In this presentation you will discover: 2 - Ways to determine you have nail fungus 4 - Mistakes to avoid when treating nail fungus 4 - Step process for treating your fungal nails with laser therapy

1. Heathcare Guide to
Laser Treatment for
Toenail Fungus
In this presentation you will discover:
2 – Ways to determine you have nail fungus
4 – Mistakes to avoid when treating nail fungus
4 - Step process for treating your fungal nails
with laser therapy

2. This is for you if…
•You are frustrated and embarrassed with how
your nails look
•You are tired of using Vicks on your nails or other
topical medications unsuccessfully
•You have taken Lamisil before and the fungus has
returned
•You don’t want to take any more pills
•You want the safest, healthiest treatment for you
nails
•Your doctor told you not to take a medication to
treat your nails because it could harm your liver
•If you want the easiest way to treat your nail
fungus

3. Ways to determine if
you have nail fungus
1 - Look at your nails!
Are they:
• Yellow
• Hardened and thick
• Crumbling
• Filled with debris
under the nail
• Lifting of the skin

4. Ways to determine if
you have nail fungus
2 - Nail sample
• If you are unsure
you have a fungus
• If you want to know
the type of fungus
• Make sure you
don’t just get a nail
trimming

6. Mistake #1
Not getting a clear diagnosis
Causes of nail
thickening
•Rubbing on shoes
•Pressure from toes
•Nail injury
•Immune disease
•Fungal infection

7. Mistake #2
Not using the correct treatment method
•Removal
•Topical
•Oral
•Laser

8. Mistake #3
Not giving enough time to see results
•New nails take 9-12
months to grow out
•Grows out 1-1.5mm
per month
•Current nail will not
improve

9. Mistake #4
Not preventing recurrence of nail fungus
•Treat skin fungus and
use topical antifungals
•Sterilize shoes
•Clean socks, sheets
and shoes with bleach
•Clean floors, showers,
baths and carpets
•Re-infection may occur
10-50% of the time

10. 4 Step Process for Treating Your
Fungal Nails with Laser
•Painless
•Proven clinical
results
•No side effects
•No harmful UV
radiation
•Quick and safe
•No drugs or
ointments
•FDA approved

11. How It Works?
•Laser light heats up
chromophores of
fungi causing
damage
•Similar to a fever
when you have a
cold or virus

12. Step 1
Toenail Audit
1.Cause of nail 6.Treatments
thickening or attempted? (Oral,
fungus? topical, laser)
2.Has your nail been 7.Nail color?
injured? 8.Has the nail been
3.Length of fungal removed?
infection? 9.Do they hurt?
4.Number of nails 10.Have they
affected? become ingrown?
5.Culture taken?

13. Step 2
Toenail Fungal Culture or Biopsy if
Unsure of Diagnosis
•Sample of nail
•Fungal Culture
•PAS exam

16. Step 3
Laser Treatment
•Removal nail polish
•Digital photo to
measure
improvement
•Treat entire nail
complex

17. Step 3
Laser Treatment
•Heat nail to appropriate
level
•6 LED indicators
correspond to temperatures:
•Green 26-30°C
•Green 31-34°C
•Green 35-38°C
•Yellow 39-42°C
•Yellow 42-46°C
•Red 47-50°C
•Treat between 35-42°C or
to point to discomfort and
then move to adjacent
regions

18. Step 3
Laser Treatment
•Two aiming beams
ensure correct distance
•Temperature
•sensor for real time
temperature feedback
•Recommended 100
pulses for toes and 400-
600 pulses for great
toes

19. Step 4
After Care
•Clean and disinfect
shoes, socks,
bathrooms, skin
•Steri-shoe
•Nail Polish after 24
hours
•Return for follow up
treatment as needed

20. Free In Office Toenail Audit
Call our office today
for a free
toenail audit and
recommendations to
see if laser treatment
is for you.
Donald Pelto, DPM
Central Massachusetts Podiatry
299 Lincoln Street Suite 202
Worcester, MA 01605
(508)757-4003

35. Free In Office Toenail Audit
Call our office today
for a free
toenail audit and
recommendations to
see if laser treatment
is for you.
Donald Pelto, DPM
Central Massachusetts Podiatry
299 Lincoln Street Suite 202
Worcester, MA 01605
(508)757-4003