Foot care for seniors – essential tips to keep fungal infections at bay

As we age, we become more vulnerable to developing nail fungus — a condition known as onychomycosis. A common issue for those over the age of 60, this condition often presents as discolouration, thickening, or brittleness of the nails. While it may seem cosmetic, it can also cause discomfort. In this blog, we explore why seniors are more susceptible to nail fungus and share practical tips to protect nail health.

Why Are Older People More Prone to Nail Fungus?
  1. Age-related changes: With age, nails may change in thickness, contour, surface, and colour. Nails also become more brittle and prone to cracking.
  2. Poor blood circulation: Slower circulation can impair blood flow to the extremities, causing slower nail growth.
  3. Difficulty maintaining good foot care: Seniors may struggle to cut toenails due to reduced flexibility, thickened nails, poor vision, or impaired motor skills.
  4. Increased risk of foot infections: Skin on the feet becomes thinner and less elastic with age, increasing the risk of blisters and infections.
  5. Higher incidence of diabetes and cardiovascular disease (CVD): Conditions like diabetes, which are more common among older adults, increase susceptibility to onychomycosis due to elevated blood sugar and cellular damage.
Foot Care for Seniors

Taking care of your feet can minimise exposure to fungi and support nail health. Here are 10 practical tips:

  1. Maintain proper foot hygiene: Wash feet daily with soap and water, and dry thoroughly — especially between the toes.
  2. Trim nails regularly: Keep nails short to prevent dirt and bacteria build-up.
    • Trim after a warm bath for easier cutting.
    • Cut nails straight across.
    • File any sharp or rough edges.
    • Avoid cutting too short to prevent microtraumas.
  3. Get help if needed: If you can’t cut your own nails, ask a caregiver or see a podiatrist or professional pedicurist.
  4. Moisturise your feet: Helps prevent cracked skin, improves hydration, and lowers the risk of blisters and sores.
  5. Choose appropriate footwear: Wear shoes that fit well and allow air circulation. Avoid tight shoes that can trap moisture and cause trauma.
  6. Use nail polish sparingly: This makes it easier to check your nail health regularly.
  7. Inspect your feet regularly: Look for signs of infection like thickened nails, discolouration, blisters, sores, or ingrown nails.
  8. Eat a balanced diet: Dry, brittle nails may indicate nutritional deficiencies. Eat a diet rich in lean proteins, whole grains, fruits, vegetables, and vitamins A, B, C, and calcium.
  9. Manage underlying health conditions: Control conditions like diabetes or vascular disease to lower the risk of nail fungus. Regular check-ups help with early detection.
  10. Avoid sharing personal items: Don’t share nail clippers, shoes, or towels — fungal infections can spread easily through these items.

Implementing these simple preventive measures can help maintain healthy nails and reduce the risk of infection. If treatment is needed, options like Nacler offer targeted solutions to combat fungal infections effectively. Remember, early intervention and consistent care are key to managing and preventing onychomycosis.

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  6. Institute for Quality and Efficiency in Health Care. (2022). Overview: Nail fungus. InformedHealth.org. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279547/ (Accessed 22 April 2025)
  7. James, K., Orkaby, A. R., & Schwartz, A. W. (2021). Foot Examination for Older Adults. The American Journal of Medicine, 134(1): 30–35. https://doi.org/10.1016/j.amjmed.2020.07.010
  8. Loo, D. S. (2007). Onychomycosis in the elderly: drug treatment options. Drugs & Aging, 24(4): 293–302. https://doi.org/10.2165/00002512-200724040-00003
  9. Murdan S. (2016). Nail disorders in older people, and aspects of their pharmaceutical treatment. International Journal of Pharmaceutics, 512(2): 405–411. https://doi.org/10.1016/j.ijpharm.2016.05.022
  10. Trovato, L., et al. (2022). Prevalence of Onychomycosis in Diabetic Patients: A Case-Control Study Performed at University Hospital Policlinico in Catania. Journal of Fungi (Basel, Switzerland), 8(9): 922. https://doi.org/10.3390/jof8090922
  11. West Hartford Health & Rehabilitation Centre. (2022). Foot and Toenail Care for Seniors. West Hartford Health & Rehabilitation Centre. Available from https://westhartfordhealth.com/news/senior-health/foot-toenail-care/ (Accessed 22 April 2025)

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