Laser Treatment
All Foot & Ankle
State Of the Art techniques and quality procedures
SURGERY OF THE FOOT
Podiatric Sports Medicine

WELCOME

Dr. Lana Schikman’s Foot and Ankle Center, provides expert diagnosis and treatment of ankle and foot disorders for children, adults and seniors. Our practicing philosophy is defined by providing comprehensive personalized diagnosis and treatment plan for every patient. Our conveniently located offices are equipped with latest technology and strive to provide an environment of excellent care with a family atmosphere.

Dr. Lana Schikman is an experienced Podiatrist with the Medical Doctor background in Internal Medicine and Endocrinology.

Dr. Schikman and friendly supportive staff are committed to the continued medical education and staying up-to-date on the latest technologies. The benefit of this commitment is that our patients’ conditions are treated quickly, comfortably, and effectively with up to date technology in a cost-effective environment.

Dr. Lana Schikman

All Foot & Ankle Disorders

Diagnosis & Treatment 

Our Locations

Queens

119-60 Metropolitan Ave
Kew Gardens, NY 11415

Brooklyn

208 Avenue U, Brooklyn, NY 11223


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LASER TREATMENT - FUNGAL NAILS Featured

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Toenail Fungus Laser Treatment 

What is laser treatment for toenail fungus?

Laser has been shown to kill the fungus that lives in, around and under the toenail. The laser light passes through the toenail without causing damage to the toenail or the surrounding skin. At the time of the procedure, the toenail will not become instantly clear, it will take time for the previously infected nail to grow out and the new nail to form. This can take 6 to 12 months depending on the rate of growth of the toenail. During this time there may be a need for additional laser treatments. Periodic treatments may be needed to maintain the results.

How is the procedure performed?

Laser is applied by the doctor to cover the entire nail. When the appropriate temperature is reached a burst of cold spray is released to cool the nail and stop the heating process of the toenail. Patients are able to walk in and walk out and go about their normal day. There is no anesthesia required and no down time associated with this treatment. The procedure typically takes about 30 minutes. We start with 3 treatments, 2 weeks apart. A follow up is performed 4 to 8 weeks following the third treatment.

During the procedure most people may feel a slight heat sensation with minimal to mild discomfort. There is no specific preparation for the procedure other than the removal of any nail polish or nail decorations the day of or the day prior to treatment.

On the day of the procedure doctor will trim and file down the toenails to remove as much of the fungal infected toenail as possible. This will help reduce thickness of the infected toenail and aide the removal of any loose and detached nail debris caused by the fungus. This allows for better treatment with the laser by allowing the laser beam to penetrate closer to the nail bed and the sites of infection.

Will the fungus come back?

Currently all the lasers on the market are FDA approved for toenail fungus treatment are approved for the temporary clearing of the nail. This means that the fungus may or may not come back. Some people will see significant changes in their nail with improved color and consistency. In areas that are unattached attachment of the nail may occur. It may be necessary to have periodic treatments to maintain results similar to having one's teeth whitened.

Even the strongest oral medications only clear up 80% of the cases of infected toenails with a 50% reoccurrence rate within 3 years after oral treatment. Currently, there are no long term studies with laser treatment.

Are additional treatments necessary?

Typically with the start of laser treatment doctorwill recommend using a topical antifungal mediation to be applied to the nails daily. This helps to improve and maintain the results with the laser.

In severe cases doctor may recommend using a special compounded topical medication and even a regimen of pulse dosing the oral medication (terbinafine HCL) to help improve results. Pulse dosing the oral medication will aide killing the nail fungus in the nail bed and root.

Pulse dosing oral medication entails taking the pill for one week at a time, every other month over the course of a year, as opposed to the traditional dosing of one pill a day for 3 months consecutively. The pulse dosing method allows us to reduce the amount of medication taken in half and the ability to treat the toenail over the entire growth cycle of the nail. (please see the attached study for pulse dosing details)

 

FOR MORE INFORMATION PLEASE CALL TO ARRANGE A TOENAIL CONSULTATION WITH DR. LANA SCHIKMAN

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Last modified on Thursday, 29 May 2014 02:47
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Insurance Info

In an effort to minimize out-of-pocket expense, we accept and participate in most managed care and insurance plans. If you have a question about your insurance, please call our expert staff. We have a trained full-time insurance coordinator to assist every patient with insurance forms and questions.

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