Staying on her toes

Ruth, a friendly 77-year-old woman, is a new patient to the practice. Her primary complaint is an infection affecting her left big toenail, which has not healed for nearly two years. 

Ruth believes her toenail problem was caused by a fungal infection, but she is not sure. She asks whether her toenail can be treated, or even removed, to enable her to wear shoes without feeling intense painful pressure in her toe. She has an active lifestyle, enjoying such activities as gardening, bridge and