Toenail fungus (onychomycosis) is a common and stubborn infection that can make your nails look discolored, thick, and generally unpleasant. It can even cause pain and discomfort. And, unfortunately, it can be notoriously difficult to get rid of.
Laser treatment for nail fungus has emerged as a potential solution. The idea is that concentrated beams of light can target and kill the fungus without harming the surrounding tissue. You can find both professional laser treatments done in a doctor’s office and at-home devices you can use yourself.
This article provides laser treatment for nail fungus reviews. We’ll take a closer look at how well laser treatment works, how safe it is, how much it costs, and what other options you might want to consider.
Understanding toenail fungus (onychomycosis)
Toenail fungus is a common infection that can cause your toenails to change in color or thickness. It can also cause pain.
Toenail fungus can be unsightly, but it usually isn’t dangerous. However, if you have diabetes or a condition that weakens your immune system, toenail fungus can lead to more serious problems. If you think you have toenail fungus, it’s important to see a doctor for diagnosis and treatment.
Types of toenail fungus
- Distal subungual onychomycosis: The most common type, affecting the nail bed and underside of the nail. It starts at the edge of the nail and spreads toward the cuticle.
- White superficial onychomycosis: Affects the top layer of the nail, causing white spots or patches. It’s easier to treat than other types.
- Proximal subungual onychomycosis: Starts at the cuticle and spreads toward the tip of the nail. It’s more common in people with weakened immune systems.
- Candida onychomycosis: Caused by Candida yeast, it’s more common in fingernails and often associated with chronic paronychia (inflammation of the nail folds).
- Total dystrophic onychomycosis: The most severe form, causing complete nail thickening and distortion. It can result from untreated or persistent infections.
Laser treatment: Professional vs. at home
You have a choice when it comes to laser treatment for nail fungus. You can seek help from a professional, or you can try to zap the fungus yourself.
Professional laser treatment
Professional laser treatment involves higher-powered lasers and may be more effective overall. This type of treatment is usually performed by a podiatrist.
Keep in mind that these treatments can be expensive. Each session can cost from \$200 to \$700, and most people need to go multiple times. Also, insurance companies don’t always cover laser treatment for nail fungus.
The good news is that you may see better results from a CO2 laser or even treatments like the HyperBlue 1530. In 2019, a meta-analysis showed that CO2 lasers may be more effective than other types of lasers in treating nail fungus.
At-home laser treatment
At-home laser treatments use less powerful lasers. They may reduce symptoms and help your nails heal, but they’re unlikely to be as effective as professional treatments.
Still, at-home treatments are convenient and affordable, and they usually don’t cause side effects. If you choose this route, select a well-known brand and follow the directions carefully. It’s also important to have realistic expectations. It’s unlikely that an at-home laser can get rid of your nail fungus completely.
In fact, at-home laser treatments can be more expensive in the long run if you’re not happy with the results and decide to go to a podiatrist after all.
Effectiveness and Safety of Laser Treatment: What the Research Says
There hasn’t been a ton of research into how well laser treatments work in the long run and whether there are any safety concerns. The American Academy of Dermatology Association (AAD) says there isn’t enough extensive research to draw definitive conclusions.
However, a 2019 meta-analysis looked promising. It suggested that laser treatment might be effective and safe. The analysis found that laser therapy had about a 63% success rate. CO2 and 1064-nm Nd: YAG lasers seemed to have the best results.
For some people, laser therapy might be a safer option than taking oral medications, such as for kids or pregnant women.
Ultimately, more research is needed to know for sure how effective laser treatments are in the long term and what the best treatment plans should be.
What to Expect During and After Laser Treatment
Here’s what usually happens if you get laser treatment for nail fungus.
Preparation
First, you’ll need to talk with a podiatrist (foot doctor) or dermatologist (skin doctor) to see if you’re a good candidate for laser treatment. Be prepared to discuss your medical history and health concerns with them. Contact the clinic to ask about prices and the total number of treatment sessions they expect you’ll need. Ask about insurance and payment options, too.
During the Procedure
Most people say laser treatment doesn’t hurt, but some feel a little heat. Each treatment session usually takes about 15 to 30 minutes.
Recovery and Results
You can go right back to your normal activities after laser treatment. But, it can take two months or longer to see results. It takes a long time for nails to grow back entirely. Fingernails can take three to six months. Toenails can take a year or more.
You’ll probably need at least two laser treatments, spaced about five or six weeks apart. It’s important to keep going to follow-up appointments, so your doctor can check your progress.
Alternatives to laser treatment for toenail fungus
If laser treatment isn’t right for you, or if you’re looking for less expensive options, you can try other treatments, such as:
- Topical antifungal creams and solutions: These are applied directly to the nail. You have to be consistent in applying them, and they’re not always effective for severe infections.
- Oral antifungal medications: These medications can have side effects and require regular monitoring of your liver function.
- Combination therapy: Using both topical and oral medications, including prescription options like Jublia, together can improve your chances of getting rid of the fungus.
- Nail removal: In severe cases, you can have the affected nail removed surgically or chemically.
Frequently Asked Questions
What kills toenail fungus permanently?
Unfortunately, there’s no guaranteed “one-and-done” cure for toenail fungus. While treatments like oral antifungals and laser therapy aim to eradicate the infection, recurrence is possible. Consistent treatment, good foot hygiene, and addressing underlying health conditions are key to long-term management.
What does Mayo Clinic recommend for toenail fungus?
The Mayo Clinic typically recommends a multi-pronged approach, including over-the-counter or prescription antifungal medications (topical or oral), regular nail trimming and filing, and good foot hygiene. They also emphasize patience, as treatment can take several months to a year to see results.
What is the average cost of laser treatment for toenail fungus?
The cost of laser treatment can vary significantly depending on location, the number of treatments required, and the clinic performing the procedure. On average, you can expect to pay anywhere from $600 to $1200 for a complete course of laser therapy for toenail fungus.
Is laser therapy covered by Medicare?
Unfortunately, laser therapy for toenail fungus is generally considered a cosmetic procedure and is typically not covered by Medicare or most private insurance plans. It’s always best to check with your insurance provider for specific coverage details.
Should I cut my toenail off if it has fungus?
Cutting off your toenail yourself is generally not recommended. While it might seem like a quick fix, it can increase the risk of infection and may not eliminate the fungus entirely. A podiatrist can safely remove part or all of the nail if necessary, often in conjunction with other treatments, to improve the effectiveness of the antifungal medication.
Conclusion
Laser treatment for toenail fungus is non-invasive and has the potential to be effective. However, there’s not a lot of research available to prove how well it works, and it can be expensive.
If you’re considering laser treatment for your toenail fungus, it’s a good idea to talk it over with a podiatrist or dermatologist. They can help you decide whether laser treatment is right for you based on your individual needs and treatment goals. They can also discuss the alternative treatment options that are available.
It’s always a good idea to explore all your options before making a decision.