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This article was co-written by Troy A. Miles, MD. Dr. Miles is an orthopedic surgeon specializing in Adult Reconstruction in California. He received his MD from Albert Einstein College of Medicine in 2010, after which he attended the residency program at Oregon Health & Science University and a PhD student at UC Davis.
There are 11 references cited in this article that you can view at the bottom of the page.
This article has been viewed 46,323 times.
Toe infections can range from a relatively mild infection like an ingrown toenail or a fungal infection, to a more serious infection of the skin (abscess or cellulitis). Toe infections can become very serious and lead to joint or bone infections. Superficial infections are usually relatively mild and can be easily treated at home, but severe infections require medical treatment. You should learn to distinguish the two, as a serious condition needs to be evaluated by a doctor to make sure the infection doesn’t get worse or spread.
Steps
Assess for infection in the toe
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Evaluate symptoms. Sometimes it can be difficult to know what kind of infection your toe has and if it’s serious. It could be just a simple ingrown toenail or a more serious infection that has the potential to spread to other parts of the body. To distinguish these two cases, you should look at the symptoms.
- Signs and symptoms of a mild infection include: pain and/or soreness, swelling, redness, and warmth. [1] X Research Source
- Signs and symptoms suggestive of a severe infection include: pus, red streaks radiating from the original wound, fever.
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Get medical help if you have symptoms of a serious infection. Again, these symptoms include: pus, red streaks radiating from the wound, or fever. If you have any of the above symptoms, call your doctor right away for advice. [2] X Research Source
- Severe infections can spread from the toes to other parts of the body. Severe cases can even lead to shock and be life-threatening. So you need to see a doctor as soon as possible if you have a severe infection.
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Determine if a mild toe infection can be treated at home. If there are no serious symptoms and only mild discomfort, you can treat the infection at home. As with any minor wound, you can cure an infection by cleaning the wound, applying antibiotics, and covering it with a bandage for a few days. If your wound seems to be one of these, treat it in the same way.
- If you’ve thoroughly cleaned the wound, applied antibiotics properly, bandaged and kept it clean, but the pain is still there, or the pain is increasing or inflamed, you need to see a medical professional for treatment.
- If the infection seems mild and doesn’t pose a health risk, you can still make an appointment to see your doctor for a checkup. Use your mind to think and remember that “careful without concern”.
Specialized treatment
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Follow your doctor’s instructions when treating a mild infection. Treatment will vary depending on the cause of the infection. Your doctor may prescribe oral or topical antibiotics. However, in many cases, you are only instructed to soak your toes in a solution of half warm water and half liquid antibacterial soap for about 15 minutes, 3-4 times a day, while keeping the wound clean. [3] X Research Sources
- Foot bath therapy helps reduce infection and softens the skin to treat infection.
- In the case of a fungal toenail infection, your doctor may prescribe an oral antifungal medication or an antifungal nail polish. [4] X Trusted Source Mayo Clinic Go to Source
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Specialized treatment for severe infections. If you have a deep and severe infection, your doctor may recommend minor surgery. [5] X Trusted Source Mayo Clinic Go to Source This is a quick procedure to drain an infection, usually done in the case of an abscess.
- First, the doctor may numb the toe with anesthetic and use a scalpel to make an incision into the infection to drain the pus. Then, depending on the depth of the infection, the doctor may place a wick in the wound to help drain the fluid.
- The wound will then be covered with a bandage for 24-48 hours. After this time, you can remove the bandage to examine the wound and re-bandage. [6] X Research Sources
- You may also be prescribed antibiotics.
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Use medication to treat superficial infections. Superficial infections (surface infections) of the toe can be treated with a number of methods, which include:
- Soak: Similar to more severe infections, doctors often recommend soaking your toes in a solution of ½ warm water and ½ liquid antibacterial soap. You should soak for about 15 minutes, once a day.
- Over-the-counter antibiotic creams and ointments to treat bacterial infections: include Ppysporin, Neosporin, Bacitracin, or Triple Antibiotic ointment.
- Over-the-counter antifungal creams to treat fungal infections: include Lotrimin, Derman, Canesten, or another antifungal medication.
Use home remedies
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Use tea tree oil to treat infections. Apply tea tree oil directly to infected or fungal skin. Tea tree has natural antibacterial properties and can help kill the infection. [7] X Research Sources
- Tea tree oil has been shown to reduce foot fungus in medical studies. [8] X Research Sources
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Soak your toes in apple cider vinegar. You should do this therapy every day for 15 minutes. You can use apple cider vinegar warm or cold, whichever is comfortable for you. [9] X Research Sources Medina, Eduardo, et al. “Antimicrobial activity of pive oil, vinegar, and various beverages against foodborne pathogens.” Journal of Food Protection® 70.5 (2007): 1194-1199.
- Apple cider vinegar is noted for its antimicrobial properties, perhaps due in part to the acidity in the vinegar. Vinegar has been used for hundreds of years for its anti-infective properties. [10] X Trusted Source PubMed Central Go to Source
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Apply crushed garlic to the infected area. Crush two or three cloves of peeled garlic and mix with olive oil, or castor oil, or manuka honey, which also have antimicrobial properties. [11 ] X Sources Jenkins, Rowena, Aled Roberts, and Helen ùinsights.” Research and Reports in Bipogy 6 (2015): 215-224. Apply crushed garlic paste to the infection and cover with a bandage. [12] X Research Sources Gupta, Shivani, Suman Kapur, and Apoorva Verma, “Garlic: An Effective Functional Food to Combat the Growing Antimicrobial Resistance.” Pertanika Journal of Tropical Agricultural Science 38.2 (2015).
- Change the garlic mixture daily.
- Garlic has natural antibiotic properties so it will be helpful in fighting skin infections, such as staph infections. [13] X Research Source
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Soak your toes in Epsom salt daily. Mix about ½ cup of Epsom salt with 3 cups of warm water. Soak your toes in the solution for 15 minutes or until the water becomes too cold.
- High salt concentrations can kill bacteria and treat fungal infections.
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Dilute Listerine mouthwash with warm water and soak your toes. Mix Listerine mouthwash and warm water in equal proportions and soak your toes daily. Listerin can treat mild infections because it contains menthol, thyme and eucalyptus, which are all extracted from natural sources of antibiotics. [14] X Research Source
- If you have a fungal toenail infection, you can use a 50/50 solution of mouthwash mixed with vinegar to treat the fungus. [15] X Research Source
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See your doctor if home remedies don’t work. If your infection doesn’t improve within a few days of using home remedies or seems to get worse, you should see your doctor for treatment. Do not continue to use if no effect.
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This article was co-written by Troy A. Miles, MD. Dr. Miles is an orthopedic surgeon specializing in Adult Reconstruction in California. He received his MD from Albert Einstein College of Medicine in 2010, after which he attended the residency program at Oregon Health & Science University and a PhD student at UC Davis.
There are 11 references cited in this article that you can view at the bottom of the page.
This article has been viewed 46,323 times.
Toe infections can range from a relatively mild infection like an ingrown toenail or a fungal infection, to a more serious infection of the skin (abscess or cellulitis). Toe infections can become very serious and lead to joint or bone infections. Superficial infections are usually relatively mild and can be easily treated at home, but severe infections require medical treatment. You should learn to distinguish the two, as a serious condition needs to be evaluated by a doctor to make sure the infection doesn’t get worse or spread.
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