Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy
Quick Answer
What Causes Toenail Fungus & Onychomycosis? [Types of T relates to toenail conditions — typically caused by fungal infection or trauma. Most patients improve in 6-12 months for nail regrowth with conservative care. Same-week appointments in Howell + Bloomfield Twp: (810) 206-1402.
✅ Medically reviewed by Dr. Thomas Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026
What Causes Toenail Fungus & Onychomycosis? [Types of Toenail Fungus]

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How to Exfoliate Your FeetAthlete’s Foot Fungus Treatment Products: Lotrimin Ultra Athlete’s Foot Cream: https://geni.us/K6D7XN (Amazon) Athlete’s Foot Spray: https://geni.us/H3tk14Z (Amazon) Tea Tree Oil Kit: https://geni.us/ZDR4 (Amazon) Tough Actin Tinactin Cream: https://geni.us/Ri3S5 (Amazon) Athlete’s Foot Power: https://geni.us/e058wP (Amazon) Best Toe Nail Fungus Treatment [Onychomycosis treatments] Toenail fungus Extra Strength Application: https://geni.us/TjZuwY (Amazon) Toenail fungus application pen: https://geni.us/0du8 (Amazon) Vicks Vaporub: https://geni.us/zHdX (Amazon) Listerine: https://geni.us/iSoFdA (Amazon) Kerasol Nail Restoration: https://geni.us/ZjdPuH (Amazon) Nail Fungus & Foot Fungus Combo pack: https://geni.us/tA74KAq (Amazon) Toenail fungus, also known as onychomycosis, is a common fungal infection that affects the nails of the toes. It is caused by a variety of fungi, including dermatophytes, yeasts, and molds. The fungus thrives in warm, moist environments and can quickly spread from person to person in shared public spaces such as locker rooms and showers. Some of the risk factors that can increase the likelihood of developing toenail fungus include: Age, Gender, Genetics & most importantly Health conditions. Trauma: Injuries to the toenail or nail bed can increase the risk of developing toenail fungus. There are several types of toenail fungus, including: Distal subungual onychomycosis: This is the most common type of toenail fungus and affects the nail bed and underside of the nail. White superficial onychomycosis: This type of toenail fungus affects the surface of the nail, causing white patches or streaks. Proximal subungual onychomycosis: This type of toenail fungus affects the base of the nail, near the cuticle. Total dystrophic onychomycosis: This type of toenail fungus causes the nail to thicken and separate from the nail bed, eventually falling off. 👉 Shoes 👈 Best Shoes:
Podiatrist Recommended ShoesBest Products: https://www.michiganfootdoctors.com/recommended-foot-doctor-products/// 📢Come See Us in Detroit, Michigan, Berkley Michigan; Bloomfield Hills, Michigan, Lansing Michigan; and Grand Blanc Michigan📢 If you are in Michigan, consider seeing us at our clinic: https://www.michiganfootdoctors.com/. https://g.page/r/CaxJ9b-O6o27EAE 👉 LINKS 👈 Disclaimer: This video and description contain affiliate links, which means we may receive a commission if you click on one of the product links. I appreciate your support of this channel! DISCLAIMER: Dr. Tomasz Biernacki received his Doctor of Podiatric Medicine degree from Kent State College of Podiatric Medicine in 2013; he completed his Surgical Reconstructive Foot Surgery & Podiatric Medicine Residency in 2017; he completed 2 separate traveling Fellowships in Diabetic Surgery, Skin Grafting & Nerve Surgery. He is double board certified in Podiatric Medicine and separately in Foot & Ankle Surgery. His use of “doctor” or “Dr.” about himself solely refers to that degree. Dr. Biernacki is a licensed podiatrist in Michigan. This video is for general informational purposes only. It should not be used to self-diagnose and is not a substitute for a medical exam, cure, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Biernacki and you. It would be best if you did not change your health regimen or diet before consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions regarding a medical condition.
Michigan Podiatric Care at Balance Foot & Ankle: Expert Treatment for Every Foot Condition
Michigan patients with any foot or ankle concern — from acute injuries and chronic pain to preventive care and high-risk foot management — receive expert podiatric care at Balance Foot & Ankle. Our fellowship-trained podiatrists provide comprehensive evaluation, accurate diagnosis, and evidence-based treatment that addresses root causes rather than simply managing symptoms. We are committed to transparent communication: patients always understand their diagnosis, their treatment options, and realistic expectations before any intervention is undertaken.
