Lacuna Method

This week we will discuss our most successful treatment for fungal nail infections – Lacuna Treatment.

When fungus infects the toenails it is much harder to get rid of than fungal infections of the skin. Find out more about fungal nail infections here. Unfortunately, there is no quick fix for fungal nail infections and it can take over 18 months for an infected nail to grow out completely. When dermatophytes, a type of fungus, get underneath the toenail , they feast on the proteins in the nail resulting in the nail becoming yellow, thick and brittle. The protein that makes up the toenail is known as keratin and it is a dense protein. Therefore, it is not easily penetrated by medication. Topical antifungal medications cannot penetrate the surface of the nail to reach the fungus under the nail. Therefore, this medication is only recommended for mild cases of fungal nail infections, also known as onychomycosis. 

The lacuna fungal nail treatment penetrates the nail and allows antifungal treatment to reach the site of infection and clear it. By using a specially designed micro burr, several tiny holes are drilled through the nail plate to the nail bed. As the medication is being delivered directly to the skin and the site of infection, the infection will clear a lot more quickly than topical antifungal treatments and it is a more permanent solution to the problem.

 The number of holes drilled depends on the severity of the infection and the size of the nail. A lamisil spray is used on the nails by spraying it directly through the holes in the nail. This spray contains 1% terbinafine which is an ingredient with antifungal properties. The antifungal spray will be used at home everyday. With daily application, the fungus is stopped from spreading and the damaged nail grows out. 

The treatment involves an initial treatment, two follow up treatments and a final follow up treatment. However, this may change depending on the patient and the severity of the infection. Patients should usually return to the podiatry clinic for a follow up appointment every 6 weeks

Tips to improve treatment outcomes:

  1. Spray the affected toenails with the lamisil spray 1-2 times a day for the duration of the treatment
  2. Using an antifungal cream on the skin for 1-2 weeks prior to the first lacuna treatment will help to get rid of any fungal spores on the skin 
  3. Maintain good foot hygiene. Wash the feet daily and make sure to dry between the toes and do not apply foot cream between the toes
  4. Have your toenails cut by a podiatrist during the treatment period
  5. Avoid sharing socks, towels and shoes
  6. Consider replacing old footwear and socks as they may be infected with fungus spores 
  7. Wear sandals or flip flops in public pools and locker rooms
  8. No nail polish should be worn during the treatment period
  9. Rotate footwear often to allow them to breathe 

Click Here or call 0838241454 to book your consultation and get your nails looking healthy again!

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