Laser Treatment for Toenail Fungus

How does the laser treatment work?

The Pinpointe Nd/Yag laser is used to pass high power energy through the nail to the nail bed and nail growth area. At the time of the procedure, the fungus is expected to be destroyed, however no visible changes are seen until the nail begins to grow out. A more normal nail is expected to appear with complete regrowth of the nail taking up to 9-12 months.

Is the procedure painful?

Most people do not feel any pain. Some patients may experience slight warmth or occasional snapping sensation during the procedure. No anesthesia is needed.

How long does the procedure take?

The amount of time varies with the degree of involvement of the nails. Very thick nails are mechanically reduced to a more normal thickness. The laser is then applied with treatment typically taking 30 minutes per foot.

Can I expect a total cure?

Fungal infection is expected to improve just one treatment. Clinical reports to date have been encouraging with most patients noticing a significant improvement. As with all medical procedures, 100% guarantee is not possible. In addition since fungus is present everywhere in the environment recurrent infection may occur. Preventive strategies to reduce the chance of reinfection is discussed at the time of the patient visit.

Is the laser treatment covered by my health insurance?

No, the procedure is considered cosmetic and is not covered by health insurance.

How much does laser treatment cost?

The cost of treatment is $500 for one foot and $750 for both feet.

What are other treatment options?

  • Doing nothing and living with the condition
  • Use of topical antifungal solutions which typically have a low success rate
  • The use of prescription oral terbinafine with a success rate of approximately 70%, requiring need for blood test to monitor for possible liver side effects
  • Laser treatment