Fungal infection of the nail – known as Onychomycosis – is the most difficult of the superficial fungal infections to treat. This is because most treatments available are topical agents (nail paints, ointments, and sprays), which are unable to penetrate the nail plate and reach the infected area.The active infection is usually in the skin beneath the nail (nail bed), rather than the nail itself. Getting anti-fungal treatment to this area in sufficient concentration is very difficult.

The Lacuna Method is only available from suitably qualified individuals. Several rows of tiny holes are drilled through the nail plate to the nail bed – the number of holes depends on the size of the nail being treated and the extent of the infection. Anti-fungal spray (Terbinafine 1% known as Lamisil) is applied over the nail and passes through these holes spreading under the nail to reach the infected area. It can then treat the infection more effectively than simply being applied to the impenetrable surface of the nail. This spray is then applied daily at home, until the infection is clear.

The treatment of fungal nails can take up to 18 months as unfortunately there is no ‘quick fix’ treatment option. The treatment plan will require several follow up sessions depending on severity of infection.