Onychomycosis, more commonly known as toenail fungus, is a chronic infection of the nails that can be very frustrating to treat with conventional drugs. Symptoms of toenail fungus include yellowing or whitening of the nail bed, nail thickening, brittleness or even nail splitting. Factors such as humidity or excessive moisture, repeated trauma to the nail, hereditary predisposition, tight or occlusive footwear, communal showers and diseases such as Diabetes or HIV can create an optimal environment for toenail fungus to grow.
There are a number of different modalities utilized for the treatment of toenail fungus. We often use a combination of one or more of the following: oral antifungals, topical antifungals (efinaconazole, tavaborole), and laser treatments. Using our Cutera Nd:Yag 1064 laser, treatments are virtually painless and only take about 30 minutes. Most patients require between three to six treatments. After the completion of the treatment series, new healthy nails are able to grow. Most patients take between six to twelve months to grow out the new, undamaged nails. Once treated, toenail fungus can be prevented by keeping the nails clean and dry, keeping the nails short, wearing properly fitting footwear, and sterilizing shoes, socks, bed sheets, and rugs. A topical antifungal foot spray is also recommended for prevention.
Dr. Verebelyi is a nationally recognized authority on laser surgery. He is board certified by both the American Board of Family Practice and The American Board of Venous & Lymphatic Medicine. Dr. Verebelyi helped create the Fundamentals of Laser Surgery course given by American Society of Laser Medicine & Surgery (ASLMS) where he has worked as both a director and instructor. He is a Fellow at the ASLMS, member of the American College of Phlebology and a member of Mensa.
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