Toenail Fungus Treatment

An Answer to Toenail Fungus

At Concierge Podiatry, and most other podiatry practices, toenail fungus is the number one problem patients experience. It’s a disease that has plagued people for thousands of years. There have been home remedies and more modern medical treatments, but most are usually only partly successful minimizing the disease. With even the latest treatment options, for most sufferers the problem comes back. At Concierge Podiatry we have developed and refined a treatment protocol that results in nearly all patients quickly seeing significant improvement with most effectively cured.

Toenail Fungus Basics

For sufferers, toenail fungus (onychomycosis) causes discolored nails that are embarrassing for many, and for some, painful.

Modern Toenail Fungus Treatment Options

Although treatment options have been around for years, newer medical treatment options have been developed including:

  • Topicals – A variety of sprays, creams and gels have been developed to be applied to infected toes. Lamisil is the topical most often prescribed.  A recent option is Jublia (efinaconazole), a prescription drug which may cost over $1,000 for a full course of treatment.  Topical treatments are rarely effective eliminating fungus, partly because it is hard for them to get to the fungus which is protected by the nail surface. Possible side effects include dryness, redness, irritation, itching, or blistering. One recent option is to drill tiny holes in the nail surface to help the topical penetrate the nail.
  • Oral medications – Two prescription drug options, terbinafine (Lamisil) and itraconazole (Sporanox) can reduce toenail fungus infections. But, they also pose safety concerns.
    • Oral terbinafine can cause liver failure
    • itraconazole (Sporanox) has numerous possible side effects including signs of infection (e.g., fever, persistent sore throat), trouble breathing, unusual tiredness, swelling ankles or feet, burning/painful/frequent urination, decreased sexual interest or ability, hair loss, muscle cramps, weakness, fast/irregular heartbeat, mental/mood changes (e.g., depression), enlarged breasts in men, ringing in the ears, or temporary or permanent hearing loss
  • Laser therapy – Because light from a laser can penetrate the nail to reach the fungus which grows beneath the surface, lasers are a powerful option for treating toenail fungus. But, not all lasers are the same. General purpose lasers rely on heat to destroy the fungus and are often too painful for patients. Because of the discomfort, treatment may not be sufficient and the fungus will not be destroyed. A few lasers have been developed specifically to treat toenail fungus bathing the entire toe with different light wavelengths selected to destroy the fungus itself. This type of laser is designed to use lower power, resulting in less heat.

Concierge Podiatry – A Unique Approach to Toenail Fungus Treatment

In over thirty years’ practice, Dr. Roth has tested many different treatment options.  He discovered that although they sometimes reduced the fungus infection, in many cases the fungus returned.

Ten years ago Dr. Roth began looking at ways to combine treatment options for a more effective treatment protocol. He developed a new approach based on multiple treatments over three to six months.  With this proprietary treatment protocol, Dr. Roth can often cure the disease, using an approach that combines several elements.

For most patients, treatment includes:

  1. Nail trimming, shaping and thinning
  2. Special vitamins and nutritional supplements
  3. Topicals used in combination with special processes to increase nail penetration
  4. Proprietary mini-dose oral medication regimen
  5. Noveon laser therapy specifically designed to eliminate toenail fungus.


Results Visible Quickly with Lasting Effect

With Dr. Roth’s nail fungus treatment protocol patients see improvement in as little as four to six weeks.  At four months most patients’ nails have significantly improved with all signs of the fungus removed in six months.  By continuing to follow simple preventive steps, the fungus is unlikely to return.

Taking the First Step

At the first visit, we perform a complete examination of your feet to determine whether you have fungus of the skin and/or nails or another medical issue. Patients who have fungus usually begin with an initial laser treatment with a follow-up appointment approximately two weeks later. For optimal results, most patients require five or six appointments scheduled over a four to six month period.

Pricing?  Our treatment series has been specifically designed to be affordable.  We also offer special financing.

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