Nail fungal infection instructions

Nail fungal infection instructions

Nail fungal infection instructions

Nail fungal infection instructions 1000 667 Ace Health Centre

Nail fungal infection instructions

1064 laser is a safe and effective way to treat nail fungal infections, also known as onychomycosis. With any fungal nail treatment you must do all you can’t to reduce the risk of it returning and maximise the chance of the treatment working. Here are a few steps that we advise you follow with any treatment.

Clinical improvement was achieved in 56% of patients treated with laser only after a mean of 4.5 treatments and in 69% of patients treated with laser in combination with topical anti-fungals after a mean of 3.6 treatments.

Your up-front cost of $550 covers you for 4 sessions of laser. This is spread over 2-6 weeks per session’s as per studies.

Sessions are performed every 2 weeks and then reviewed 4 weeks after the last session. Please note that this review session is not included in the upfront cost and is billed as a subsequent podiatry session.

Please note that more sessions maybe needed will will result in further out of pocket costs.

How Does It Work: Laser Action Mechanism in Onychomycosis

According to Hochman [9], the Nd:YAG laser emits 1,064-nm wavelength energy that may cross the nail plate and overheat fungal material, leading to fungal cellular damage and death.

Some studies have assessed the in vitro growth inhibition of Trichophyton rubrum using 1,064- and 532-nm Nd:YAG lasers [6, 10]. In addition to thermal damage, the results obtained were probably due to the presence of xanthomegnin – a red pigment produced by T. rubrum – that acts as a chromophore at 532-nm, and melanin, found in the cell walls of Trichophyton species, which is a chromophore at the 1,064-nm wavelength [6, 11].

1. Keep Your Feet Clean and Dry:

  • Wash your feet regularly with anti-fungal soap and water, paying special attention to the affected toenails. We recommend Defence Soap
  • Dry your feet thoroughly, including between the toes. Apply methylated spirits or antifungal solution between your toes if needed
  • If you have very sweaty feet (hyperhidrosis) we recommend regular foot baths using potassium permanganate crystals every 3 days

2. Nails:

  • Trim your toenails cutting away any area that is not attached to the nail bed
  • Use clean and sanitized nail clippers
  • Keeping nails trimmed helps avoid more damage to the nail
  • Avoid using nail polishes
  • Keep the nail thinned out so that topical anti-fungals can penetrate the nail

3. Antifungal Medications:

  • Over-the-counter terbinafine sprays can be applied to the affected toenail. We recommend Lamasil. We recommended applying this or another anti-fungal topical nail treatment throughout.
  • Applying antifungal (terbinafine) creams around the rest of the foot following product instructions. Do not put between your toes.

4. Footwear rules for toenail fungal infection:

  • Wear breathable footwear to reduce moisture and create an environment less conducive to fungal growth.
  • Change socks regularly, especially if they become damp. Make sure they are good breathable socks
  • Avoid walking barefoot / thongs / open shoes in public places where the risk of infection is higher
  • Clean your footwear regularly using cold water and antiseptic/antifungal wash such as Canesten wash
  • Let your shoes dry out each time before putting them on
  • Avoid being barefoot in enclosed shoes.
  • Always wear clean socks
  • Make sure they are good breathable socks that contain antimicrobials. We recommend lightfeet
  • Make sure you have laced-up shoes with a finger width between the end of your longest toe and the end of the shoe. The length of the should be measured when standing. Any shoes that put pressure on the toenails will cause damage

5. Patience and Persistence:

  • Nail fungal infection can take time to resolve. Be patient and consistent with your care routine. It may take 6-12 months for maximum results

6. Nail Damage:

  • It’s important to note that fungal infections can cause irreversible damage to the toenail. Once the fungal infection has gone it may still not look 100% better. No treatment is guaranteed

7. Your Health:

  • Your medical history has a big impact on your feet and your nails. Make sure you have regular blood tests and stay on top of your health
  • Exercise regularly to maintain good blood flow to your feet and legs
  • Maintain a good diet to help keep your immune system at its best
  • A reduced immune system, poor blood flow and a medical history will reduce the results of treatment

Risks:

With any treatment it comes with its own risks. With laser risks such as Swelling, Erythema, Burns can occur although laser is known as a safe treatment method

Notes:

Please note that no treatment is guaranteed

Refunds are not applicable for unsatisfactory results

Applying topical antifungals with laser is the most effective form a treatment

You may require more treatments than the 4 we recommend as a minimum

Studies

Below are links to studies done on 1064 laser. It is important that you are aware of the risks and results of any form of treatment.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199788/

https://pubmed.ncbi.nlm.nih.gov/37864392/

https://pubmed.ncbi.nlm.nih.gov/25886089/

https://pubmed.ncbi.nlm.nih.gov/31804028/