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LightPod Forte™ for Podiatrists

The LightPod Forte™ has set a new standard for the treatment of Onychomycosis with greater than 90% clearance after 2-3 treatments.

In an analysis of 26 published clinical studies involving oral therapies, a complete cure was achieved in only 25 – 59% of patients receiving standard courses of therapy. Recurrences occur in 10 – 53% patients.

A survey of over 120 podiatry offices in Florida and Georgia demonstrated that laser treatment fees for Onychomycosis range from $799 to $1295 for treating all toes on both feet. Adding the laser treatment for toenail fungus to any podiatric practice becomes a must as the patients awareness of the available laser treatment continues to grow.

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Nd-YAG Laser 90% Effective Eradicating Toenail Fungus

PMNews Letters

By: Bryan C. Markinson, DPM

The Podiatrist in the News Part 2 – PM News 4-13- 2012 highlights Dr. Kevin Gavin and attributes the following quotes regarding onychomycosis therapy to him: “Topical medications require application twice daily and work less than half of the time. Oral medications can be toxic to the liver and are no more effective.” Really?

Oral medications are no more effective than topicals? The article continues with this quote: “The Nd-YAG Laser at the Foot & Ankle Institute requires no anesthetic, no medications, and has proven itself to be 90% effective in eradicating toenail fungus for many patients in my practice over the last year.” WOW! 90% effective for MANY patients? Does anyone know what that means?

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Ax Men Logger With A Hideous Case Of Toenail Fungus

Want to see some really gross toenails? Davi from “Ax Men” has a really bad case. Watch now – but only if you dare.

Aerolase’s LightPod Neo


Active acne and acne scars are among the most cosmetically troubling skin conditions, often happening simultaneously since acne naturally leads to scarring.  So Yelena Kipervas, DO and Tatyana Martinho from the Comprehensive Family Practice in Bartonsville, PA set up to study Aerolase’s LightPod Neo laser to evaluate the use of a single laser modality to treat those two common conditions. The LightPod Neo is a highly versatile 1064nm laser for pain-free treatments for all skin types. It is used in treating facial veins, age posts, acne, rosacea, evening out skin tone, even hair removal. This Aerolase laser system is able to perform the same range of laser energy density as a traditional longer pulsed laser. The time of exposure is 5 to 50 times shorter thanks to the LightPod Neo’s 0.65 msec pulse duration, allowing for virtually no discomfort.

Lasers targeting hemoglobin have been shown to promote the clearance of active acne by superheating the vasculature in and around the sebaceous glands and by destroying p. acnes bacteria. In addition, lasers with an affinity to absorption of water in the skin tissue can stimulate the formation of new collagen in the dermis, thereby reducing the severity of acne scars.  Typically, separate laser or non-laser modalities are used to perform these two treatments independently. So Yelena Kipervas and Tatyana Martinho wanted to test if the LightPod Neo’s single modality laser can treat both active acne and acne scars. Aerolase’s Nd: YAG 1064nm laser inherently has both the affinity for hemoglobin and water, combined with a unique 0.65msec pulse duration and a peak power of over 15,000 watts per pulse, so it should theoretically work.

In the study, 10 subjects (five males and five females) with skin type I-IV and an average age of 30 enrolled for a series of three treatments. Session were spaced two-three weeks apart and targeted active acne lesions as well as acne scars in the upper and lower facial areas. By the second treatment session, significant reduction of active acne lesions was already evident. All treatments were performed using Aerolase’s LigthPod Neo, a 1064nm Nd: YAG laser with a novel 0.65 millisecond pulse duration.

No anesthetics, cooling or gels were used regardless of skin type. No complications were observed.

At the end of the LightPod Neo study, Yelena Kipervas, DO and Tatyana Martinho from the Comprehensive Family Practice, concluded that the LightPod Neo achieved clearance on average of over 90% of the acne and on average over 50% reduction of the acne scars. Of the 10 subjects, two rated their satisfaction as High and Two as Very High.


In conclusion, Aerolase’s LightPod Neo, a 0.65 millisecond pulsed Nd: YAG 1064nm laser generating 15,000 watts per pulse can be used to simultaneously treat active acne and acne scars, providing profound clearance of both conditions after a series of three treatments.




Bleach for Toenail Rot

Is Bleack a cure for fungus rot?How often do you think I get a question, “Will bleach work for my toenail fungus?” Very often. More often than I’d like it to be.

A quick search on Google will uncover many stories about people treating themselves with bleach and miraculously getting rid of fungus within a week. A typical Toenail Rot Cure recipe would include dipping toes into undiluted bleach for 5 minutes 2-3 times a day for a week or so. Done and over with and no recurrence. Ever!

I’m happy for those who have been cured. Most likely these people (if the story is true to start with) did not suffer from nail fungus (onychomycosis). Bleach just whitened the nail, which could have been discolored for a hundred reasons – other than toenail fungus.

Any nail treatment that actually kills fungus relies on a new nail growing in and replacing the old, infected nail. Provided that the fungal spores and all dermatophyte activity has been eradicated and risks of reinfection from the patient’s immediate environment has been removed the new nail will completely grow our in 10-14 months.

On the other hand, I’ve had quite a few people come into my office with open sores caused by chemical burns on the skin from using undiluted beach that take weeks to months to heal when applied for nail fungus. The risk of all kinds of infections is very high for the people with these sores. I am strongly against the use of any chemicals on the skin, but bleach is arguably the most dangerous one.

