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Lunula Laser For Toenail Fungus

Conveniently located to serve Portland, Lake Oswego, & West Linn

Boutique Podiatry Oregon Institute of Foot Care Lake Oswego

FDA-Approved Non-Thermal Laser

Dr. Manson offers the only Lunula Laser for Toenail Fungus in the greater Portland area. The Lunula Laser is the only FDA-approved non-thermal laser for new clear nail growth. The Lunula Laser for toenail fungus is painless during treatment and there is no downtime or recovery time. The Lunula Laser for toenail fungus treatments takes only 12-minutes per foot. There are no side effects, and 89% of patients responded to treatment in clinical trials.

OIFC’s Lunula Laser Treatment Program includes:

  • Four weekly Lunula Laser treatment sessions to treat the thick and discolored fungal toenails.
  • Topical anti-fungal solution, cream, and shoe spray.
  • Oral use of Terbinafine (when medically indicated).
  • Individualized materials to support patient compliance.
  • 1-month and 8-month follow-up appointments with Dr. Manson.
While you won’t see results immediately, you’ll notice healthy nail growth start to show at the cuticle as your nails grow. Results are usually seen in about 16 weeks, but it can take 9 to 12 months for the nail to grow out completely.

What is Toenail Fungus?

Millions of Americans suffer from toenail fungus, also called onychomycosis, and up until now, it has been very hard to resolve. It can be unsightly, uncomfortable, and embarrassing – holding you back from activities you enjoy. While it most likely won’t cause any other serious health issues, it can be painful and unattractive.

The fungus usually starts on one or two nails that become cloudy or discolored. Over time, the toenail may thicken, change shape, separate from the toe, and develop a yellowish crumbly material underneath it.

Luluna Laser treatment

Why Do I Have Toenail Fungus?

People who wear shoes that keep their feet sweaty and moist are more likely to get toenail fungus than people who don’t. Diabetics and people with a compromised immune system are also at risk. It can spread from person to person by sharing a towel or nail clippers and by walking barefoot, so it’s not uncommon for several people in the same house to have it.

Many people have tried and failed to treat their toenail fungus. From home remedies to topical antifungals to oral medications (such as Terbinafine, and Lamisil), many people have tried it all.

How Much Does Lunula Laser For Toenail Fungus Cost

The cost is $1200 for both feet or $750 for one foot. This includes 4 weekly Lunula Laser treatment sessions, as well as your initial supply of topical antifungals and antimicrobial shoe spray. Also included are your initial evaluation, patient compliance support materials, and 1-month, and 8-month follow-up appointments with Dr. Manson. Lunula Laser for toenail fungus is not covered by insurance.

If treatment has failed to provide the desired results at the 8-month follow-up, Dr. Manson will order 4 more Lunula Laser treatments at no cost to the patient. We want you to be happy and feel like we made every effort to successfully treat your toenail fungus.

Oregon Institute of Foot Care offers a discount to immediate family members if they require Lunula Laser for Toenail Fungus treatment; $1000 for both feet or $600 for one foot.

Schedule a Lunula Laser For Toenail Fungus Consultation

Please contact us today if you have any questions about Lunula Laser For Toenail Fungus in Lake Oswego, OR, or would like to schedule a consultation at Dr. Tyler Manson. We will build the ideal treatment plan for you in order to help you achieve smoother, more radiant skin.

Frequently Asked Questions about Lunula Laser Treatment

What is the Lunula Laser?
Until recently, there wasn’t a good way to get rid of toenail fungus. But now, there is a new FDA-approved treatment that uses a low-level laser (cold laser) to help treat toenail fungus. The Lunula Laser is an exciting breakthrough for treating painful, thick, discolored, infected toenails.
The Lunula Laser uses low level laser light to target onychomycosis, more commonly known as fungus. Because the laser light can pass through the nail, it can work on getting rid of the fungus that lives below it. The laser does this without causing any damage to the nail or the skin around it. It’s pain-free, there are no known side effects, and there is no downtime or recovery time required. In fact, as little as four short sessions are needed to treat the affected area.
What is the standard Lunula Laser treatment protocol?
In the clinical trial, the protocol consisted of weekly 12-minute treatment for 4 weeks.
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 treatment of onychomycosis.
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 produced and the greater the anti-microbial/antifungal effect. High-powered lasers work by boosting power to overcome the anti-microbial/antifungal, but this can cause tissue destruction which is evidenced by the heat and dangerous smoke plumes they produce.
What is the advantage of 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 and increased vascularization, which enables the dual diode approach to accelerate the growth of new clear nail growth.


