Podiatry Dermatology
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An Insight Into Nail Laser Techniques
Onychomycosis is a common infection of the nail, and it may affect approximately 6.5% to 8.7% of the North American population. Visual description includes: yellowed, discolored, thickened and flakey nail / nail debris. The fungus causes a breakdown of the keratin within your nail plate. The byproduct is termed subungal debris which harbors both keratin and fungal elements. The same fungus that is responsible for toenail fungus is also responsible for athletes feet aka tinea pedis. An infected nail can act as a breeding ground for recurrent athlete's feet and mold.
Why the cool touch laser Vs others? The cool touch uses a 1320 nm beam, a much safer and cooler beam than the 1064 nm of the competition. For additional safety and comfort, a cryogen spray is used when the nail is heated to the optimal treating temperature. A large 10mm beam diameter, controlled depth provides a reproducible safe procedure while treating the offending pathogen.
The laser is not new to the medical profession, but the use in treating fungal nails has picked up steam recently as additional research is being done. Lasers have been used for vein removal, wart destruction, removal of fine lines / wrinkles, hair, acne and tattoo removal.
Initially, a comparison was made between the Noveon and Pinpointe lasers. With more research, different promising options became clear that combined superior treatment and safety features. While the Noveon was promising, it failed its initial FDA approval for onychomycosis and ran into financial problems. Additionally, some of the lower wavelengths had questionable results and the safety features with the Noveon added additional costs to the procedure. As of this writing, the Noveon is not available but may be in the future. It should also be noted that the laser also was initially developed for dental procedures. All of the lasers mentioned here has been FDA cleared for podiatry, dermatology and general surgery use. So they are appropriate for toenail treatments if proven worthy by your doctor.
As research preceded, the Cooltouch CT3 Plus Zoom laser, one of the most proven lasers on the market today excelled impeccably. The Cooltouch allows for various types of skin treatments for many issues. Toenails are simply modified skin, so the Cooltouch laser makes sense. The higher wavelength of the beam is incredible and the hard thick nail can be more safely penetrated and treated with this different wavelength. In addition, there are added features that improve the appearance of the nail by resurfacing, similar to skin resurfacing and rejuvenation. This is only a Cooltouch feature.
The CoolTouch CT3Plus CoolBreeze produces 1320nm laser energy that is specifically absorbed by water and water associated with collagen in the tissues of the nail matrix. The laser is so sophisticated that it can detect and reach the proper target temperature set by the doctor leading to death of the fungus. The treatment then stops immediately and then the nail is cooled with a spray. This allows for fungal death without damaging the skin or the nail growth plate. Cooltouch's impeccable safety emanates from its incorporating pulsed cooling and real-time temperature feedback into its treatments. In addition, the CoolBreeze Handpiece features an adjustable spot size from 3 mm to 10 mm allowing for adjustments based on nail size for most effectiveness. Other lasers currently being used do not incorporate these advanced features for patients leading to less desirable outcomes and minimal safety features. The Cooltouch laser can be completely controlled. The treatment temperature to kill the fungus can occur automatically while incorporating safety. Each patient can receive a customized treatment leading to the best possible outcome. This is truly unique.
There are different growth phases of the nail and fungus and the best results occur when the patient receives at least 2 treatments. The cost of 2 treatments with the Cooltouch is usually the same or less compared to only one treatment with the Pinpointe laser. This certainly benefits the patient.
Doctors feel that the laser is superior to all other remedies for fungal toenails. However, patients need to follow a comprehensive maintenance regimen to prevent recurrence of the toenail infection.
About the Author
Kevin Lam is a surgeon at Naples, Florida. He also actvely participates in discussions and seminars. Seek medical treatment and specialist advice from the Naples Podiatrist.
Getting To Know A Podiatrist
We seem to be all in a hurry nowadays. Run there, doing it all too fast here. Maybe we have become so conscious of the importance of saving time. To keep up with this, we have invented a lot of things. We now have the computers and the satellites that allow us to monitor changes even from continents away. We also now have the internet as a good source of much needed information whenever we are in need of it. Yet, inspite of all this, we still cannot function as much without the help of our feet. Yes, feet. Of course, with the computers we can just sit and do all the work done, but this does not mean of course that our feet have already been irrelevant. When we ascend a flight of stairs don't we use our precious little feet? When we visit someone don't we use them? When we are in our cars to drive, don't we use them to step on the gas or to control the brakes? You see, the feet are still very relevant in things that we usually do, despite the technology that we have. Because of this, it really is just good to know that there are podiatrists now who can help us in our endeavor to keep our feet healthy.
What then is a podiatrist? They are the specialists that can really help us with our foot problems. Though in many cases we can just treat our own feet with the good old ways, there are just times that there is a need to seek the help of a trained foot specialist to that the quality of foot care that we give will really be in response to the needs of one of the busiest, and the most taken for granted, parts of our external anatomy. Also known as the foot doctors, these specialists could at the very least also give us more informative tips on taking care of our feet inf the problem that has been taken to them is actually not that serious.
Most podiatrists individually practice their profession, although more are forming group practices with other podiatrists or health practitioners. Some specialize in surgery, orthopedics, primary care, or public health. Besides these board-certified specialties, they may practice other specialties, such as sports medicine, pediatrics, dermatology, radiology, geriatrics, or diabetic foot care. Podiatrists are highly trained individuals that have undergone stringent training and education. In the United States, professionals who study this field are further divided into two groups: podiatrists and orthopedists. To be a scholar in podiatry, one should acquire 90 semester hours or complete a bachelor’s degree. They will specialize on podiatry for another four years. After the years of lecture in school, it will be followed by a residency, which means that they will undergo hands-on post doctoral training. Upon completion of their residency, these scholars can become licensed podiatrists by passing specific board examinations.
Why then are foot problems going to be a problem? At the Foot Care Center, every foot problem is addressed. Here, podiatrists see to it that immediate care and treatment is given to their patients while providing them with only the best kind of service possible. Not only that, the Foot Care Center assures you efficient podiatrists who are not only competent in their profession but also kind and courteous towards their patients. This is important because it somehow establishes trust and respect between a podiatrist and his patient.
If you need any podiatrist, please don’t hesitate to contact us at:
Foot Care Centers
340 Front Street, Elmer, NJ 08318-2102
(856) 358-8661
footcarecenters.net
Beverly Hills Podiatry - Beverly Hills Physicians
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