Our fungal nail laser service uses the Lanula Cold Laser to target fungal activity safely and painlessly, with no downtime. We pair treatment of the nail itself with advice to reduce underlying risk factors (e.g. moisture control, footwear, nail care) and, where appropriate, adjuncts such as topical agents or prescription medication. A course of four sessions is usually recommended for the best chance of clear regrowth, with progress reviewed and your plan adjusted as needed. Results vary by severity and nail damage, but our evidence-led approach is designed to maximise outcomes while keeping treatment comfortable and convenient.
This, in part, involves specific treatment to the nail itself but it is also important to manage any underlying risk factors. For example, if you have sweaty feet (hyperhidrosis) then this is an ideal environment for the fungus and measures should be taken to reduce this. This could include charcoal impregnated insoles, use of deodorants and keeping the toes dry. Regular change of socks is important too.
Secondly, fungal nails will often develop as a result of trauma when a nail loosens which allows fungal spores to penetrate. Therefore, in some cases even when a fungal nail is treated, it may recur simply because of damage to the nail which could be irreversible. Keeping the nails well maintained is an important aspect of care and wearing correct footwear is also important. The specific treatments that we utilise at The London Podiatry Centre includes the Lanula nail laser treatment (create a link here) This treatment has become increasingly popular which involves exposing the fungal nails to a laser. The laser has a number of effects on the fungus and this includes altering hydrogen peroxide levels which can kill the fungus. Additionally, it can stop the fungus from multiplying so that it grows out. The laser has a more general effect of improving blood flow to the nail and therefore healing and the general appearance of the nail, even when there is no fungus present.
The London Podiatry Centre uses other treatments such as topical agents and where necessary medication such as Terbinafine tablets.
Example of before and after ongoing result with 4 Lanula Cold laser treatments
Yes, there are a number of treatments for fungal nails offered at The London Podiatry Centre. This includes the use of our cold laser antifungal system. Additionally, topical antifungal agents are used in combination with local treatment such as reducing the nail down. Also, we can use various types of medications including topical agents and systemic drugs such as Terbinafine. A nail sample is generally taken.
This is unlikely. Once the fungus is established it is hard to get rid of without some specific treatment as recommended by The London Podiatry Centre.
Yes, toenail fungus can be cured. However, some people mistake the appearance of the fungus with irreparable damage to the nail caused by trauma, for example from footwear. Sometimes the nail becomes very thickened because of damage and even if the fungal toenail is removed, there may still be some thickening. The Lanula cold laser system has been shown to not only treat fungus but will also improve the general appearance of thickened nails.
One of the quickest ways is to remove the nails under local anesthetic and apply an antifungal agent. However, many patients prefer not to do this. Also there is a small risk that the nail root could be damaged as part of the operation causing thickening of the nail. Many patients elect to have the Lanula cold laser system at The London Podiatry Centre which will be combined with antifungal agents and reduction treatment to the nail itself.
To some extent this depends on the individual circumstances. However, The London Podiatry Centre has excellent results combining topical agents with erchonia cold laser treatment and local treatment. We also reduce the nail with a specialist bur.
In some cases there are different types of fungal infection affecting the nails. Some are very superficial and, in this case, it can be possible to file the nail to reduce a lot of the fungus. If the fungus is underneath the nail, it would not be possible. It is best to visit The London Podiatry Centre for a formal opinion as to the nature of your problem.
Yes, toenail fungus can be cured. However, some people mistake the appearance of the fungus with irreparable damage to the nail caused by trauma, for example from footwear. Sometimes the nail becomes very thickened because of damage and even if the fungal toenail is removed, there may still be some thickening. The Lanula cold laser system has been shown to not only treat fungus but will also improve the general appearance of thickened nails.
Yes, The London Podiatry Centre finds that cold laser treatment is one of the best forms of treatment for this and is effective in many instances especially when combined with other treatments and approaches. This includes self-help measures to reduce the predisposition to fungal nails, for example if you have sweaty feet.
The London Podiatry Centre generally do four treatments over four months in combination with other measures such as topical agents and nail reduction. We then monitor the situation. In some cases, repeat treatment is required but often not. Pricing can be obtained by contacting the clinic.
The London Podiatry Centre uses a cold laser system which is one of the most researched and best systems on the market and this does not cause any pain whatsoever. Sometimes reducing the nail can be a little uncomfortable but in most cases this is not the case.
This treatment is not recommended during pregnancy. However, it can be performed safely whilst breastfeeding, provided there are no other medical contraindications.