Laser Care For Onychomycosis: Can It Be Effective?
Podiatrists have always embraced new proven technologies over the last few decades. We have introduced into our practices joint implants, absorbable hardware, arthroscopes, endoscopes and many other innovations. Indeed, new technologies can make a major impact on the lives of our patients. Now we are getting a new tool that may either augment our treatment regimen for onychomycosis or perhaps completely replace it. We should not ignore this potentially invaluable tool but put it in our arsenal of treatment ideas. Over time, we may find that laser treatment for onychomycosis may become the standard of care for this pandemic we are facing. Dr. Mozena is in private practice at the Town Center Foot Clinic in Portland, Ore. He is a Fellow of the American College of Foot and Ankle Surgeons and is board certified in foot and ankle surgery. References 1. Charis MA, Elewski BE. A historical perspective on onychomycosis. Dermatological Therapy 1997; 3:43, 2. Elewski BE. Tinea pedis and tinea manuum. In: (Dermis JD, Ed) Clinical Dermatology, third edition, JB Lippincott Co., Philadelphia, 1993. 3. Drake LA, Scher RK, Smith EB, et al. Effects of onychomycosis on the quality of life. J Am Acad Dermatol 1998; 38(5 Pt 1):702. 4. Brenner MA, Harkless LB, Mendicino RW, et al. Ciclopirox 8% nail lacquer topical solution for the treatment of onychomycosis in patients with diabetes: a multicenter, open-label study. J Am Podiatr Med Assoc 2007:97(3):195-202. 5. Tosti A, Piraccini BM, Stinchi C, Colombo MD. Relapses of onychomycosis after successful treatment with systemic antifungals: a three-year follow up. Dermatology 1998; 197(2)162-166. 6. Joseph WS, Mozena JD. Podiatric approach to onychomycosis In: Scher RK. Daniel CR (eds) Nails: Diagnosis, Therapy, Surgery, third edition, Elsevier Saunders, Philadelphia, 2005, chapter 18, pp. 133-140. 7. Available from: www.nomirmedical.com/news1.pdf 8. Available from: www.patholase.com/news/multi-center-trial 9. Bornstein E. A review of current research in light based technologies for treatment of podiatric infectious disease states. JAPMA 2009; 99(4):348-52. 10. Mozena JD, Mitnick JP. Emerging concepts in treating onychomycosis. Podiatry Today 2009; 22(10):46-51. Editor’s note: For further reading, see the June 2004 Podiatry Today supplement “Managing Onychomycosis” or “Emerging Concepts In Treating Onychomycosis” in the October 2009 issue. To access the archives, visit www.podiatrytoday.com.