Time to discuss a clinical topic Section

Fungal infection in nails latest from Journal of Foot & Ankle Research. Beware of false promises from Laser treatment!

Bristow, a respected podiatric-dermatologist, has published the latest review this July on a treatment that has led to some concerns about misrepresentation in practise. The concern that I have had when patients’ seek my advice about this discolouring infection is that the treatment seems simple and promises much. We are all driven by seeking evidence before making claims and to date the evidence is avoid such treatments speculating in swift help. For now on it is back to standard treatment which should be conducted with professional advice.

The effectiveness of lasers in the treatment of onychomycosis: a systematic review
Ivan R Bristow

Journal of Foot and Ankle Research 2014, 7 :34 (27 July 2014)

In an extract he says:-

… Recently, laser technologies have been introduced as a treatment for onychomycosis avoiding the disadvantages of systemic and topical drug therapies, offering a rapid treatment for an often persistent nail condition…

The evidence pertaining to the effectiveness of laser treatment of onychomycosis is limited and of poor methodological quality. Future studies … are required to permit a full evaluation of this emerging technology.

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