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Get evaluated when itching, peeling, cracked skin, nail changes, or recurring foot irritation does not improve.

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Successful Treatment Cases

Trusted podiatry care for athlete’s foot, toenail fungus, thick nails, recurrent fungal irritation, and high-risk foot concerns.

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Our team can help you confirm coverage and next steps before your visit.

Dr. Nooreen Ibrahim consulting with a patient about fungal foot and toenail infection symptoms

About Fungal Infections

Foot Fungus Is Common, but It Should Not Be Ignored.

Fungal infections can affect the skin of the feet, the spaces between the toes, the soles, and the toenails. Athlete’s foot, also called tinea pedis, often causes itching, burning, peeling, scaling, redness, cracks, or moisture between the toes.

Toenail fungus, also called onychomycosis, can make nails turn yellow, white, brown, thick, brittle, crumbly, distorted, or separated from the nail bed. Because fungal infections can spread or return, treatment should focus on both the infection and the conditions that allowed it to grow.

Nail Changes

Toenails may become thick, discolored, brittle, crumbly, lifted, or difficult to trim.

Skin Irritation

Athlete’s foot may cause itching, peeling, burning, redness, cracks, and odor.

Moisture and Shoes

Sweaty feet, tight shoes, and poor ventilation can create a favorable environment for fungus.

Targeted Treatment

Care depends on whether the infection affects the skin, nails, or both.

More about fungal foot and nail infections

Fungal infections are often picked up from contaminated surfaces, shared wet areas, shoes, socks, nail tools, or direct contact with infected skin or nails.

Self-treatment may not work when the diagnosis is unclear, the nail is deeply involved, infection keeps returning, or the patient has diabetes, neuropathy, poor circulation, wounds, or immune system concerns.

Visual Pattern Guide

What Fungal Infections Can Look Like

Fungal infections may appear as peeling skin between the toes, dry scaling on the soles, itchy redness, blisters, cracks, or thickened toenails with yellow, white, brown, or crumbly changes.

Not every thick or discolored toenail is fungal. Trauma, psoriasis, eczema, circulation changes, nail injury, aging, and other nail disorders can look similar, which is why diagnosis matters before treatment.

Peeling skin Itching between toes Yellow nail changes Thickened nails Cracked skin
Close-up evaluation of toenail changes that may be related to fungal infection

Common Symptoms

Signs of Foot or Toenail Fungus

Symptoms depend on whether the infection affects the skin, the toenails, or both. Early care can help reduce spread, recurrence, nail damage, and secondary skin problems.

01

Itching or Burning

The skin may itch, burn, sting, or feel irritated, especially between the toes or on the soles.

02

Peeling or Cracking

Fungal skin infection may cause scaling, flaking, maceration, cracks, or raw areas.

03

Thick or Discolored Nails

Toenails may become yellow, white, brown, thick, brittle, crumbly, distorted, or lifted.

04

Odor or Recurrence

Moisture, repeated sweating, shoe contamination, or incomplete treatment may cause symptoms to return.

Types of Fungal Infections

Athlete’s Foot and Toenail Fungus Can Appear in Different Forms

Fungal infections of the feet may affect the skin, toenails, or both at the same time. The type of infection helps determine whether topical medication, oral medication, nail care, laboratory testing, or additional treatment is needed.

Some cases are mild and localized. Others become chronic, affect multiple nails, create painful cracks, or increase risk for secondary bacterial infection, especially in high-risk patients.

Tinea pedis Athlete’s foot Onychomycosis Interdigital fungus Chronic nail fungus
Interdigital athlete’s foot

This often affects the spaces between the toes and may cause itching, peeling, moisture, cracking, redness, and odor.

Moccasin-type athlete’s foot

This pattern may cause dry, scaly, thickened skin on the soles and sides of the feet.

Vesicular athlete’s foot

Some patients develop small blisters, itching, burning, or inflamed areas on the feet.

Toenail fungus

Fungal nail infection can affect the nail edge, side, surface, base, or entire nail plate, causing thickening, discoloration, crumbling, or lifting.

Recurrent fungal infection

Fungal infections may return when shoes, socks, skin moisture, nail debris, or untreated nail involvement keep reintroducing the fungus.

Causes and Risk Factors

Why Fungal Infections Develop and Spread

Fungi grow best in warm, moist environments. Feet that sweat heavily, stay inside tight shoes for long periods, or are exposed to shared wet surfaces may be more likely to develop fungal skin or nail infection.

Risk may increase with public locker rooms, gyms, pools, communal showers, nail trauma, tight footwear, poor ventilation, diabetes, reduced circulation, immune system concerns, or untreated athlete’s foot spreading into the nails.

