.

Article Resouces
Nail fungal infection: Causes, treatment, and symptoms

Onychomycosis Treatment & Management

Onychomycosis: Current Trends in Diagnosis and Treatment

Distal subungual onychomycosis – an overview

Treatment of distal subungual onychomycosis


Distal Subungual Onychomycosis: Causes, Symptoms, Remedies And Much More
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Distal Subungual Onychomycosis: Causes, Symptoms, Remedies And Much More
The following post emphasize on the detailed information regarding; Distal Subungual Onychomycosis, causes, treatment options and precaution etc.
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Cure Toenail Fungus
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