How to prepare for a video visit about Nail Fungus (Onychomycosis)

Audience: adult

Nail fungus, also called onychomycosis, is a common condition where a fungal infection affects the fingernails or toenails. It often causes nails to become thick, discolored, or brittle. Preparing for a video visit about nail fungus can help you get the most from your appointment. During the visit, a healthcare provider will ask about your symptoms, examine your nails through the camera, and discuss possible treatments. You may need to share information about your health history and any medicines you take. Sometimes, additional tests are needed to confirm the diagnosis. Telemedicine can be a convenient way to start care for nail fungus, but some situations may require an in-person visit. This guide explains how to prepare, what to expect, and when to seek urgent care. Remember, this information is educational and not a substitute for professional medical advice.

Red flags — go in person / ER

• Severe nail pain, swelling, or pus around the nail — seek urgent in-person medical care.
• Rapid spreading redness or warmth near the infected nail — contact healthcare immediately.
• If you have diabetes or a weakened immune system and notice nail infection signs — arrange prompt medical evaluation.

What telemedicine can do

• Initial assessment of nail changes and symptoms.
• Providing education about nail fungus and treatment options.
• Monitoring mild to moderate cases with follow-up video visits.

What telemedicine cannot do

• Performing physical nail sampling or lab tests requiring in-person visit.
• Managing severe infections with signs of spreading or systemic illness.
• Addressing complications in people with diabetes or immune system problems that need urgent care.

What is Nail Fungus (Onychomycosis)?

Nail fungus is an infection that affects the nails, usually caused by different types of fungi. It can make nails look yellow, white, or brown, and they may become thick, crumbly, or misshapen. The infection often starts at the edge of the nail and can spread if untreated. It commonly affects toenails more than fingernails.

Preparing for Your Video Visit

Before your video visit, find a quiet, well-lit place where you can show your nails clearly to the healthcare provider. Clean your nails gently and remove any nail polish if possible. Have your medical history ready, including any past nail problems, other health conditions, and current medications. Write down your symptoms, such as how long you've had changes in your nails and any pain or discomfort.

What to Expect During the Video Visit

The healthcare provider will ask about your symptoms and health history. You will be asked to show your nails clearly to the camera. They may look for signs of infection or other nail problems. Sometimes, they will recommend tests, like a nail clipping or scraping, which may need to be done in person. Treatment options will be discussed based on your situation.

When to Seek In-Person Care

If your nails are very painful, swollen, or if you notice pus or spreading redness, you should seek in-person care promptly. Also, if you have diabetes, poor circulation, or a weakened immune system, an in-person visit may be necessary to prevent complications. Your provider will advise if you need to see a specialist or have lab tests done.

Managing Nail Fungus After Your Visit

Follow the treatment plan your provider recommends, which may include topical or oral antifungal medicines. Keep your nails clean and dry, and avoid sharing nail tools or footwear. It may take several months for nails to improve. If symptoms worsen or do not improve, schedule a follow-up visit.

How to prepare for your tele-visit

• Choose a quiet, well-lit area for the video visit.
• Clean your nails and remove nail polish if possible.
• Have your medical history and current medications ready.
• Write down your symptoms and how long they have lasted.
• Prepare to show your nails clearly on camera.
• List any questions or concerns you want to discuss.

After your tele-visit

• Follow the treatment plan and medication instructions carefully.
• Keep nails clean and dry to help healing.
• Avoid sharing personal nail care tools or footwear.
• Monitor your nails for improvement or worsening symptoms.
• Schedule a follow-up visit if symptoms do not improve or worsen.
• Contact your healthcare provider if you develop red, swollen, or painful areas around the nail.

FAQs

Can nail fungus go away on its own?

Nail fungus usually does not go away without treatment. It often gets worse over time if not treated. Early treatment can help prevent the infection from spreading.

How long does treatment for nail fungus take?

Treatment can take several months because nails grow slowly. You may need to use medicines for 6 to 12 weeks or longer, and it may take up to a year to see clear nails.

Are there home remedies for nail fungus?

Some people try home remedies, but their effectiveness is not well proven. It is best to follow the advice of a healthcare provider for safe and effective treatment.

Can I still get nail fungus if I keep my feet clean?

Good hygiene helps reduce the risk, but nail fungus can still occur, especially in warm, moist environments or if you have other risk factors like nail injury or certain health conditions.

Is nail fungus contagious?

Yes, nail fungus can spread from person to person or from one nail to another. Avoid sharing shoes, socks, or nail care tools to reduce the risk of spreading.

Sources

1. Onychomycosis — MedlinePlus, U.S. National Library of Medicine.
2. Fungal Nail Infection (Onychomycosis) — Centers for Disease Control and Prevention (CDC).
3. Nail Fungus: Symptoms and Causes — Mayo Clinic.
4. Onychomycosis: Diagnosis and Management — National Library of Medicine.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you have serious symptoms or concerns, please seek direct evaluation by a healthcare professional.