What should I do if my toenails get thick and hurt?

If the nail area is red, swollen, or painful, you can take oral roxithromycin capsules or azithromycin dry suspension and apply topical fusidic acid cream or compound polymyxin B ointment for anti-inflammatory and antibacterial treatment, and you should also apply topical ezacridine lactate. When the inflammation subsides, the nail can be gently rubbed with a file to thin the thickened nail. If the nail fungus is caused by a combined fungal infection, topical application of amorolfine hydrochloride can be applied as an antifungal treatment.