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Treatment options for fungal nails?


Austin Foot and Ankle Specialists offer the following treatment options for onychomycosis/toenail fungus:

Formula 3
Formula 3 is an effective topical anti-fungal for fungal toenail treatment (Onychomycosis). A brushed application is applied twice per day (morning and night) over and under the nail tissue. This regimen is cycled for up to six months until you have grown a new and healthy nail.

Oral Lamisil
Lamisil (terbinafine hydrochloride) tablets are indicated for the treatment of onychomycosis of the toenail. Lamisil is used daily for 12 weeks. Lamisil (Terbinafine) is used to stop the growth of fungus. You will continue to take this medication until the full prescribed amount is finished. At this time reassessment will determine that a new healthy nail has grown out and replaced the infected nail.

Laser Treatment
Toenail fungus laser treatment involves the shining of a focused beam of light in a narrow range, more commonly known as a laser, into a toenail infected with fungus. The laser penetrates the toenail and destroys fungus embedded in the nail bed and nail plate where the fungus may exist. The laser treatment targets only those cells that are associated with the infection. The laser procedure takes less than 15 minutes to treat both feet. There is no recovery period, and many patients have their nails polished immediately after the treatment. The laser treatment does not result in any discomfort during or following the treatment. Some patients report a slight warming sensation. At the time of treatment, the toenail will not become instantly clear as it takes time to grow out. On average, toenails replace themselves every six to nine months, and healthy new growth will be visible within the first three months as the new nail replaces the damaged nail.

Surgical Removal
The surgical removal is the physical removal of the entire nail plate to remove the entire infection. After the soft tissue has healed after one week we start a topical antifungal cream for about 3 months. It is a surgical procedure that requires local anesthesia. You will be expected to walk immediately after the procedure however, there will be discomfort from the procedure for anywhere from 3-5 days. The topical antifungal we recommend is Tineacide.

Dr. Shine John, DPM, FACFAS
Podiatric Physician, Surgeon, Specialist at Austin Foot and Ankle Specialists