Nearly all fungal nail treatments are doomed to failure if care is not taken to eliminate the infectious fungal spores which are responsible for high re-infection rates. It is no use just focusing on treating the fungal dermaphytes which burrow their way through the nail plate, as much attention must be made, maybe even more so, to the dormant spores which have been shed on shedding skin cells in your footwear, socks, carpets and bathrooms. Just one shed squamous skin cell contains thousands of infective spores. These can survive on dry materials up to 2 years and in moist environments almost double!
Just when you think your nail plate is clear of infection suddenly you notice a new streak appearing from the distal edge of the nail plate. This is so disappointing. Had anyone advised you to treat external spores those on the skin and those in your shoes? Most probably the answer is no.
It is so crucial to break this often never ending cycle of re-infection therefor having a Lunula laser treatment or taking oral medication is at Compleet Feet only considered to be 50% of an effective treatment. The other 50% of an effective onychomycosis eradication is good home-care which is essential.
In the 6 years Compleet Feet has been concentrating hard on treating fungal nails with Nd:Lasers, Lunula, Clearanail and surgery we have developed a very comprehensive advice protocol to patient home-care. Our advice sheet originally only had 8 points, now it has over 20! In general patients do not appreciate how hard it is to get infection free nails. They have to work in partnership with us to achieve this goal. Our job has been made even harder with the emergence of the ‘Super Fungi’. This is when micro-organisms within the nail plate structure create a biofilm, which is an impermeable membrane structure like cling film which traps spores making them treatment resistant.
These trapped spores suddenly become active and start to fruit. From the spores strands called hyphae are formed which branch out through the nail plate to form a dense mycellium web. In no time at all a new fungal colony has become established half way along the nail plate. This is so upsetting for patients who felt they were home and dry, and in their opinion: “done everything!”
Fortunately, we have the knowledge and experience to treat these recalcitrant infections. We try hard to be ahead of the game and facilitate our patients with everything we have gleaned to get the best treatment outcomes. So remember it is no use having just one prong approach to eradicating a fungal nail infection; you need at least a dozen! Watch fungal hyphae growing to form a mycellium web