Fungal Nail Treatment – ‘The Lacuna Method’

Do You Have Fungal Nails? – Call Me!

The Lacuna Method

A Simple Effective Treatment for Fungal Nails



IMG_0003 - CopyIMG_9999How Do you Know if you have Fungal Nails?

You may have noticed changes in the texture, quality and colour of your nails.

Sometimes it is noticed after nail varnish or gels have been removed.

Typical first signs are a yellowing or brown discolouration. Nails may become thick, crumbly or brittle.

Nails can become distorted, misshapen and may even start to lift from the nail bed losing their healthy shine.

Nail Fungus Signs

Foot Care Thickened Nails

Foot Care Crumbly or Brittle Nails

Foot Care Distorted in Shape or lifting

Foot Care White, Yellow or Brown Nails

Foot Care Loss of Healthy Shine

Lacuna Method for Fungal Nails is:

Foot Care Pain Free Safe Treatment

Foot Care Micro Holes are made in the nail plate which allows antifungal medication to reach the point of infection directly under the nail.

Foot CareDaily applications of the antifungal medication allow the nail to grow out healthy.6

Foot Care6 weekly follow up visits will be required over approximately 6 months.


How can the Lacuna Method Help You?

Fungal Nail Infection (Onychomycosis) is the most difficult of the superficial fungal infections to treat. This is because most treatments available are topical agents (nail paints, ointments and sprays) and these are ineffective at penetrating the nail plate to reach the active infection on the nail bed (the skin under the nail) rather than the nail itself.

TIMG_9032he Lacuna Method is only available from suitably qualified individuals (foothealth practitioners or podiatrist/chiropodists). By using a specially designed micro burr, several rows of tiny holes are drilled through the nail plate to the nail bed – the number of holes depend upon the extent of the infection and the size of the nail to be treated. Antifungal spray (Terbinafine 1% known as Lamisil) is then applied to cover the nails it passes through the holes. Pressure applied to the toe when walking will aid the spread of the medicament to reach the infected area. The Lamisil 1% can treat the infection more effectively than simply being applied to the impenetrable surface of the toe nail.


Please note, we would like to make you aware that Lamisil 1% spray is a treatment for fungal infections of the skin not the nail. Using it for the nail is deemed ‘Off Licence’. There have been several clinical trials using Lamisil 1% this way with good results and by drilling through the nail, the treatment is actually reaching the skin of the Nail Bed.

The Lamisil 1% is then applied daily at home until the infection has cleared, toe nails grow quite slowly therefore the treatment may need to be applied for approximately 6 months.

During the treatment period, the toe nails should not be cut at home, regular 6 weekly visits to the Foothealth practitioner for ongoing footcare and to monitor the progress of the lacuna treatment. More holes may need to be added as the nail grows, as the nail is dead the lacuna holes in the keratin remain and will grow out naturally.


Call or email me to discuss your foot health concerns or to make an appointment.

Tel. 01253 891326 or 07939 151744


If I don’t answer the phone I may be with a client so please leave a message and I’ll come back to you.