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We use different types of Laser light to help heal your podiatry issues. You may come with an injury to your foot or leg and we may use therapeutic Laser light to assist with healing. You may be consulting us to get help with your fungal infected nails using Lunula Fungal nail treatment. Here you can find all you need to know about our laser and Fungal Nail Services.

You and Lunula Laser – are you suitable for treatment?

You will need to attend for your initial no obligation assessment to check that you and your nails are suitable for the treatment.

Everyone will not be a suitable candidate for Lunula Laser, so the assessment will give an honest professional opinion saving both of our time and resources. Sometimes we can do this by email, and phone, to avoid an unnecessary journey.

In rare cases, if you are not a suitable case for the Lunula Laser system, we will advise you on, devise and agree a plan for alternative approaches that will be suitable for you, your health and your feet or hands within our Podiatry Clinics at Achilles-Centre.

If we decide we can help your nail infection, you may need a pre-laser appointment after assessment, prior to starting your course of Lunula Laser Therapy to prepare the nails for the treatment, and deal with any fungal skin infection. Even when you have fungal infection to the end and corners of your nail/s (Distal Lateral Subungual Onychomycosis), the space beneath the nail may build fungal cell blocks that need to be removed to maximise the likelihood of a good long term outcome.

You will receive a no obligation quotation for any pre-laser preparation work and a plan for the course of Lunula Laser treatment.

Once you decide to go ahead with the treatment, payment for the course of treatment will be taken, and dates will be booked for each weekly session.

What happens at my nail laser treatment visits?

Relax and let Lunula Laser do its’ work!

All of your care is overseen by a Podiatrist who has long experience of and good track record in improving fungal nail and skin issues over the short, medium or long term. He has had a clinical interest in dermatology and the foot throughout his professional career of over 30+ years.

After the assessment visit, where we establish that the treatment is appropriate for you and you are happy to go ahead; we will agree what pre-laser preparation of the nail beds and plates is required to help with the success of the Lunula Laser. If and when it is required, the pre-laser preparation may happen on the day of the assessment or on the day of your first Lunula Laser treatment depending on what is agreed and convenient for you and us.

Remember when you attend for your first Laser therapy treatment all nail varnish, base coats, gel coatings etc. must be removed by the person receiving laser therapy before attending and during the four weekly visits and for any subsequent follow on laser treatments.

12 minutes treatment time for all nails on your hand or foot

You will be seated in a relaxed and comfortable position. You will then place the first foot or hand into the Lunula Laser system and we will set and start the first phase of treatment.

12 month treatment, support and monitor package

This takes 12 minutes per cycle per foot or hand to complete. We ask that you do not move the position of the foot or hand and help this with the comfortable relaxed position. If both feet or hands are to be treated, once the first cycle has finished the second cycle will be set up and started. You will be asked to bring clean socks to wear after each laser session.

Comprehensive advice and re-infection prevention programme

You will be given a comprehensive advice and home treatment pack to take away to address the underlying issues that often are the cause of the initial and chronic recurring fungal skin and nail infections. This is an essential part of the therapy for the long term successful management of these conditions at Achilles-Centre.

During the course of treatment, measurements and photographs of the affected nails will be taken to establish the baseline status of the condition. This happens at first assessment, after pre-laser preparation when carried out, and at the end of the four weekly course of Lunula Laser, and at follow up monitoring visits where progress of the laser treatment is checked at 3, 6, 9, and 12 months.

The Science – how effective is it?

The Science behind the Lunula Laser Technology at Achilles-Centre for clinically effective treatment of Fungal Nail Infection of feet and hands.

Below we present details of how and why the system we use is so effective based on research results drawn up in the early stages of the development of the system. As more case studies are carried out the level of effectiveness of Lunula Laser is showing a high success rate – up to 90% + of nails are showing improvement:

Lunula’s clinical use for the treatment of onychomycosis has been substantiated by two independent clinical investigations. It is important to mention that neither nail debridement nor topical/oral antifungals were administered during the studies (to create a unified consistent approach). It is to be noted that any therapy for any medical condition is unlikely to be a 100% successful in all cases.

There was a statistically significant change compared with the average 43.4% clear nail measured at baseline. Equally important, the clinical responses observed in both trials were achieved without a single adverse event.

Here are the before and after images showing strong recovery of normal nail at 6 months

DID YOU KNOW?

Patients in a 168-toe study reported a 73.89% improvement in nail clarity in 3.5 months

How does Lunula’s Proven Approach work?

Lunula combines two therapeutically beneficial wavelengths of LASER: 405 and 635 nm. Each wavelength is capable of stimulating a specific cell and tissue response in the nail bed to effectively and safely treat onychomycosis. Both wavelengths are enhanced in their effectiveness by a proprietary, rotating line-generated beam; a unique delivery mechanism that maximizes photon concentration and treatment surface area – ensuring that all infected toes are properly treated. As a result, the Lunula provides a treatment absent of any adverse events while effectively addressing unsightly onychomycosis.

FIRST – The 635 nm wavelength stimulates and increases nitric oxide (NO) production and reactive oxygen species (ROS) to damage the fungi and increase its susceptibility to an immune attack.

NO is critical for new blood vessel formation increasing nutrient delivery and infiltration of immunological cells. Additionally, NO is a powerful antimicrobial agent, and will help destroy the infectious agent. For resident macrophages and neutrophils, two types of immune cells, the increased production of ROS is quickly converted into cytotoxic hydrogen peroxide (H2O2), which is used by the immune cells to destroy onychomycosis-causing fungus.

