Prior to the laser session it is essential to perform a mycological sampling in a specialized laboratory to confirm the diagnosis (50% of onychopathies are not fungal!).
The nail should be prepared by a podiatrist: reducing its thickness to one millimeter to allow the laser energy to reach the subungueal tissue.
The laser beam, passing over the nail, causes the fungus temperature to rise, destroying the fungus without damaging surrounding healthy tissue. It is important to note that the nail will grow back normally.
The treatment is very painless, however, the patient may feel a slight senseation of heat. Moreover all nails are treated, as well as the surrounding skin and in-between the toes. This will get rid of any lurking ‘sub-clinical’ infection (an infection which has not yet developed any clinically recognized signs) which could cause reinfection.
1-3 sessions are required, with 1 or 2 weeks in between each session.
After the treatment, you must follow certain steps to avoid reinfection:
Apply an anti-fungal treatment twice a day for two weeks to the skin and the sides of the feet; after two weeks, you must apply the cream once a day for a further two months.
In the evening, spray the inside of your shoes with an anti-fungal spray.
Avoid walking barefoot in public spaces ( e.g. swimming pools, sports halls and in the sauna ).
Disinfect your nail care kit (scissors, clippers etc.)
Change your shoes regularly.
Cut out factors, which encourage fungal infection (heat and moisture, heavy sweating, constant wear of closed-toe shoes, smoking, biting nails).
Following the treatment there is no down time, and it is possible for the patient to wear shoes straight away. Skin around the treated area will be red and slightly puffy for 24 hours after the treatment.