Medically reviewed by Dr. Tom Biernacki, DPM
Board-certified podiatric surgeon | Balance Foot & Ankle, Howell & Bloomfield Hills, MI
Last reviewed: May 2026
Toenail fungus treatment near Troy without a fungal culture risks treating the wrong organism — because 25% of discolored nails aren’t fungal at all, and oral antifungals that work for dermatophytes don’t work for Candida or mold species. Call (810) 206-1402 — nail evaluation in Troy.
Toenail Fungus Treatment Close to Troy, MI
If your toenails have turned yellow, brown, or chalky — and they’re thickening or crumbling at the edges — you’re dealing with a fungal infection that won’t clear up without the right treatment. OTC antifungal creams fail for established onychomycosis because they can’t penetrate the nail plate. At Balance Foot & Ankle in Bloomfield Hills, we serve Troy patients with professional treatment options that actually work.
We start with confirmation — nail cultures or KOH microscopy to verify fungal infection before prescribing treatment. This step matters because keratin granulation and nail psoriasis look identical to fungus and respond to entirely different treatments. Months of unnecessary antifungal therapy is wasted time and money.
Treatment Options We Offer
For confirmed fungal infections, we recommend based on severity: topical prescription antifungals (Jublia, Kerydin) for early-stage with less than 50% involvement; oral terbinafine for moderate-severe infections (12-week course, 70%+ cure rate); and laser treatment for patients preferring a drug-free approach or who have liver conditions precluding oral antifungals.
Key takeaway: Toenail fungus cannot be cured in weeks. Even successful treatment requires 9-12 months for a fully clear new nail to grow out. The goal of treatment is eliminating the infection — not instant nail appearance improvement.
Why Balance Foot & Ankle for Troy Patients
Dr. Tom Biernacki DPM has helped thousands of patients clear nail fungus through his clinic and his YouTube channel — one of Michigan’s most-watched podiatry education resources. His approach cuts through the marketing noise: most OTC products don’t work for established infections, and the ones that do work require correct diagnosis first.
⚠️ Get urgent evaluation if:
- Redness or swelling is spreading around the nail fold
- The nail is fully lifting off the nail bed
- You have diabetes — toenail infections need prompt attention
- There is odor or discharge beneath the nail
Getting Here from Troy
Take Woodward Ave south approximately 10 minutes. Our office is at 43494 Woodward Ave, Suite 208, Bloomfield Hills, MI 48302. We accept most major insurance and offer same-day new patient scheduling. Call (810) 206-1402 or book online.
American Academy of Dermatology: Nail Fungus
Ready to Get Relief?
Same-day appointments available in Howell & Bloomfield Hills, MI
4.9★ | 1,123 Reviews | 3,000+ Surgeries
Or call: (810) 206-1402
For a complete clinical overview: Toenail Fungus Complete Treatment Guide — oral, topical, laser and home remedy evidence reviewed
How quickly can I get a podiatry appointment in Southeast Michigan?
Same-week appointments available at our Howell, Milford, Fenton, Hartland, and surrounding locations.
What does Balance Foot & Ankle specialize in?
Comprehensive foot and ankle care — plantar fasciitis, bunions, toenail conditions, ankle surgery, diabetic foot care, and custom orthotics.
Doctor Answer
How does a podiatrist treat toenail fungus effectively?
Toenail fungus (onychomycosis) is treated with topical antifungal lacquers for mild cases and oral antifungal medications for more extensive infections. Laser therapy is also an effective option for patients who cannot tolerate oral medications. Dr. Tom Biernacki at Balance Foot & Ankle provides evidence-based toenail fungus treatment in Troy, MI, clearing the infection and restoring healthy nail appearance.
Dr. Tom Biernacki, DPM is a board-certified foot & ankle surgeon (ABFAS & ABPM) at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has made him one of the most-followed foot & ankle educators on YouTube.