"The fungus doesn't live on your nail," David told me. "It lives underneath it — tucked away behind dense layers of keratin, the tough protein that makes your nail hard. Your nail is doing its job: it's a barrier. And that barrier keeps the treatments out just as well as it protects your toe.
So the creams sit on top. The lacquers sit on top. You can apply them perfectly, twice a day, for years — and they're still cleaning the wrong side of the nail."
It explains something I'd never understood. Why do podiatrists spend so much time filing and thinning the nail down? So that treatments stand a chance of getting through. That alone tells you how strong the barrier is.
Yet walk into any chemist and the shelves are full of little bottles promising to clear it in weeks. Nobody mentions that most of them were never able to get past the nail in the first place.
"That's the sponge," David said. "It's why it looks a bit better while you're scrubbing — and comes straight back the moment you stop. The fungus underneath was never touched.
And tablets? They can work for some people, but it's a bit like using a sledgehammer to crack a nut. They go all the way round through your body to reach one toe — which is why you need blood tests, and why so many people can't or would rather not take them."
So if nothing has worked for you, it isn't because you gave up too soon or did it wrong. Millions of people in the UK keep their socks on, skip the pool and avoid sandals for years for exactly the same reason: nothing they tried ever reached the fungus.
Which leaves the obvious question. If you can't get through the barrier from the outside... how do you reach what's underneath?