The wavelength provides anti-microbial, antibacterial, and anti-fungal effects.
The patented dual diode approach provided by the Lunula Onychomycosis Device provides symbiotic wavelengths that enhance new clear nail growth at 6 months.

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.
How does the Lunula Laser work?

The 635 nm laser enhances mitochondrial energy metabolism, which generates NO, and this is combined with the 405 nm laser, which generates ROS, and produces peroxynitrite. This by-product is cytotoxic and destroys pathogenic bacteria, fungi, and protozoa. 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; 635 nm and 405 nm. This combination of wavelengths is crucial in that the 635 nm diode produces NO and the 405 nm 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 destroys fungal pathogens*


The 635 nm laser enhances mitochondrial energy metabolism, which generates NO, and this is combined with the 405 nm laser, which generates ROS, and 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 anti-fungal spray after wearing closed-toe shoes and spraying their showers with Tylex or another cleanser, all with the hope of preventing re-infection.
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 regenerative outcomes 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 is properly targeted and treated. Once a fungus becomes entrenched in your nail, the same barrier that was effective in protecting against infection, now works to protect the fungus. This makes it difficult for topical creams and polishes to treat the fungus because it’s very hard for them to reach the fungus. The laser light passes through the nail to target the fungus, offering new hope in treating this condition.

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

In the clinical trial results, 89% of patients responded. Clinical trial results proved an average of 6.1 mm new clear nail growth at 6 months.
Are there any complications with LunulaLaser therapy?

No complications were reported in all 4 Lunula Laser clinical trials.
Are all laser wavelengths the same?

No. The higher wavelengths have less energy and normally more power is added which produces heat. Normally, the output power of watts and wavelengths of 900 nm 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, and photo modulation. The Class2/3A/3B lasers have wavelengths 700 nm or lower.
Is debridement of the toenail necessary when utilizing laser therapy to treat onychomycosis?

No. During the Lunula studies, no debridement was performed.
What are the Advantages of The Lunula Low Level Laser for the Treatment of Onychomycosis?
No chance of developing microbial resistance to this form of treatment.


Does not interfere or interact with any systemic medicine.


No chance of liver toxicity.


The treatment protocol is painless, ensuring good patient compliance, and there is no recovery time.

Is there a maintenance protocol?
Yes, Dr. Manson does have a recommended maintenance protocol. We take every measure to help prevent fungal reinfection of the nails. This involves topical antifungals, antimicrobial shoe sprays, as well as patient compliance. Oregon Institute of Foot Care offers yearly maintenance of two Lunula Laser treatments for a cost of $300 per year. This is the best way to help prevent the recurrence of the toenail fungus.

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At Oregon Institute of Foot Care, we care about healthy, happy, beautiful feet. We strive to provide personalized foot care and achieve the outcomes, both functionally and cosmetically, that our patients desire. What sets OIFC apart is our dedication to providing the highest quality care available, utilizing the latest medical techniques and technologies, educating patients to make well-informed health care decisions, and restoring foot and ankle function as quickly and beautifully as possible. Our mission is to give you healthy, happy, beautiful feet.


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Luluna Laser treatment

What to Know About OIFC’s Lunula Laser for Toenail Fungus

Dr. Manson has developed a comprehensive treatment program to eliminate hard-to-treat toenail fungus. OIFC’s Lunula Laser for Toenail Fungus program is customized to each patient’s needs and targets toenail fungus through multiple modes of treatment- getting you the best results. Oregon Institute of Foot Care‘s Lunula Laser for Toenail Fungus program involves an initial assessment of the condition and the patient’s health. A custom treatment plan is then developed and discussed with you that will address the condition, providing the patient with the most optimal results available.

89% of patients responded to treatment in clinical trials.


No pain.


No recovery time.


No side effects.