Simple effective Treatment for Fungal Nails

How do I know if I have Fungal Nails?

 You may have noticed changes in the texture, quality and colour of your toenails. Sometimes it is noticed after removing nail varnish or gels. First signs are often a yellowing or brown discolouration, nails may become thick, crumbly or brittle. Nails ca become distorted, miss happen and may lift from the nail bed losing their health shine.

How can Lacuna Method help me?

 Fungal Nail infection (Onychomycosis) is the most difficult of the superficial fungal infections to treat, as most topical agents are ineffective at penetrating the nail plate to reach the active infection on the nail bed (the skin under the nail). By making micro holes in the nail plate with the innovative and specially designed micro burrs, your Podiatrist can enable you to apply an anti-fungal agent such as Lamisil spray directly to the infected nail bed. Which will spread under the nail as you walk. With daily application of the anti-fungal agents, the fungus is stopped from spreading and the damaged nail grows out. As the nail is dead you cannot feel the holes being made.

Fungal Nail Infections

 Fungal nail infections are caused by the dermatophyte fungi that naturally live on our skin. When trauma to the nail occurs i.e micro trauma from footwear, the fungi can invade under the nail plate. In the moist warm environment of Socks and Shoes the fungi thrive, causing damage, thickening and discolouration to the nail. This most commonly affects the big toes; however, all nails are vulnerable. Treatment is notoriously difficult as the nail plate acts as a barrier, shielding the area.

What is the Lacuna Method™?

The Lacuna Method is a treatment for fungal nails which involves drilling multiple micro holes through the nail plate, this allows an antifungal solution such as Lamisil ® AT 1% Spray to be transported to the area of infection (the nail bed) directly. We will advise you on the frequency and duration of the application of the spray. Pressure applied to the toe when walking will aid to spread the medication under the nail.  The treatment can show signs of improvement quickly however, it can take upto 18 months to clear the infection from your nails.

As the nail is ‘dead’ the holes remain and will grow out naturally. Review appointments are recommended on average every 6 weeks; however, this may vary and we will advise you of this. This is a relatively new treatment and although short-term studies have been very encouraging, no treatment can be guaranteed to be 100% successful.


· Your Podiatrist can advise you what to book for.

Often a course of treatment is best

· 1 nail  £170.  4 treatments 6 weeks apart. To include Lamisil spray and  a shoe Klenz of a pair of shoes during your appointment.  (The Klenz unit destroys all microbes in your footwear and can last for 6 weeks)

· Multiple nails  (2 or more) £300. 4 treatments 6 weeks apart.  To include Lamisil spray and  a shoe Klenz of a pair of shoes during your appointment.  (The Klenz unit destroys all microbes in your footwear and can last for 6 weeks)

If done as one off appointments (Lamisil sprayand shoe klenz sold seperately)

· £40 for one toenail

· £80 for 2

· £100 for 3 or more

· If it is your 1st appointment with us  there is an additional £10 for your initial assessment.

Please note not everyone is suitable for this treatment and for your first appointment we would need to do an assessment of your general  medical condition and a vascular / neurological assessment. Therefore your appointment would be longer initially and an extra charge of £10 would apply. Phone us today to book in for Lacuna treatment click here


  • Thickened Nails
  • Crumbly or Brittle Nails
  • Distorted in Shape or Lifting
  • White, Yellow or Brown Coloured Nails
  • Nails without a Healthy Shine

Lacuna Method for Fungal Nails is:

  • Pain Free Safe Treatment
  • Making Micro Holes in the nail plate allow an anti-fungal medicine to reach the point of infection directly under the nail
  • Continued once a day application of an anti fungal allows the nail to grow out healthy.