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Toenail Fungus in New Jersey

Do not let embarrassing toenail fungus make you hide your toes; call the experts at Advanced Foot & Ankle Surgeons in Cedar Knolls, NJ today!

What is Toenail Fungus?

Famously resistant to treatment, toenail fungus is a chronic condition that haunts a large portion of the adult population.

Toenail fungus is hard to treat because its pathogens hide beneath the nail, making it difficult to reach and eradicate. Some medications actually risk liver damage and require constant physician monitoring. Even with that, the rate of success for removals is low.

Benefits of Laser Nail Rejuvenation

  • Performed in 30 minutes, many patients do the procedure on their lunch hour
  • Able to wear shoes and apply nail polish almost immediately afterwards
  • Promotes clear nail growth in the majority of cases

How is Toenail Fungus Treatment Performed?

The CoolTouch VARIABreeze™ Laser works by shining a focused beam of light in a narrow range onto the surface of the toenail infected with fungus (onychomycosis). The laser penetrates the toenail and kills the pathogen embedded beneath it without damaging any of the nail bed’s healthy tissue. That means you will be able to keep your nail while a new nail begins growing.

The light is near the infrared spectrum, and that allows it to penetrate the nail and surrounding skin, and kill the fungus where it resides. In most cases, only one treatment is needed.

Ask us about the KeryFlex™ cosmetic nail restoration system

Named one of the Top Ten innovations in podiatric care by ‘Podiatry Today’ – KeryFlex™ is a safe, non-systemic, in-office application that restores the appearance of the natural nail with a new nail that is both flexible and durable. Ask one of our experts about KeryFlex™ today!

Preparing for Toenail Fungus Treatment

The laser has no harmful effects on healthy tissue and targets only the infected area of the toe. The treatment is drug-free, which means you will not have to worry about taking medications that may cause damage to your liver.

Frequently Asked Questions about Toenail Therapy

Question: What is “Laser Nail Rejuvenation?”
Answer: We remove fungal debris from infected nails by the process. We use an FDA approved laser with an advanced cooling system. It is a relatively quick, safe and painless treatment. In addition to laser treatment, we offer complete nail restoration. This allows you to walk out of our office with beautiful nails the same day!

Question: Which laser do you use?
Answer: We use the Cool Touch Varia. This is the newest FDA approved laser treatment for nail fungus. It offers many advantages, including the ability to release a cooling mist to increase patient comfort during the procedure.

Question: What is the success rate?
Answer: Published studies indicate an 88% success rate. The most important factor is prevention and maintenance. During your visit, you will receive a complete education on how to perform this. We provide written guidelines as well. We also have available the tools to make you successful.

Question: What are my current treatment options for nail fungus?
Answer: FDA Approved Lasers; Oral Anti-fungals such as Lamisil and Sporonox; Topical Nail Lacquers, such as Pen-lac; Topical Creams, such as Loprox (Cyclopirox); Surgical Nail Removal; and home remedies, such as Tea Tree Oil

Question: Should I have a toenail fungus treated?
Answer: Although mild cases can be merely cosmetic, some cases cause pain and difficulty walking. Fungal toenails can act as a reservoir of infection. This can cause recurrent Tinea Pedis, aka Athlete’s Foot.

Question: Is it worth it to treat only one nail?
Answer: Yes. A nail can act as a harbor of infection. It can cause other nails to become infected. It can also cause Tinea Pedis, the medical term for athlete’s foot. In fact, we treat all ten nails with the laser, either way.

Question: What can I expect my nail to look like after treatment?
Answer: There are different phases. Nails grow at an average of 0.1 millimeters per day or 1 centimeter every 100 days. Fingernails require 4 to 6 months to regrow. Toenails require approximately 6 to 12 months to regrow. There are additional factors that affect growth. These include age, season, exercise level, gender and genetics.

Question: What other nail diseases can cause my nail to look like toe nail fungus?
Answer: Psoriasis, Lichen Planus and Eczema.

Question: Does the treatment hurt?
Answer: No. Most patients describe it as a warm sensation.

Question: How long does it take to apply the KeryFlex system?
Answer: On average, in our experienced hands, we can complete the application of KeryFlex in 10 or 15 minutes for the great toe.

Question: Can I walk out the same day with beautiful nails?
Answer: Yes, you can, thanks to our use of the KeryFlex system, which can be used for any type of nail disfigurement or deformity. It is generally used after laser nail treatment of the fungus. With the KeryFlex system, you can even get a pedicure right away.