Risk Factor How It Can Contribute

Warm, humid footwear

Sweaty socks and poorly ventilated shoes can create conditions where fungus grows

Public wet areas

Locker rooms, pools, showers, and gyms can expose bare feet to contaminated surfaces

Nail trauma or thick nails

Damaged or lifted nails may allow fungal organisms to enter and persist

Diabetes or reduced circulation

High-risk feet may have slower healing, reduced sensation, and greater infection concerns

Diagnosis and Evaluation

How a Podiatrist Evaluates Fungal Infections

Diagnosis starts with a foot and nail exam, symptom history, risk review, and evaluation of whether the condition is fungal or another skin or nail disorder that looks similar.

Symptom History

Your provider reviews itching, peeling, nail changes, recurrence, sweating, footwear, and exposure risks.

Skin and Nail Exam

The skin and nails are checked for scaling, cracks, odor, thickening, discoloration, lifting, or inflammation.

Risk Assessment

Diabetes, neuropathy, poor circulation, wounds, immune concerns, and medication history may affect treatment choice.

Lab Testing if Needed

Nail or skin samples may be examined under a microscope, cultured, or sent for laboratory testing.

Treatment Planning

Your plan may include topical therapy, oral medication, nail care, shoe hygiene, or laser discussion.

Diagnostic note: Thick or discolored nails are not always fungal. Testing may help distinguish fungus from trauma, psoriasis, eczema, bacterial infection, nail dystrophy, or other nail disorders.

Diagnostic Clarity

Athlete’s Foot vs. Toenail Fungus

Athlete’s foot usually affects the skin, especially between the toes and on the soles. Toenail fungus affects the nail plate and may take longer to treat because the infection can sit inside or under the nail.

These conditions often occur together. Untreated skin fungus can spread to the nails, and infected nails can act as a reservoir that contributes to recurrent skin infection.

Athlete’s Foot Toenail Fungus

Affects the skin of the feet, commonly between toes or on soles

Affects the nail plate, nail bed, or nail edges

May cause itching, burning, redness, peeling, cracking, or odor

May cause thick, yellow, white, brown, crumbly, lifted, or distorted nails

Often treated with topical antifungal medication and moisture control

May need longer treatment, nail care, topical therapy, oral medication, or laser discussion

May spread in warm, moist shoes or shared wet areas

May return if shoes, socks, nail debris, or untreated skin fungus remain a source

Treatment Approach

Treatment Depends on Whether Skin, Nails, or Both Are Involved

Fungal infection treatment may include topical antifungal creams, sprays, powders, medicated nail solutions, professional nail trimming, oral antifungal medication, laser therapy discussion, and hygiene steps to reduce reinfection.

Skin infections may respond faster than nail infections. Toenail fungus usually needs more time because a healthy nail must grow out gradually while the infection is being controlled.

Topical antifungals Oral medication review Professional nail care Laser discussion Recurrence prevention
Topical antifungal therapy

Creams, sprays, powders, or medicated nail products may be used for selected skin or nail infections.

Oral antifungal medication

Oral medication may be considered for more advanced nail fungus or recurring infection, depending on medical history and safety factors.

Laser treatment discussion

Laser therapy may be discussed for selected toenail fungus cases as part of a broader treatment plan.

Footwear and hygiene changes

Keeping feet dry, changing socks, disinfecting shoes, and avoiding barefoot exposure in public wet areas can reduce recurrence risk.

Home Care Safety

What Not to Do With Suspected Fungal Infection

Fungal infections can be persistent. Using the wrong product, stopping medication too early, sharing nail tools, or ignoring infected shoes can allow symptoms to return.

Do not use steroid creams on a suspected fungal rash unless a clinician tells you to. Steroids may reduce redness temporarily while allowing the fungal infection to spread or become harder to recognize.

Avoid Safer Direction

Stopping antifungal treatment as soon as itching improves

Use medication exactly as directed for the full recommended duration

Sharing nail clippers, files, socks, or shoes

Use personal tools and disinfect or replace items that may carry fungus

Using steroid creams on suspected fungus without guidance

Ask a clinician before applying steroid products to a rash that may be fungal

Ignoring cracks, drainage, wounds, or diabetic foot risk

Schedule prompt evaluation if skin breaks down or infection risk is higher

Why Early Care Matters

What Can Happen If Fungal Infections Are Ignored

Untreated fungal infections may spread from skin to nails or from one nail to several nails. Thickened nails can become painful, difficult to trim, and uncomfortable inside shoes.

Skin cracks from athlete’s foot may also increase the risk of secondary bacterial infection. This is especially important for patients with diabetes, neuropathy, poor circulation, wounds, or immune system concerns.

Spread to nails Recurring athlete’s foot Painful thick nails Skin cracks Infection concern
Can athlete’s foot spread to toenails?

Yes. Fungal skin infection can spread to toenails, and infected toenails can contribute to recurring skin symptoms.

Can toenail fungus become painful?

Yes. Thickened or distorted nails can press into shoes, become hard to trim, and irritate surrounding skin.

Can fungal infection cause wounds?

