Laser Treatment for Toenail Fungus


Are you suffering with Toenail Fungus?

Laser Toenail Fungus Treatment Centers of Indiana is pleased to introduce you to a new in-office laser treatment called the CoolBreeze procedure, which treats toenails discolored and thickened by toenail fungus. It is virtually pain free and patients can resume their normal activity within the day.

“Many of the patients who visit us have tried all of the topical treatments with minimal success” states our board-certified podiatrist Dr. Patrick DeHeer. “The CoolTouch laser treatment for toenail fungus removal procedure only takes 1-3 treatments to effectively rid them of their fungal nails.”

Fungal toenails are very common and affect nearly 11 million Americans each year. For years, topical solutions were used to treat the fungus without much success, then oral medications were developed which had the same mediocre results and more side effects. Removal of toenail fungus using laser treatment is the newest technique to treat toenail fungus, and both physicians and patients have been found to be very satisfied with the results.

With 4 offices located in the Indianapolis, Indiana area we are able to accomodate the needs of our patients. We are always available for new patients, so contact us today to schedule your consultation.

Click here to Learn More About How Laser Treatment for Toenail Fungus Works

“You no longer have to live with Toenail Fungus. Contact Our Office Today and let us get you back on your feet.”

How It Works

Toenail fungus (onychomycosis) is a common infection of the nail, and it may affect approximately 6.5% to 8.7% of the North American population. It affects adults, particularly the elderly (older than 60 years old), males, diabetics, immuno-compromised individuals (e.g., HIV-positive patients), smokers, and patients with psoriasis, as well as those with peripheral arterial disease (PAD), previous Athlete’s foot, history of trauma to the nail, or a family history of onychomycosis.

Toenail fungus is caused predominantly by anthropophilic dermatophytes, and less commonly by yeasts and non-dermatophyte molds. Dermatophytes are the most common pathogens of fungal toenails, accounting for 80% or more of the infections.

In spite of the clearly diseased appearance associated with this condition, onychomycosis is all too often regarded as merely a cosmetic problem of relatively minor importance that is hardly worth the effort to resolve. This belief may have been supported by the adverse effects and long dosing courses associated with some of the earlier antifungal agents.

Infected Toenails Before Treatment


In fact, onychomycosis can have significant negative effects on patients’ emotional, social, and occupational functioning and can; in addition, consume a sizable proportion of health care dollars. Affected patients may experience embarrassment in social and work situations, where they feel blighted or unclean, unwilling to allow their hands or feet to be seen. Patients may fear that they will transmit their infection to family members, friends, or coworkers, fears that can lead to diminished self-esteem and the avoidance of close relationships.

Organisms that cause onychomycosis can invade both the nail bed and the nail plate. Dermatophytoses of the fingernails and toenails, in contrast to those at other body sites, are particularly difficult to eradicate with drug treatment. This is the consequence of factors intrinsic to the nail—the hard, protective nail plate, sequestration of pathogens between the nail bed and plate, and slow growth of the nail—as well as of the relatively poor efficacy of the early pharmacologic agents.

The efficacy of current treatment options, including topical, oral, mechanical and chemical therapies or a combination of these modalities is low. Topical drug treatment for onychomycosis is not usually successful because the drugs are unable to penetrate the nail plate and rapid recurrence can occur after discontinuing use. Oral antifungal agents are more effective although more toxic with a significant risk of liver toxicity, prolonged loss of taste, and life threatening drug interactions.

Fungal resistance can occur when the oral antifungal agents are used on a long-term basis. Topically applied antifungal drugs may work somewhat better adjunctive to surgical removal or chemical dissolution of the nail plate. Yet, this often ineffective and traumatic procedure leaves the subject without a nail for months at risk for re-infection.

The CoolTouch® CT3P CoolBreeze laser is an FDA cleared device and is indicated for use in dermatology for incision, excision, ablation and vaporization with hemostasis of soft tissue. The unique handpiece design of the CoolTouch® laser allows the operator to maintain a constant distance from the area to be treated resulting in constant and uniform energy delivery. The CT3P CoolBreeze laser has a unique thermal sensing mechanism designed to control the amount of energy delivered to the toenail by pre-setting the desired end target temperature. In addition, patient comfort is assured by a spray of a cooling agent when the target temperature is reached. In clinical trials, a positive response demonstrating a 79.6% increase in clear nail growth as compared to baseline photographs in the test group of laser treated toes. Patient satisfaction was between satisfied to very satisfied.

Infected Toenails After Treatment


Why Consider Laser Treatment for Toenail Fungus?

The use of lasers to treat nail fungus is not new. Lasers have been used to treat onychomycosis (nail fungus) since the 1980s. The approach at that time, however, was a little different. Before antifungal treatments like Lamisil and Sporanox, the only oral medical treatments that existed for nail fungus were griseofulvin and, a little later, ketoconazole. These drugs took a very long time to work, had potentially severe side effects, and often didn’t even work. The original application of lasers in the treatment of nail fungus was to use the laser to create holes or channels in the nail. This process was meant to give topical treatments better access to the fungus. The laser could open up a pathway so that the medicine could get at the fungus and kill it. This approach was not very successful. It was very expensive and did not seem to improve the topical treatment of toenail fungus to any significant degree.

As lasers evolved and became more available to podiatrists and surgeons, a better approach was adopted. By using a laser with a specific wavelength of laser light energy, the fungus can be targeted and killed, while leaving the skin and toenail intact. Instead of making large tunnels in the toenail, the light is focused on the fungus directly. Simply put, the laser energy heats the fungus to the point that it is killed, but does not burn the surrounding tissue.

Benefits of Laser Treatment for Toenail Fungus

  • Quick, in-office procedure
  • Proven safe & effective treatment
  • Painless procedure with no down-time
  • High success rate when compared with alternative treatment options that involved prescription medications
  • Cost Effective

How Much Does It Cost?

For most patients, the out-of-pocket costs are much less than you would expect. If you have a Health Savings Account or Medical IRA, 100% of the cost can be covered. However, in most situations, health insurance plans do not provide coverage.

Contact our office today for more information and to setup a consultation for laser treatment of toenail fungus.

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