A nail fungus infection (onychomycosis) is usually caused by trichophyton rubrum, a dermatophyte that invades the nail bed and underside of the nail plate.
Due to the location of the infection, topical creams are frequently ineffective for many people, and oral medications can lead to health risks such as liver enzyme damage. Medical treatments are only effective in a small percentage of users. The treatment of toenail fungus has previously been very difficult due to the location of the fungus both underneath and inside of the nail. A breakthrough happened when the FDA approved a 1064nM nd:yag laser as suitable for treating nail fungus.
Following a consultation to diagnose the condition, patients are referred for a course of laser treatments. One session may be sufficient, but three to six sessions are often required. If the condition is years old, six sessions may be necessary.
Cost €99 per treatment
Course of 3 €275
Course of 6 €400
How should the client/patient prepare the area to be treated?
All treatment areas should be clean. Removal all creams, lotions and nail polish. Patients with thicker nails may need to have the nails pared to allow for better light absorption below the nail.
Can the doctor use a numbing cream or other anesthetic to make the procedure more comfortable for the patient?
Topical or local anesthetics are not advised due to the need for patient feedback during the procedure.
Can the therapist just treat the visibly infected nail?
No, the therapist should treat all the nails on the foot for best results. This is because the fungus that causes onychomycosis and its opaque yellow nails, can remain on the untreated toes and re-infect the treated nails.
Does the patient have to wait for results or will they see them immediately?
It often takes the big toe nail a full year to completely grow out. Patients may see noticeable results after three months, but some cases may take longer due to slow nail growth.
What can the patient do to make sure they get the best possible outcome?
The patient should follow their doctor’s recommendation closely. Patients should keep their feet dry and clean, they should also apply prescribed anti- fungal cream as directed.
Why do we recommend the patient throw away their shoes?
It is not uncommon for a doctor to recommend that the patient buy new shoes or make use of a device or service provided to disinfect the patient’s current shoes. This is because the fungus that causes the condition can linger in shoes and socks that are not probably disinfected and re-infect the treated nail.
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