Related Treatment Guides
- Toenail Treatment
- Plantar Fasciitis & Heel Pain Treatment
- Custom 3D Orthotics
- Sports Foot & Ankle Injury Treatment
Our Howell office (4330 E Grand River) serves Livingston County, and our Bloomfield Hills office (43494 Woodward Ave #208) serves Oakland County. Both locations offer in-office X-ray, same-week new patient scheduling, and the full range of conservative and surgical podiatric services. We accept all major Michigan insurance plans and verify coverage before appointments — no insurance surprises at check-in. Michigan patients ready to take the next step toward better foot health can call Balance Foot & Ankle at (810) 206-1402 to schedule today.
Medical References & Sources
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Our board-certified podiatrists treat this condition at two convenient locations. Same-day appointments often available.
Dealing With Discolored or Thick Toenails?
Our podiatrists accurately diagnose the type of toenail fungus you have and prescribe targeted treatments for faster, more effective results.
Clinical References
- Gupta AK, et al. “Onychomycosis: a review of diagnosis, classification, and treatment approaches.” J Cutan Med Surg. 2017;21(4):294-305.
- Lipner SR, Scher RK. “Onychomycosis: clinical overview and diagnosis.” J Am Acad Dermatol. 2019;80(4):835-851.
- Westerberg DP, Voyack MJ. “Onychomycosis: current trends in diagnosis and treatment.” Am Fam Physician. 2013;88(11):762-770.
Insurance Accepted
BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →
Howell Office
3980 E Grand River Ave, Suite 140
Howell, MI 48843
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Bloomfield Hills Office
43700 Woodward Ave, Suite 207
Bloomfield Hills, MI 48302
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Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
Book Your AppointmentMore Podiatrist-Recommended Fungus Essentials
Breathable Diabetic Shoe
- Tie-Less Lacing System eliminates the need to tie laces. Heel strap enables to adjust the grip around the heel. Cushioning sole with a mild Rocker adds spring to your step. Soft, padded fabric interior with no overlays eliminates irritation.
Orthofeet Sprint — deep, breathable design reduces fungal growth.
Moisture-Wicking Sock
- Provides continuous support of the Plantar Fascia by gently stretching the fascia tissue.
- Compression zones promote circulation, reduce impact vibration, boost recovery and strengthen feet.
- Lightweight, seamless design with extra cushioning provides support while still being comfortable.
- Supports the heel/arch and overall foot structure while stabilizing the tendon for better performance
- Made from high quality materials, the socks are moisture wicking and breathable.
OS1st FS4 — keeps feet dry, eliminating the warm-wet environment fungus needs.
Breathable Recovery Slide
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HOKA Ora 3 — lets feet air out after closed-shoe exposure.
As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. Product recommendations are based on clinical experience; prices and availability shown above update live from Amazon.

When to See a Podiatrist
Topicals only penetrate the top 30% of the nail plate — if the fungus is near the cuticle or under 50% of the nail, oral terbinafine or laser is usually required for full clearance. Balance Foot & Ankle offers in-office fungal nail diagnostics and laser treatment that reaches the nail matrix where topicals can’t. We’ll examine the nail and recommend the fastest path to clear, healthy regrowth.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Hills
In-Office Treatment at Balance Foot & Ankle
When conservative care isn’t enough, Dr. Tom Biernacki and the team at Balance Foot & Ankle offer advanced, same-day options — including Foot Fungus Treatment Michigan at our Howell and Bloomfield Hills clinics.
Same-day appointments available. Call (810) 206-1402 or book online.
Pros & Cons of Conservative Care for toenail conditions
Advantages
- ✓ Most cases resolve at home
- ✓ Same-week appointments available
- ✓ Permanent fix exists
Considerations
- ✗ Recurrence common without prevention
- ✗ Diabetics need professional care
Dr. Tom’s Recommended Products for toenail conditions
Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we use with patients.
Tolcylen Antifungal Solution Dr. Tom’s Pick
Best for: Most effective topical for fungus
Ready to Get Back on Your Feet?
Same-day appointments in Howell + Bloomfield Twp. Most insurance accepted. Dr. Tom Biernacki, DPM & team.
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Call Now: (810) 206-1402
About Your Care Team at Balance Foot & Ankle
Dr. Tom Biernacki, DPM · Board-Certified Foot & Ankle Surgeon. Specializes in conservative-first care, minimally invasive bunion surgery, and complex reconstruction.
Dr. Carl Jay, DPM · Accepting new patients. Specializes in sports medicine, athletic injuries, and routine podiatric care.
Dr. Daria Gutkin, DPM, AACFAS · Accepting new patients. Specializes in surgical reconstruction and pediatric podiatry.
Locations: 4330 E Grand River Ave, Howell, MI 48843 · 43494 Woodward Ave Suite 208, Bloomfield Twp, MI 48302
Hours: Mon–Fri 8:00 AM – 5:00 PM · (810) 206-1402
Dr. Tom Biernacki, DPM is a double board-certified podiatrist and foot & ankle surgeon 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 reached over one million views.
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