Smelly toenails and fingernails are a common but often overlooked issue that can affect anyone. Unpleasant odors usually develop when bacteria or fungi grow under or around the nails, often due to moisture, sweat, or poor hygiene. Wearing closed-toe shoes for long periods, frequent exposure to water, or not trimming nails properly can make the problem worse. In some cases, persistent nail odor may indicate an underlying infection, such as toenail fungus or bacterial buildup. While temporary odors can be managed with simple hygiene practices, chronic smells often require targeted treatment. Understanding the causes and taking preventive measures can help keep nails healthy and odor-free. Regular cleaning, proper drying, and protective footwear play an important role in prevention. Early attention to smelly nails can prevent more serious infections or complications.

What causes the nails to smell?

Nail odor usually develops when bacteria or fungi accumulate under or around the nails. One of the most common causes is excess moisture, which creates a warm, damp environment that microbes thrive in. Sweaty feet or hands, wearing closed-toe shoes for long periods, or prolonged exposure to water can all contribute. Fungal infections, such as toenail fungus, can produce a strong, unpleasant smell as the fungus breaks down keratin in the nail. Bacterial infections can also cause odor, often accompanied by redness, swelling, or discharge around the nail.

Poor hygiene, such as not washing or thoroughly drying hands and feet, increases the risk of bacterial and fungal growth. Nail trauma or injuries can create openings where microbes enter and multiply, leading to smell. Using unclean nail tools or sharing clippers can also introduce bacteria or fungus. Certain health conditions, like diabetes or weakened immunity, can make infections more likely. Even cosmetic products, like nail polish or acrylic nails, may trap moisture and microbes if not applied or removed properly. In some cases, the smell may simply result from sweat interacting with the natural bacteria on the skin.

Maintaining clean, dry, and well-trimmed nails is the first step in keeping them healthy and odor-free.

Close-up of a person's foot receiving toenail care

Early Signs of Nail Fungus: How to Detect and Treat It

Types of Nail Fungus

Here’s a clear breakdown of the different types of nail fungus

  • Distal Subungual Onychomycosis (DSO) – The most common type; starts at the tip of the nail and spreads toward the cuticle. Causes thickened, discolored, and brittle nails.
  • Proximal Subungual Onychomycosis (PSO) – Begins near the cuticle; more common in people with weakened immune systems. Can spread under the nail and may indicate a more serious health issue.
  • White Superficial Onychomycosis (WSO) – Affects the surface of the nail, creating white spots or patches. The affected areas may crumble easily.
  • Candida Onychomycosis – Caused by yeast rather than dermatophytes; often affects fingernails. Leads to redness, swelling, and sometimes pus around the nail.
  • Total Dystrophic Onychomycosis – The most severe form; the entire nail becomes thickened, discolored, and deformed due to long-standing infection.

Each type differs in how it develops, the symptoms it produces, and the treatment approach required. Early detection is essential to prevent the infection from worsening or spreading to other nails.

Treatment with Laser Nail Therapy

The PinPointe FootLaser provides an effective solution for individuals struggling with toenail fungus (onychomycosis), especially for those seeking a noninvasive, medication-free treatment. One of its key benefits is that it targets the fungus directly beneath the nail, eliminating the need for oral medications that can cause liver-related side effects or interact with other prescriptions.

The laser works by penetrating the nail plate to heat and weaken the fungal cells, allowing the body’s natural processes to promote healthy nail growth. Each session is typically around 30 minutes, requires no anesthesia, and involves no downtime, so patients can return to normal activities immediately. This makes laser therapy a convenient, safe, and efficient alternative to oral antifungal medications or topical creams, which often require months of use before visible results appear.

Free Consultations for Laser Nail Treatment

We offer free consultations to determine if laser treatment is the right solution for you. At our clinic, we offer a safe, effective, and medication-free option for stubborn toenail fungus. We understand how frustrating thick, discolored nails can be and how overwhelming it is to choose the best treatment.

During your consultation, our foot doctors will carefully evaluate your nails, review your health history, and determine if laser therapy is the best approach for your situation. Specifically, we will:

  • Examine your nails to confirm the diagnosis and assess the severity of the infection.

  • Explain how the PinPointe FootLaser works and what to expect during and after treatment.

  • Provide a realistic timeline for achieving clearer, healthier nails.

  • Answer any questions about nail care and strategies to prevent reinfection.

Our goal is to help you move forward confidently with a treatment plan that addresses your toenail fungus safely and effectively, without the side effects or drug interactions associated with oral medications.

At Laser Nail Therapy, our doctors offer toenail fungus laser treatment in San Jose, CA.