Dr. Manson offers the most comprehensive treatment for toenail fungus in the greater Portland area. We use a combination of two separate lasers, the Lunula Laser and the Remy Laser to treat toenail fungus. We are the only office in the greater Portland area treating toenail fungus with a combination of these two unique lasers. The Lunula Laser is the only FDA-approved non-thermal laser for new clear nail growth, while the Remy laser is an FDA-approved class IV laser and is one of the safest and most effective treatments for toenail fungus. Dr. Manson has developed a comprehensive treatment protocol to provide you with the best results possible.
OIFC’s Remy and Lunula Laser Treatment Program includes:
- Seven total laser treatments, including 3 monthly Remy laser treatment sessions and 4 weekly Lunula Laser treatment sessions
- Topical anti-fungal solution, anti-fungal cream, Vitamin B7 (Biotin) supplement, and anti-microbial shoe spray.
- Oral use of Terbinafine (when medically indicated).
- Individualized materials to support patient compliance.
- 6 month follow-up appointment with Dr. Manson.
Treatment Schedule:
Week 1 – Remy laser treatment with Dr. Manson
Week 2 – Lunula laser treatment
Week 3 – Lunula laser treatment
Week 4 – Remy laser treatment with Dr. Manson
Week 5 – Lunula laser treatment
Week 6 – Lunula laser treatment
Week 8 – Remy laser treatment with Dr. Manson
Month 6 – Follow up with Dr. Manson
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.

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), many people have tried it all.
How Much Does Remy and Lunula Laser For Toenail Fungus Removal Cost?
The cost is $1500 for both feet or $800 for one foot. This includes 3 monthly Remy laser treatment sessions and 4 weekly Lunula Laser treatment sessions, as well as your initial supply of topical antifungals, vitamin supplement, and antimicrobial shoe spray. Also included are your initial evaluation, patient compliance support materials, and a 6-month follow-up appointment with Dr. Manson. Remy and Lunula Laser for toenail fungus is not covered by insurance. HSA and FSA can be used to pay for your treatment.
Schedule a Remy and Lunula Laser For Toenail Fungus Removal Consultation
Please contact us today if you have any questions about Remy and Lunula Laser For Toenail Fungus in Lake Oswego, OR, or would like to schedule a consultation with Dr. Tyler Manson.
Frequently Asked Questions about Remy and Lunula Laser Treatment
What is the Lunula Laser?
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.
Is the laser FDA-Approved?
How does the Lunula Laser work?
*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?
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.
How does the Remy laser work?
- The laser’s heat disrupts the fungus’s structure and metabolic processes
- The laser stimulates the immune system to fight the infection
- The laser promotes the growth of healthy nail tissue
What are the advantages of the Erchonia Lunula onychomycosis laser device?
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?
Are there any complications with LunulaLaser therapy?
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About
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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