Onychomycosis is a fungal infection of the nail(s). It is prevalent more commonly in men than women and infects roughly 2-18% of the population, with some reports stating up to 30%. It is difficult to treat and the success of treatment appears to be correlated directly with the patient’s ability to follow post-care instructions. Clinically, these patients present with white discolouration or yellow patches of the nail plate. In extensive cases, the nail is replaced with friable keratinaceous material. The 1064 nm wavelength can be used to treat nail fungus and is approved for the temporary increase of clear nail in patients with onychomycosis. The 1064 nm is absorbed by the water within the cells of the fungi, which will use heat to destroy the fungus. Treatments occur once a month and the number of treatments needed is dependent on the degree of the nail fungus and the patient’s ability to follow post-procedural care instructions but there are reports of success after four 1064 nm treatments of toenail fungus spaced at monthly intervals and the number of treatments typically recommended are 1-6

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