Services
Fungal Nail Treatment & Nail Fenestration
Say Goodbye to Fungal Nails
Fungal nail infections (onychomycosis) can cause nails to become discoloured, thickened, brittle, and difficult to manage. If left untreated, the infection may spread, leading to discomfort and persistent nail damage. At The Foot Company, we offer advanced solutions, including nail fenestration, to help you restore healthy nails.
What Causes Fungal Nail Infections?
Fungal nails are caused by fungal organisms (dermatophytes, yeasts, or molds) that thrive in warm, moist environments, penetrating damaged nails and and establishing under the nail plate . Common risk factors include:
✅ Walking barefoot in public areas
✅ Wearing tight or non-breathable footwear
✅ Previous nail injuries
✅ Weakened immune system or diabetes
Fungal Nail Treatment Options
1. Topical Antifungal Treatments
Medicated nail lacquers and creams help fight fungal infections, but they struggle to penetrate thickened nails.
2. Oral Antifungal Medication
Prescription tablets can effectively clear fungal infections from within but may have side effects and require monitoring.
3. Laser Therapy
A painless, non-invasive treatment that uses laser light to kill fungal infections without damaging surrounding tissue. NB Due to limited clinical evidence and the cost of treatment, we do not offer this treatment method at The Foot Company.
4. Nail Fenestration – The Advanced Solution
Nail fenestration is a minimally invasive procedure designed to make topical antifungal treatments more effective.
What Is Nail Fenestration?
Nail fenestration (micro-drilling) is a painless procedure in which tiny holes are carefully drilled into the infected nail using a specialized tool. This allows topical antifungal treatments to penetrate directly to the source of the infection, leading to faster and more effective results.
Benefits of Nail Fenestration:
✔ Quick & Painless – Performed in minutes with no discomfort
✔ Enhances Treatment Absorption – Allows antifungal solutions to reach the infection site
✔ Non-Invasive Alternative – No need for oral medications with potential side effects
✔ Targets Stubborn, Thickened Nails
What to Expect from the Treatment
1. Initial Consultation
A full assessment of your nails by a qualified podiatrist.
Issued with a home treatment pack for daily antifungal application.
2. Fenestration Treatments
🔹 Fenestration No.1 – Performed 7-10 days after the consultation (Included in the fee paid at the initial consultation).
🔹 Fenestration No.2 – (6 weeks after) – Includes further home treatment pack.
🔹 Fenestration No.3 – (6 weeks after) – Further treatment if needed.
⚡ Commitment to Home Care: Success is very dependant on the regular application of antifungal solutions and disinfection of footwear and hosiery, as advised by your podiatrist.
How Many Treatments Will I Need?
The number of treatments depends on the severity of the infection. Most patients require 3-4 sessions, spaced 6 weeks apart, until the fungal infection clears.
Important Note:
Since nail growth is slow (up to 18 months for full regrowth), the nail may still appear damaged even after the infection is gone. A follow-up assessment is recommended to determine success.
Booking Information
Most individuals with fungal nail infections can benefit from nail fenestration. Your podiatrist will assess your condition and discuss all available treatment options before proceeding. The first step is to book an initial consultation using the link below. If you require any further information please complete our enquiry form.