Also, the 635 nm wavelength has been proven to increase peripheral blood supply by stimulating key pathways responsible for angiogenesis (new blood vessel formation). Increased blood flow provides greater nutrient delivery to tissues / cells for rejuvenation and enables immune cells to infiltrate the tissue to destroy the fungus.

SECOND –The application of the 405 nm wavelength targets NADPH oxidase (NOX), a membrane bound enzyme, and increases NOX’s production of ROS, which can be converted into H2O2. As H2O2 starts to degrade the fungal cell wall and membrane fungi function and behaviour will be greatly impaired. This can result in fungal death. Additionally, degradation of the fungi membrane and cell wall will increase fungal susceptibility to the body’s immune attack. When applied concurrently, the two wavelengths represent a truly multifaceted treatment.

Peripheral blood flow impairment due to tight shoes or poor circulation can affect the body’s own immune response to the colonizing fungus. Without the infiltration of leukocytes, monocytes, and macrophages which are carried in the blood supply, the infectious agent is able to spread along the nail plate and bed. Healthy blood flow to the digits must be achieved  and encouraged by following all advice given as the Lunula Laser alone will not cure.

STUDIES PUBLISHED ON BENEFITS OF 635 NM WAVELENGTH

Author

Reported outcome
Zheng H et al (1992)

Activation of immune cells (macrophage) by increasing concentration of ROS with laser.

Dolgushin et al (2010)

Stimulation of neutrophil function by increasing ROS production following laser.
Schindl et al (1999)

Activation PI3 kinase/eNOS signaling following 632.8 nm laser.

MacMicking et (al(1997)

Nitric oxide (NO) reveals antimicrobial effects against infectious agents.

Gasparyan et al (2006)

Laser at 632.8 nm increases new blood vessel formation (angiogenesis).

STUDIES PUBLISHED ON BENEFITS OF 405 NM WAVELENGTH

Author

Reported outcome

Emmons et al (1939)

Fungal damage reported following stimulation with near-UV. light (~405 nm).

Klebanov et al (2005)

Membrane degradation reported as a result of increased ROS levels following laser at ~405 nm.

Eichler M et al (2005)

Increased ROS production following stimulation of NOX receptor with ~405 nm laser.
Lavi R et al (2012)

Increased level of ROS following stimulation with ~405 nm.

The Commitment to Research

Lunula has been studied – from the early in-vitro analysis to the extensive in-vivo studies – and its clinical use to treat painful and unsightly toenail infections has been substantiated. The unique dual-diode approach of Lunula effectively targets the causative infectious agent while fortifying the body’s natural defence mechanisms. This multifaceted approach is the first of its kind, providing patients with a truly effective, yet safe, treatment for onychomycosis.

Lunula is supported by a clinical foundation of both histological and clinical evidence that upholds the viability of this approach and ensures an effective treatment for patients suffering with onychomycosis

DID YOU KNOW?

Lunula has been studied both in-vitro and in-vivo.
Source: www.lunula.com (precised version)

What are the Costs?

Investment in your own physical well being and health can enhance your daily life

The fees for your course of treatment with the Lunula Laser system are charged as separate elements of the package depending on your personal and clinical requirements.

The initial 20 minute assessment to establish if you, your health status and the nails you are concerned about are all suitable for this approach is £85. Often, in our experience, there are wide spread fungal skin issues that need to be treated at the same time to get a good outcome.

The visit for pre-laser preparation of nail plates and nail beds, where needed, is charged at £95 to £140 – depending on how much diseased nail preparation is required, and if fungal skin care is needed.

The initial package and course of Lunula Laser therapy includes

  • The minimum course of four Lunula Laser therapy sessions at weekly intervals for all the nails to both feet or hands
  • The supply of a starter pack of tubes of antifungal creams and sprays for home use
  • The disinfection, by us, of your footwear (multiple pairs of shoes and sandals)
  • A comprehensive foot health awareness programme to minimise recurrence
  • All of the clinical procedures and consumerables we use at each visit to maintain hygiene for each client to protect you from acquiring new clinic derived infections
  • All affected nails will be measured to record their initial pre-laser condition
  • A photographic record will be taken to establish the baseline status for monitoring purposes to show the improvement over the short, medium and long term at follow on visits
  • The follow up progress monitoring visits over the first year including checking, measuring, photographs at three, six, nine and twelve months.
  • Access to a podiatrist for any queries that you may rarely have during Lunula Laser treatment

The cost of the initial inclusive course of Lunula Laser Therapy as described above is £695. You are likely to achieve a high level of success with this standard package of care.

In some cases, the extent of fungal nail disease is so great that 5 to 8+ sessions of the Lunula Laser system may be needed – this may be agreed at the planning stage or later at review appointments if required. These will be charged at £100 per session.

The cost of treatment may be under £125 per visit (8 visits) over 13 months. We are able to offer an easy staged pay-as-you-go scheme to spread out the payments  by bank transfer, cheque or cash:

The first payment for preparation of the nail bed, where needed, and the first and second fees of the initial course of  laser treatment are due prior to the first laser session.

At each of the follow on laser treatments, the next part of the total fee will be payable when you attend for laser treatment session. There will be no fee due at the last laser session as all fees for the agreed initial course of laser therapy will have been paid.

There are no fees due for the monitoring visits at 3, 6, 9, and 12 months, where your nails will be checked, photographs and measurements will be taken and recorded in your notes.

You may need to have further nail and skin care when you attend for any of your visits. A fee will be charged at the appropriate rate for our professional podiatric nail and skin care services using sterile instruments and medicaments as required. More supplies of medicaments are available to buy.