Cracked or macerated skin can break down and create an entry point for bacteria, especially in high-risk patients.

Can fungus return after treatment?

Yes. Recurrence is common if moisture, contaminated shoes, untreated nails, or incomplete treatment remain problems.

At-Home Guidance

What You Can Do Before Your Visit

Keep feet clean and dry, especially between the toes. Change socks daily or more often if your feet sweat. Choose breathable shoes and rotate footwear so shoes can dry completely.

Avoid walking barefoot in public locker rooms, pool areas, gym showers, and shared wet spaces. Do not share nail tools, socks, towels, or shoes. If you have diabetes or a wound, schedule care promptly instead of trying aggressive self-treatment.

Keep feet dry Change socks often Rotate shoes Avoid barefoot wet areas Do not share nail tools
Dry between the toes

Moisture between toes can help fungus persist. Dry carefully after bathing, sweating, or swimming.

Use breathable footwear

Shoes that trap heat and moisture can make fungal infections harder to control.

Protect your feet in public wet areas

Shower sandals or water shoes may reduce contact with contaminated surfaces.

Watch for skin breakdown

Cracks, bleeding, drainage, worsening redness, or swelling should be evaluated promptly.

When to See a Podiatrist

Do Not Wait If Fungus Keeps Returning or Nails Are Changing

A podiatrist can evaluate whether your symptoms are fungal, determine whether the skin, nails, or both are involved, and help choose a treatment plan based on severity and medical risk.

Prompt care is especially important when toenails become thick or painful, skin cracks, infection spreads, or the patient has diabetes, neuropathy, poor circulation, wounds, or immune system concerns.

Schedule Soon Seek Prompt Care

Itching, peeling, burning, odor, or recurring athlete’s foot

Open cracks, drainage, bleeding, spreading redness, warmth, or swelling

Thick, yellow, white, brown, brittle, or lifting toenails

Diabetes, neuropathy, poor circulation, wound risk, or reduced sensation

Symptoms return after over-the-counter treatment

Severe pain, rapidly worsening skin changes, or suspected bacterial infection

Multiple nails are involved or nails are hard to trim

Immune system concerns or infection near an ingrown nail or wound

Fungal Infections FAQ

Questions Patients Often Ask

These answers are educational and cannot replace a personal examination. Treatment depends on diagnosis, skin involvement, nail involvement, medical risk, medication safety, and recurrence history.

What causes fungal infections of the feet?

Fungal infections often develop when fungi grow in warm, moist environments such as sweaty shoes, wet socks, locker rooms, public showers, or contaminated footwear.

What is athlete’s foot?

Athlete’s foot is a fungal skin infection that commonly affects the spaces between the toes and may cause itching, burning, peeling, cracks, and redness.

What is toenail fungus?

Toenail fungus is a fungal nail infection that can cause nails to become thick, discolored, brittle, crumbly, distorted, or separated from the nail bed.

Can athlete’s foot and toenail fungus happen together?

Yes. Skin fungus and nail fungus often occur together, and one can contribute to recurrence of the other.

How is fungal infection diagnosed?

Diagnosis may include a physical exam and, when needed, microscopic testing, culture, or laboratory testing of skin or nail samples.

Can fungal infections be treated without pills?

Some mild skin infections respond to topical medication, but deeper or more advanced nail infections may require a different approach, including oral medication review or laser discussion.

Is fungal infection treatment covered by insurance?

Coverage depends on your insurance plan, diagnosis, testing, medication, procedures, medical necessity, diabetes risk, deductible, and benefits. Our office can help verify coverage before treatment.

Meet Our Specialist

Expert Care You Can Trust

Our foot and ankle specialists are here to evaluate fungal skin and toenail symptoms, confirm the diagnosis, and help you choose the right treatment path.

Dr. Alex Yanovskiy, DPM at Illinois Foot & Ankle Clinic Dr. Nooreen Ibrahim, DPM at Illinois Foot & Ankle Clinic
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If your symptoms are painful, recurring, changing, or affecting how you walk, our Des Plaines podiatry team can help identify the cause and explain realistic care options.

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We accept most PPO plans. Check accepted insurance details, patient forms, and first-visit information before your appointment.

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Address
1400 East Golf Rd, Unit 201, Des Plaines, IL 60016
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Dr. Alexander Yanovskiy, DPM
Podiatrist
1400 E Golf Rd, Des Plaines, IL, 60016
Request an Appointment
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Dr. Nooreen Ibrahim, DPM
Podiatrist
1400 E Golf Rd, Des Plaines, IL, 60016
Request an Appointment
Request an Appointment
Doctor Photo
Dr. Alexander Yanovskiy, DPM
Podiatrist
1400 E Golf Rd, Des Plaines, IL, 60016
Doctor Photo
Dr. Nooreen Ibrahim, DPM
Podiatrist
1400 E Golf Rd, Des Plaines, IL, 60016