The Lacuna Method
Nail Fenestration
An effective, minimally invasive treatment for fungal nails
Fungal nails can be persistent, unsightly, and difficult to treat using standard topical treatments. At AA Podiatry, we offer The Lacuna Method, an advanced technique that involves creating tiny, painless holes in the nail plate. This approach allows antifungal medication to reach the source of the infection more effectively by delivering it directly to the nail bed, where the fungus lives and spreads.
What causes fungal nail problems?
Fungal nail infections are typically caused by dermatophyte fungi, which thrive in warm and moist environments like the inside of shoes. The infection often starts as a white or yellow spot under the nail and can gradually spread, causing the nail to become thickened, brittle, crumbly, and discoloured.
Lacuna Method for Fungal Nails
Do I need Podiatrist?
While fungal nails are usually not dangerous, they can be stubborn and unsightly. If left untreated, the infection may spread to other nails or the skin (athlete’s foot), and in some cases, cause pain or discomfort when walking. For people with diabetes or circulation issues, fungal nails can increase the risk of secondary infections, making early treatment important. That why we recommend coming to one of our clinics - the Lacuna Method is a great way of achieving quick and effective results.
How does Lacuna Nail Treatment Work?
The Lacuna Method, also known as nail fenestration, is a painless and innovative technique that involves creating multiple micro-holes in the affected nail plate. These holes:
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Allow anti-fungal solution to reach the nail bed directly .
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Help break down the fungal environment and stop the infection from spreading.
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Enable better penetration and redistribution of medication with the pressure of footwear.
Over time, the healthy nail grows out naturally, along with the holes. Review appointments are typically recommended every 6 weeks, though your podiatrist will tailor this to your needs.
When should I see a podiatrist about it?
Consider booking an appointment if you notice any of the following:
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Discolouration (white, yellow, brown, or black spots) on the nail
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Thickening, flaking, or crumbling nails
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Nails separating from the nail bed
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Discomfort when wearing shoes or walking
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Previous treatments (e.g., creams or oral medication) haven’t worked
Early intervention can prevent the infection from worsening or spreading. The Lacuna Method offers a non-invasive alternative for patients seeking a more effective approach to fungal nail treatment.
Lacuna Method - FAQ's
What is the lacuna method?
The Lacuna Method is a technique used by podiatrists to treat fungal nail infections. Tiny micro‑holes are made in the nail plate, allowing antifungal products to reach the infection more effectively. The procedure is quick and usually comfortable.
Whats the success rate for the lacuna method?
Success varies from person to person. Many patients see improvements, but results depend on the severity of the infection, nail thickness, and how well aftercare is followed. Your podiatrist can advise whether it’s suitable when assessing your affected nails.
Is the lacuna method only used for fungal nail infection?
Yes. The Lacuna Method is specifically designed for treating fungal nail infections and is not used for other nail or skin conditions.