Mark Leitner, DPM
Advanced Podiatry Associates
Brandon, FL

JAPMA: Article on Fungus Shoe Sanitizer

Image of the anti-fungal shoe sanitizerThe Journal of the American Podiatric Medical Association has selected for publication an article detailing the recently completed second clinical study involving the SteriShoe® ultraviolet shoe sanitizer.

The fact that shoes harbor microorganisms has been well established; the journal article cites three previously published studies to this effect. For this study, Dr. Mahmoud Ghannoum designed a repeatable way to culture shoes and then successfully tested the ability of the SteriShoe ultraviolet shoe sanitizer to decontaminate the shoe.

The study, which involved scraping material from the shoe, showed that the SteriShoe sanitizer destroyed, on average, over 80% of the microorganisms in the shoes. Dr. Ghannoum states “these finding have implications regarding breaking the foot infection cycle.”

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Beer Soak for Fungus. You Cannot Be Serious!

Can it work?Wow! Internet is a wonderful thing. Just got a big laugh out of it: beer soak as a homeopathic remedy for nail fungus. Wow!

I have to give these guys a credit for publishing (quite seriously) the most ridiculous treatment method to get rid of a fungal infection.

The article starts out with the standard paragraph about ugly nails and then goes on to an intriguing solution kick-off: “So if you don’t wish to take a prescription medication as recommended by a doctor, what do you do? Fortunately there is another option for folks who prefer the homeopathic approach to medicine.”

The author claims that combining a stout beer (Guiness is the best, of course) with white vinegar and acidophilus you can create a magical medicinal soak right in the comfort of your home!

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Dermatophytes and Fungal Infections Among Athletes

Dermatophytes under fluorescent microscopyJoseph Bikowski, MD
Clinical Assistant Professor of Dermatology at Ohio State University in Columbus, OH.

Image: Filamentous Fungi (Dermatophytes) /

Dermatophytoses are prevalent, prompting well over four million physician visits annually in the US.1 In the general population of the US, data suggest that onychomycosis is most common (23.2 percent of all dermatophytoses), followed by tinea corporis (20.4 percent), tinea pedis (18.8 percent), tinea capitis (15 percent), and tinea cruris (8.4 percent).1

Reliable recent data for disease prevalence among athletes are not available, though it seems from clinical experience that superficial cutaneous infections—tinea pedis, tinea cruris or “jock itch,” tinea corporis, tinea faciale, and tinea manus—are more common complaints among athletes than is onychomycosis. Read the rest of this entry »

More About Oils for Toenail Fungus

This is just a quick comment to Oils? For Fungus or Salad? published recently by By Mark Leitner, DPM (Advanced Foot & Ankle Specialists / Nail’n’Toe provider in Brandon, FL).

I recently stumbled upon an online article on Fox News where Chris Kilham, the Medicine Hunter and Fox News contributor, talks about plant-based cures available to treat health problems, including toenail fungus.

To treat toenail fungus, Kilham absolutely “swears by tamanu oil, or Calophyllum inophyllum, a tropical nut oil from the Pacific Islands. The anti-fungal properties of the oil have been well-documented in previous studies.”

“Toenail fungus responds rather brilliantly to tamanu oil,” Kilham said. “If you put the oil on the nail, it will get rid of the fungus.”

I wonder how many people actually ran to their local natural foods stores our their computers to learn more about the healing powers of this mysterious plant.

A quick research of the more reputable sources revealed that all parts of the plant ( bark, leaves, seeds) have been used medically as antiseptics, astringents, expectorants, diuretics, and purgatives. The oil possesses some antimicrobial and antiviral activity. Apparently cosmetic industry in Europe likes to add some of this oil into skin care products, such as creams and moisturizers.

Long story short: don’t get any illusions. Tamanu oil may help moisturize the skin on Athlete’s foot, but it’s unlike to cure even a mild case of toenail fungus – the fungal infection residing in the nail bed, the skin UNDER the nail plate. Onychomycosis is a disease that requires medical treatment.

Now, prevention is a different story. Tamanu oil may certainly be added to your preventive regimen – if you have the time and patience to use it daily.


Ick! Toenail Fungus!

By Richard Miller
Nail’n’Toe Founder Group

Man's toenail infected by fungusIck! This is the normal reaction to the fungal toenail picture. Most people don’t want their toenails to look like this. The truth is: this is a picture of a moderately severe case. Discoloration, thickness, flaking, peeling… but not too bad!

A dermatophyte is a type of fungus which affects skin, hair and nails. You may be familiar with Digger the Dermatophyte from the horrifying commercial where Digger climbs under a toenail and makes a home with his buddies. But, Digger and the dermatophytes are not the only ones making homes, non-dermatophytes and yeast also can infect the toenails. The fungus causes the nails to first become slightly yellow or white and splotchy.

Later nails will thicken, and become very brittle. The shape begins to change and the discoloring can darken to deep brown. As the fungus worsens, the nails become thicker, more yellow or brown, more brittle (or sometimes much harder) and abnormally shaped.

About 30 million Americans are affected by toenail fungus. That is a lot of fungus! Men are twice as likely to develop fungus than women, athletes, seniors and the elderly are more at risk, those who have poor circulation or sweaty feet are more at risk, those with a compromised immune system are more at risk and those with poor hygiene and chronic foot fungus (athlete’s foot) are more likely to develop toenail fungus.

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