Growing promise has been shown as new medical research continues to be published on the laser treatment for toenail fungus (onychomycosis). Benenati Foot and Ankle Centers are proud to have this exciting and emerging technology available for fungal toenail conditions. While multiple types of laser units are available, research consistently displays the superior outcomes of Nd-YAG laser units. This evidence is what led our offices to select the Cutera GenesisPlus laser unit, a market leader in laser treatment.
Multiple 2015 studies hot off the presses have supported the safety and effectiveness of laser treatment1,2,4, and since laser therapy uses mild thermal heat energy to kill the fungus within and beneath the nails, there are few known side effects. Tablet antifungals, on the other hand, are metablolized by the liver and can cause issues. Studies repeatedly describe laser to have only rare cases of temporary and mild redness or swelling1… and often no side effects at all among patients with laser treated fungal nails. Despite their greater thickness, toenails also have been shown to be more likely to respond to laser treatment than finger nails… in both the short and long term4.
One of the newest studies2, published this year in the Journal of Dermatological Treatment, even rated clinical and microscope fungus cure outcomes of laser treated patients better than tablet antifungals, which were considered the best treatment for toenail fungus conditions. Another trial is in progress to continue confirming safety of toenail laser therapy even in diabetics and patients who would be at risk for side effects of tablet antifungal treatments3.
At Benenati Foot and Ankle Care Centers, we pride ourselves in offering advanced treatment options and research-based medical solutions for fungal toenails and all foot and ankle conditions. If you would like more information or feel you may benefit from our services, please contact the office to learn more or schedule an appointment.
1) Wanitphakdeedecha R, Thanomkitti K, Bunyaratavej S, Manuskiatti W. Efficacy and safety of 1064-nm Nd:YAG laser in treatment of onychomycosis. J Dermatolog Treat. 2015 Apr 17:1-5.
2) El-Tatawy RA, Abd El-Naby NM, El-Hawary EE, Talaat RA. A comparative clinical and mycological study of Nd-YAG laser versus topical terbinafine in the treatment of onychomycosis. J Dermatolog Treat. 2015 Feb 11:1-4.
3) Nijenhuis-Rosien L, Kleefstra N, Wolfhagen MJ, Groenier KH, Bilo HJ, Landman GW. Laser therapy for onychomycosis in patients with diabetes at risk for foot complications: study protocol for a randomized, double-blind, controlled trial (LASER-1). Trials. 2015 Mar 22;16(1):108. doi: 10.1186/s13063-015-0622-4.
4) Li Y, Yu S, Xu J, Zhang R, Zhao J. Comparison of the efficacy of long-pulsed Nd:YAG laser intervention for treatment of onychomycosis of toenails or fingernails. J Drugs Dermatol. 2014 Oct;13(10):1258-63.