820 East Hillsboro Blvd.
Deerfield Beach, FL 33441

East Ocean Podiatry, Dean B Dorfman, DPM, P.A. & Dominick Sansone, DPM

Laser Treatment – Fungus Toenails

New Patented Laser Technology Treats Toenail Fungus

  • Proven Clinical results
  • Painless without Anesthesia
  • Quick & Safe Without Side Effects
  • No drugs
  • No Harmful UV Radiation

dorfman-blue-toolWho gets toenail fungus?

Almost 50% of people over 40 have experienced some type of toenail fungus. It is incredibly common, but more prevalent in athletes (due to trauma) and person with decreased immune systems.

The typical athletes’ foot fungus, called dermatophyte, is the same fungus that infects your toenails. Fungus loves a moist, dark environment like your shoes. The affected toenails can have a whiteish superficial infection or a yellow to brown discoloration under the toenails that seems to destroy the nail as it grows. Left untreated it can become painful and cause secondary problems with ingrown nails and infections.

Previous topical solutions could not prenetrate the nail to treat the underlying condition and worked only when caught extremely early often just slowing the spread. The oral medication worked better, but presented possible side effects to the liver and kidney.

Laser technology kills the pathogens that cause toenail fungus. In clinical studies, 88% of treated patients grew out a normal nail after one treatment.

FAQs About Laser Treatment

Is the treatment safe?

There is no age or health restriction or limitations. In clinical studies, there have been no adverse reactions, injuries, disabilities or known side effects.

Does my insurance pay for this?

Because this treatment is considered aesthetic (cosmetic), health insurance plans do not cover this treatment.

What should I expect at my Laser Treatment?

The consultation with Dr. Dorfman is just a short visit to diagnosis whether or not you have fungus and to discuss treatment. The procedure requires the treatment of all nails not just the infected nail and takes approximately 40 minutes.

What about follow-up care?

We will provide you with a topical cream and a shoe spray to use after your treatment. We will also supply you with a menu of items you may wish to purchase to help avoid reinfection.

You will also be scheduled a four month and an eight month follow-up appointment so that we can monitor your nail as it grows out.


Onychomycosis – Nail Fungus

BeforeandAfter_ToelaserFungal infection of the nail, or onychomycosis, is often ignored because the infection can be present for years without causing any pain. The disease is characterized by a progressive change in a toenail’s quality and color, which is often ugly and embarrassing.

In reality, the condition is an infection underneath the surface of the nail caused by fungi. When the tiny organisms take hold, the nail often becomes darker in color and foul smelling. The appearance of nails infected with onychomycosis varies greatly; there are some examples to the right. Debris may collect beneath the nail plate, white marks frequently appear on the nail plate, and the infection is capable of spreading to other toenails, the skin, or even the fingernails. If ignored, the infection can spread and possibly impair one’s ability to work or even walk. This happens because the resulting thicker nails are difficult to trim and make walking painful when wearing shoes.

Onychomycosis can also be accompanied by a secondary bacterial or yeast infection in or about the nail plate.

Because it is difficult to avoid contact with microscopic organisms like fungi, the toenails are especially vulnerable around damp areas where people are likely to be walking barefoot, such as swimming pools, locker rooms, and showers, for example.

Injury to the nail bed may make it more susceptible to all types of infection, including fungal infection. Those who suffer from chronic diseases, such as diabetes, circulatory problems, or immune-deficiency conditions, are especially prone to fungal nails. Other contributing factors may be a history of athlete’s foot and excessive perspiration.

Prevention

  • Proper hygiene and regular inspection of the feet and toes are the first lines of defense against fungal nails.
  • Clean and dry feet resist disease.
  • Washing the feet with soap and water, remembering to dry thoroughly, is the best way to prevent an infection.
  • Shower shoes should be worn when possible in public areas.
  • Shoes, socks, or hosiery should be changed more than once daily.
  • Toenails should be clipped straight across so that the nail does not extend beyond the tip of the toe.
  • Wear shoes that fit well and are made of materials that breathe.
  • Avoid wearing excessively tight hosiery, which promote moisture.
  • Socks made of synthetic fiber tend to “wick” away moisture faster than cotton or wool socks.
  • Disinfect instruments used to cut nails.
  • Disinfect home pedicure tools.
  • Don’t apply polish to nails suspected of infection-those that are red, discolored, or swollen, for example.

Treatment of Fungal Nails

Treatments may vary, depending on the nature and severity of the infection. A daily routine of cleansing over a period of many months may temporarily suppress mild infections. White markings that appear on the surface of the nail can be filed off, followed by the application of an over-the-counter liquid antifungal agent. However, even the best over-the-counter treatments may not prevent a fungal infection from coming back.

A podiatric physician can detect a fungal infection early, culture the nail, determine the cause, and form a suitable treatment plan, assessing risks and weighing the benefits against those risks for each patient.

In some cases, surgical treatment may be required. Temporary removal of the infected nail can be performed to permit direct application of a topical antifungal. Permanent removal of a chronically painful nail that has not responded to any other treatment permits the fungal infection to be cured and prevents the return of a deformed nail.

Trying to solve the infection without the qualified help of a podiatric physician can lead to more problems. With new technical advances in combination with simple preventive measures, the treatment of this bothersome health problem can often be successful.

FUNGAL NAIL TREATMENT PRODUCTS

After your laser treatment, there are several items available that can help speed the growth of your nails and prevent reinfection. These items are for your convenience. You can purchase some items outside our office. Your treatment will include two products to get you started.

  • Tineacide Shoe Spray – Destroys fungus and Bacteria on contact stops reinfections ($15.00)
  • Tineacide Antifungal Cream – Physician formula used to cure and treat athlete’s foot and foot fungus ($20.00)
  • Appearex – vitamins containing Biotin to accelerate nail growth ($30.00)
  • SteriShoe – Ultraviolet shoe sanitizer includes Shoe sanitizers, germicidal UVC bulbs, an AC power adapter, two drawstring shoe bags and a user guide. ($129.00)
  • Zeasorb-AF- Antifunal Powder – Absorbs moisture ($10.00) SPECIAL ORDER ONLY
  • Aetrex Copper Sole Socks – clinically proven to help prevent Bacteria, Fungi and Odor, as well as improve skin texture. ($20.00) Ask for a brochure.