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Specialized Treatment and Surgery
- Advanced Foot & Ankle Surgical Techniques
- Reconstruction
- Joint replacement
- Extra Corporeal Pulse Activated Treatment (EPAT) for the treatment of heel pain
- Amniotic Stem Cell Injections
- Pediatric Care
- Evaluation of abnormalities
- Diabetic Foot & Ankle Care
- Preventive care
- Wound and infection management
- Limb preservation
- Custom therapeutic shoes and insoles
- Neuropathic pain management
- Diagnostic Care
- On site X Ray
- BioMedix
- Functional Management
- Custom molded orthotics
- Foot and ankle braces
- Diabetic shoes
- Sports Medicine
- Complete Biomechanical Evaluations
- Custom sports orthotic fabrication
In addition to treating patients at our many office locations, our doctors perform surgery at RI Hospital, Miriam Hospital, Roger Williams Hospital and the Southern New England Surgery Center.
Helpful Resources
- Foot Health Facts
- American Podiatric Medical Association
- Arthritis Foundation
- American Diabetes Association
Laser Treatment of Fungal Nail Disease
Half of all Americans are infected with toenail fungus (onychomycosis) by the age of 70. This condition not only poses a cosmetic issue, causing nail discoloration and deformity, but also can have a serious impact on quality of life, causing pain while walking and creating a social stigma that can inhibit routine activities, such as wearing open toed shoes.
Our physicians at Brown Medicine’s Division of Podiatry offer treatment of toenail fungus with GenesisPlus, a noninvasive laser system that is an effective solution without side effects.
GenesisPlus is a new approach to treat nail fungus that puts the patient’ safety and comfort first. The system, designed by Cutera, applies laser energy to the nail plate and surrounding tissue. The laser light gradually heats the fungus and promotes the growth of healthy, clear nails. Following the procedure, the nail becomes clearer and healthier looking as it grows out.
Traditional approaches to treating nail fungus are largely limited to oral drugs that are associated with adverse side effects and prescription topicals and home remedies that have not been proven effective. Despite limitations associated with these approaches, however, it is estimated that Americans currently spend about $2.1 billion annually on treating nail fungus with prescription drugs alone.
Given the serious emotional, social, and financial impact of nail fungus, it is important to note the benefits of this new technology.
Please call for an evaluation and to learn more about this safe alternative to traditional treatments for onychomycosis.
FAQS – Laser Therapy, Fungal Toenails
What is GenesisPlus?
GenesisPlus is a new laser perfected for safely and effectively treating onychomycosis (toenail fungus). By targeting the fungus directly, GenesisPlus gets to the source of the problem immediately.
How does GenesisPlus work?
Tiny pulses of light from the GenesisPlus laser pass through the toenail to the fungus underneath. The fungus is irradiated without any damage to the surrounding nail or skin.
How long does the procedure take?
Depending on how many toes are affected, the GenesisPlus laser procedure will take 20-30 minutes.
Is GenesisPlus laser therapy painful?
Most people feel a slight warming sensation during the procedure. No pain medication is needed and most people find the treatment very easy to tolerate.
How many treatments will I need?
Typically, three treatments are performed at 3 month intervals.
Are there any restrictions on my activity post procedure?
You can resume your normal activities immediately.
When will I see results?
You won’t notice anything immediately following treatment. However, as your nail grows out, the new nail growth should be clear. Toe nails grow slowly –especially nails infected with fungus. So, it may take 6-12 months for your toenail to clear.
Will the fungus come back?
Reinfection with toenail fungus may be acquired anywhere from your environment, for example, in damp areas such as public swimming pools. Consult with your healthcare professional to understand how to prevent toenail fungus from reoccurring.
When can I apply nail polish?
While it is important to remove nail polish, decoration and jewelry prior to treatment, you can reapply nail polish 24 hours after treatment.
What else is required?
Combination therapy with pulse dose oral treatment (one pill per week) and maintenance with topical solution, along with nail trimming, is required for more severe cases.
Who will perform the laser toenail fungus treatment?
Our doctors are specially trained and experienced in the use of this new laser technology for the treatment of fungal nail disease.
Is GenesisPlus covered by insurance?
This treatment is not covered by insurance.