Lunula Laser For Toenial Fungus

Newest Laser Treatment For Toenail Fungus

The Erchonia Lunula Laser is low-level laser therapy that brings new hope to patients suffering from toenail fungus.

Lunula Laser – Toenail Fungus Laser Treatment

Hicksville Podiatry is the first office in Long Island to be able to offer the Lunula Laser which is the first and the only pain-free non-thermal FDA Cleared Laser for treating patients with toenail fungus. This new treatment is a proven non-invasive treatment for onychomycosis (fungal nails). There is no discomfort, downtime, or side effects associated with the laser. It uses low-level laser light to treat fungus and usually requires four 12 minutes sessions to the affected area. For severe fungal infection of toenails, we recommended 5 to 6 sessions to the affected area. This Lunula laser is a safe, effective, pain-free, non-thermal treatment without side effects and no risks compared to many other heat-based lasers. Lunula Laser does not affect healthy tissue while working on infected fungal tissue and nails. 

Advantages of Lunula Laser Treatment:

  • The only pain-free laser for toenail fungus
  • The only non-thermal FDA Cleared for treating toenail fungus
  • No risks or side effects associated with Lunula Laser
  • No discomfort or pain during the treatment


Is the laser FDA approved?

Yes. Erchonia submitted the results of their successful clinical trial and the laser was granted market clearance by the FDA in June 2016 for the temporary increase of clear nails in patients with onychomycosis.

What are the advantages of the Erchonia Lunula onychomycosis laser device?

This device is unique in that it is the only true, dual diode, non-thermal, unattended Class 2 laser that offers multiple benefits. The Lunula combines the anti-fungal effects of the 405 nm wavelength with the cellular function impact of a 635 nm wavelength. The Lunula produces two wavelengths, 635 nm, and 405 nm, both of which have been enriched by a proprietary rotating line-generated laser beam. The Lunula’s specially designed delivery mechanism maximizes both photon concentration and treatment surface area. The Lunula’s patented delivery system ensures that all infected tissue, nail bed, and most importantly, the proximal germinal/matrix tissue are properly targeted and treated.

Are all laser wavelengths the same?

No. The higher wavelengths have less energy and normally more power is added which produces heat. Normally output power of watts and wavelengths of 900nm or higher are considered Class IV devices and produce an increase in temperature in the tissue being treated. The lower wavelength lasers, Class 2, Class 3A, and 3B depending on power output, do not rely on heat production. Cold lasers initiate true physiologic responses, photo modulation. The Class2/3A/3B lasers have wavelengths 700 nm or lower.

Can I feel the laser working?

The patient will feel no heat or any sensation from the laser.

Is the tissue response the same with the lower wavelengths in the Lunula?

No, the lower the wavelength, the greater energy produces and the greater antimicrobial/antifungal effect, high powered lasers work by boosting power to overcome the antimicrobial/antifungal but this can cause tissue destruction which is evidenced by the heat and smoke dangerous smoke plumes they produce.

What is the advantage utilizing a multiple diode approach in the treatment of onychomycosis?

The 635 nm wavelength stimulates endogenous mechanisms, which enhances the immunological function of resident neutrophil and macrophage function to further degrade the infectious agent. This wavelength also induces tissue rejuvenation, increased vascularization, which enables the dual diode approach to accelerate the growth of new clear nail growth. The 405 nm wavelength provides anti-microbial, antibacterial, and anti-fungal effects. The patented dual diode approach provided by the Lunula Onychomycosis Device provides symbiotic wavelengths.

What kind of response has been seen when utilizing the dual diode lower wavelength approach in the treatment of onychomycosis?

In the clinical trial results, 89% of patients respond.

Are there any complications with Lunula Laser therapy?

No complications were reported in all 4 Lunula Laser clinical trials.

Is it recommended to obtain fungal cultures prior to low-level laser therapy?

During the Lunula clinical trial, a positive mycology study was received on all patients.

What are the risks with using a heat-based Class IV laser as opposed to a true cold laser?

When using heat-based lasers to treat nail fungus, there are risks: thermal burning, necrosis, pain, the threat of airborne mycosis with the potential of pulmonary ingestion with resultant long-term infection and disease. Both patients and medical staff can be at risk from exposure to laser plumes. When utilizing true cold laser therapy, such as the Lunula device, there is virtually no risk, either to the patient or the treating physician. The worst thing that can happen with true cold laser therapy for onychomycosis is nothing.

Is debridement of the toenail necessary when utilizing laser therapy to treat onychomycosis?

No. During the Lunula studies, no debridement was performed. But if the toenails are very thick, it reduces the chance of the laser penetrating through the nail plate, so it is recommended to have the toenail debrided prior to the treatment.

What is the standard treatment protocol?

In the clinical trial, treatments consisted of 4 weekly 12 minute treatments for mild conditions. More treatments are needed for moderate to severe fungus.

What are the advantages of Lunula Low Level Laser for the treatment of onychomycosis?

• No chance of developing microbial resistance to this form of treatment

• Does not interfere nor interact with any systemic medicine

• No chance for liver toxicity

• Treatment protocol is painless, ensuring good patient compliance

• No pain during treatment

• No downtime

• Unattended treatment

How does the Lunula Laser work?

Peroxynitrite is a compound that has potent anti-microbial effects. This compound is formed when Nitric Oxide (NO) reacts with Reactive Oxygen Species (ROS). The Lunula Laser by Erchonia, the only true Low-Level Laser used to treat onychomycosis, uniquely has two different laser diodes; a 635nm and a 405nm. This combination of wavelengths is crucial in that the 635nm diode produces NO and the 405nm diode is the best producer of ROS, both within the visible light spectrum. Cell destruction is triggered by the cytotoxic effects of peroxynitrite. NO + ROS = peroxynitrite which destroys fungal pathogens. The 635nm laser enhances mitochondrial energy metabolism, which generates NO, and this is combined with the 405nm laser, which generates ROS, produces peroxynitrite. This by-product is cytotoxic and destroys pathogenic bacteria, fungi, and protozoa.

Can a patient become re-infected with fungus once there is clearance?

Yes, patients can become re-infected if they do not take precautions. If a spouse or significant other has clinical nail fungus, it is advised to not treat them without treating their partner. It is recommended for patients to take other precautions to prevent re-infection. Recommendations include using an antifungal sterilizer or spray to treat their shoes, using anti-fungal spray to use after wearing closed-toe shoes, and spraying their showers with bleach or other cleansers, all with the hope of preventing re-infection.

What kind of clinical results are experienced with the Lunula Laser?

Clinical trial results proved an average of 6.1 mm New Clear Nail Growth at 6 Months. Healthy nails can take about 1 year to grow out completely.

How is Lunula Laser different from other laser at spa center and laser center?

We carry a high-quality laser that is the only FDA Approved non-thermal, painless laser on the US market. The laser can only be purchased by a professional licensed doctor. The lunula laser has more surface area which covers half of the foot including 5 toes compared to other lasers that have a smaller surface area.