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 to be transported to the area of infection. As the nail is already ‘dead’ the holes remain and will grow out naturally.

Review appointments are recommended on average every 6 weeks. However this will be advised with by your clinician.

The lacuna method is not a short-term treatment, unfortunately there is no quick fix for fungal nail infections and it can take over 18 months for a toenail infection to grow out completely.

Additionally, studies suggest that in about 1 in 4 cases where the infection has been cleared from the nail, the infection returns within three years, unless you maintain your new foot care regime.

In order to improve treatment outcomes and prevent recurrence follow the advice below:

  • Spray the affects toenail(s) 1-2 times daily with Lamisil® AT 1% Spray for at least six months. However it can be as long as 18 months.
  • Foot hygiene is essential, wash your feet well at least once a day and dry carefully especially in-between the toes.
  • We strongly advise against cutting your own toenails during the treatment period.
  • Instead please return to the podiatrist every 6-8 weeks to have the progress assessed, the nails trimmed and further holes drilled as necessary.
  • Keep the feet cool and dry as far as possible.
  • Avoid sharing towels, socks and shoes.
  • Consider replacing old footwear as this could be contaminated with fungal spores.
  • Wear flip-flops in public places, such as communal showers.
  • Wear mixed / blended socks and change them every day, replace often.
  • Maintain and improve chronic health conditions (e.g., controlling diabetes, quitting smoking, etc.)
  • Wear breathable footwear & cotton /polyester blend socks where possible.
  • No nail varnish should be worn for the duration of the treatment.
  • Rotate footwear and wear properly fitted shoes with a wide toe box to prevent injury to the nail.