Question: What should I do if I am already planning to visit my salon?
Answer: Keep the following in mind:

  • Do not trim your nails prior to your appointment. Many women tend to overcut their nails. Leave it to your professional nail technician. It is better when they have something to work with.
  • It is important to make your nail professional aware of any problems that may exist. For example, a specific skin or medical conditions, a painful nail or any breaks in your skin. This can prevent any issues from arising.
  • Invest in your own equipment. Make sure that it can be cleaned in an autoclave. Then have the instruments regularly sterilized. Many salons have an autoclave. If not, we would be happy to autoclave your instruments. There is a small fee associated with this. The small cost for sterile instruments will definitely help in the prevention of any infections. We can also help with sterilization.
  • Ask for a new nail file and callous scrubber. These instruments harbor germs and skin. You can always bring your own.

Question: Is it safe to get a pedicure?
Answer: Yes. We have compiled guidelines for nail salons. We also offer nail salons free lectures on providing a safe pedicure for their clients. Our website has a list of nail salons that have participated in our program. They display a certificate of course completion hanging on their wall. Please feel free to suggest this free program to your salon.

Question: What if I have a low tolerance for pain?
Answer: Drs. Mark E Solomon, DPM, and Wendy Stinson, DPM, have researched every possible technology to make it a pleasant experience. Our Cooltouch Varia laser is equipped with a state of the art cooling system and temperature probe. It can monitor the temperature of your nail during the entire process. This also makes it safer to use in patients that have neuropathy. There are NO needles or anesthesia needed. We also have a Vibratory Anesthesia Device. This machine quickly vibrates the skin so that our most sensitive patients are comfortable.

Question: Is this treatment safe?
Answer: Yes, it is safe. During our initial consultation, our doctors will take an extensive history and perform a thorough physical examination to determine if this is appropriate for you. Please review the pages on our website for more information. We even have a survey to help determine if this is right for you.

Question: Can children have laser treatment?
Answer: It is our practice philosophy to treat every patient as if they are a member of our family. Therefore, we will examine your child to see if it is appropriate. In most pediatric cases, we would like to send a part of the fungal nail to the lab. Our lab will perform tests to determine if there is a fungus. In addition, I like to discuss the case with your Pediatrician as well. As a team, we will determine the best treatment for your son or daughter.

Question: What does the research show regarding outcomes?
Answer: Clinical studies have shown an efficacy rate of 88% following the treatment.

Question: How long can I expect the visit and treatment to take?
Answer: We are extremely thorough with our patients. Drs. Mark Solomon, DPM and Wendy Stinson, DPM like to make sure that we spend time listening, examining, educating, and answering all of our patient’s questions and concerns. Therefore, it is difficult to put an exact time amount. On average, it can take at least an hour for the office visit, procedure and education.

Question: Can I put on nail polish?
Answer: In most cases, the answer is yes. We do recommend that you use an anti-fungal nail polish.

Recovery from Toenail Fungus Treatment

On average, any toenail will replace itself every six to nine months through natural growth. Healthy new growth will be visible within the first 3 months as the new nail replaces the old. However, follow up treatment with an anti-fungal cream with L-arginine has shown an increase of up to 100% in the speed of healthy nail replacement.

Dr. Mark Solomon performs the procedure and monitors your progress afterward to guard against a recurrence.

Why Choose Advanced Foot & Ankle Surgeons for Toenail Fungus Treatment

With a focus on restoring mobility to individuals seeking a return to independence, both Dr. Solomon and Dr. Stinson represent a new generation of foot and ankle specialists. Dr. Mark Solomon serves as the team podiatrist for the New York Jets. Dr. Solomon and Dr. Stinson offer an unsurpassed ability to diagnose and treat sports-related foot and ankle conditions/injuries. In addition, Advanced Foot & Ankle Surgeons has been voted the top podiatrist in Morris County.

How Much Does Toenail Fungus Treatment Cost?

Advanced Foot & Ankle Surgeons accept Medicare and Atlantic Health System’s local health insurance.  We are considered an out-of-network provider with other insurance plans.

Some insurance plans include an out-of-network provision. If your insurance plan has this provision, it is likely to cover a portion of the eligible charges. As a courtesy, our knowledgeable and friendly office staff will submit your claims on your behalf.

If you do not have medical insurance, our knowledgeable and friendly office staff will review the various payment options we offer. We offer CareCredit® financing and accept major credit cards.

It is ultimately the patient’s responsibility to know and understand what services are covered under their individual insurance policy.

We take pride in making your experience as comfortable as possible. Contact us to schedule your initial appointment today!