I have had nail fungus on the toes of my right foot since college. its gross i know. my general physician recommended the over-the-counter "piggy paste". will it work?

Wait and get checked: See a podiatrist who can examine your nails and give you options. You have to determine what you are dealing with is a fungus. A specimen of the nail can be sent to pathology . There are other conditions that can deform/infect nails. If it is fungus, most otc treatments are ineffective. Treatment can range from debridement (trimming/filing), topical or oral meds, laser therapy or nail surgery.

Nail fungus: The problem with topical antifungals is that the penetration is not very good. You have to get the emdication to the nail plate as well as the nail matrix (root). The only way to get to those areas is via an oral medication or laser treatment. These are options to consider.

First: You have to make sure its a fungus which a podiatrist will take a sample of nail and confirm it with lab. If it is a fungus the fda says there is no cure for it but things can be done to make them look better such as laser. Only true way to cure it is permenent nail removal which most don't want.

Keep in mind...: The fda has recently come out with a blanket statement that toenail fungus can not be cured. It is "managed" by a number of modalities, but it can always come back in the future. Topical medications (formula 3), laser therapy, surgical removal, homeopathic applications (tea tree oil). Talk to a podiatrist for what will be best and most effective for you. I don't personally recommend piggy paste.