Fungal infections of the toenails are very common in both men and women and have a number of causes. 

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If you think you have a fungal nail infection getting professional advice is the first step to finding a solution to the problem that is right for you.

 

A fungal nail infection is best treated as soon as possible to get the most satisfactory result, however, the reality is that this doesn't always happen and the problem can become well established before advice is sought. Fungal nails are generally not harmful, however, they can lead to very thick, uncomfortable, crumbling nails which are unsightly and in some cases can become problematic.

 

Nail fungus can be secondary to or cause a fungal infection of the surrounding skin on the foot (Athlete's foot).

 

There is also an increased risk of a secondary bacterial infection of the skin in cases where an athletes' foot infection causes the skin to become broken, especially where the skin is dry and cracked. This can be a risk factor in anyone with poor circulation or another underlying medical condition.

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I offer a number of treatment options along with advice at Footpairfect Podiatry following a correct diagnosis of the condition. Treatment options will be discussed with you and a plan put in place. This may entail regular application of topical antifungal agents or, if deemed suitable and appropriate oral antifungal tablets can be prescribed by your GP usually following a referral from a Podiatrist.

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THE "LACUNA METHOD"  FOR FUNGAL NAILS

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I also offer a more specialist treatment option for fungal nails, if after consultation and assessment this is suitable and safe for you.

 

The LACUNA METHOD for fungal nails involves a specialised technique to safely and painlessly introduce multiple tiny holes across the fungal area of the affected nail. A topical antifungal spray containing terbinafine (Lamisil spray) is then applied to the nail which is then able to reach the affected area beneath the nail plate via the small holes which act as a portal. The procedure is generally completely pain free and safe and no anaesthetic is required. The antifungal agent is applied daily at home by the patient with a return for review in 6 weeks where further holes can be placed in the nail as the affected areas grow out during treatment. Evidence has shown that this treatment can offer good results in many cases.

 

Important Notes:

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• There are a number of contra-indications to treatments for fungal nails infections all of  which will be discussed at your initial appointment.

• Identifying whether there is a fungal nail infection may require some additional tests.

• There may be some slight discomfort during or after treatment and/or minor bleeding. If this occurs a sterile dressing will be applied and it will not affect your being able to proceed with your treatment.

• There are no 'quick fixes' to any treatments offered of any nature for fungal nail inflections due to the nature and complexity of the condition. You will need to stick to any treatment regimes as directed.

• You will need to return for regular nail trimming and further sessions to complete your treatment at approximately at 6 weekly intervals.

• Lamisil (terbinafine liquid) is used for the purposes of the Lacuna method for fungal nails. Lamisil spray is used "off licence" as it is intended for use on the skin. However, the Lacuna method introduces small holes allowing the liquid to penetrate to the skin beneath the nail  plate to be effective on the organisms responsible for fungal infections.

• You may also need to treat the skin on your feet also with a suitable antifungal treatment alongside treating your nails to get the most satisfactory outcome.

• Strict hygiene methods will need to be adhered to in order for any treatment to work effectively, all this will be discussed with you in detail at all appointments and a detailed instruction sheet will be provided to assist you.

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Please Note: Lacuna fungal nails treatment.  Although current clinical trials are indicating it has a high success rate, it is NOT 100% guaranteed in every single case, as is no treatment. In order to get the best outcome you must be fully committed to following all the advice provided. Fungal infections are treatable, and the best results are seen when treatment advice is followed stringently.

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