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Welcome to Dr. Bob's Anti-Fungal Blog

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5 Steps to Achieve Successful Anti-fungal Laser Treatment


1. Proper Fungus Diagnosis anti fungal laser

Before you spend upward of $1000 on an Anti-Fungal Laser Treatment make sure you actually have Onychomycosis (toenail fungus). There are other nail disorders that have the same symptoms as Toenail Fungus.

Three ways your doctor can diagnose you with Toenail Fungus

  • PAS (Periodic Acid Schiff)
  • KOH (Potassium Hydroxide Preparation)
  • Fungal Culture

Note that there is a relative high rate of false negatives with these fungal diagnosis tests usually due to inadequate specimens.

A good specimen is obtained as far back on the nail including the debris beneath the toenail.

Other conditions that resemble Onychomycosis (nail fungus).

  • Psoriasis
  • Onychodystrophy – a nail injury from either trauma or prior surgery.
  • Lichin Planus – a chronic skin disorder
  • Eczematous Dermatitides – a persistent skin condition that can be caused by contact with irritants.
  • Alopecia Areata – a recurring, non-scaring type of hair loss that can affect various parts of the body.

2. Inadequate Treatment 

Only treating the nails with one fungus laser treatment is inadequate

It is becoming evident that laser therapy for Onychomycosis requires more than one treatment.

  • It is recommended that each fungal laser session consist of two or three treatments for each infected nail.
  • Typically multiple laser treatments spaced four to six weeks apart are required for best results.


3. Debride and Debulk the nails before Fungus Laser Therapy

  • Cutting the nails as short and as thin as possible prior to laser therapy is very helpful for quicker and better results.
  • You can use a course nail file to file off the top of the nail and get rid of any excess debris


4. Treat chronic Athlete’s Foot (Tinea Pedis) 

Foot Fungus is often the predecessor to Onychomycosis. If fungus is left on the skin, even if the toenails are cleared by laser treatments, the skin fungus will more than likely infect the toenails once again.

Treatment options for chronic foot fungus (Tinea Pedis)

  • Topical anti-fungal creams used for at least four weeks
  • Oral anti fungal pills (Lamisil or Sporanox) – have the potential to cause liver problems. Doctors recommend liver tests in conjunction with taking anti fungal pills


5. Control excessive foot sweating (Hyperhidrosis)

If you do not control excessive sweating it can lead to higher recurrence rates. Fungus likes a warm, moist environment; sweaty feet in closed shoes are an ideal condition for fungus to take over and spread.

How to control sweaty feet

  • 90% of patients with sweaty feet (Hyperhidrosis) can control the issue with an antiperspirant spray or foot powder. Cover the tops and bottoms of the toes, as well as the sole of the foot. Make sure the foot in dry before dressing.
  • About 5% of patients with Hyperhidrosis require a prescription drying medication, such as Drysol.
  • About 3% of patients with Hyperhidrosis require either Botox® injections or iontophoresis.
  • About 2% of patients with Hyperhidrosis require an oral medication like Robinul (Glycopyrrolate).

*Bonus Tip* 

Doctors recommend using a topical nail anti fungal in between laser treatments. PediMD Nail Treatment System is an oil-based topical anti fungal medication; therefore it is able to actually penetrate the nail unlike other nail lacquers. Using PediMD in conjunction with Anti-fungal Laser Treatment will:

  1. Promote the growth of a new healthy nail
  2. Clear any fungus that the Laser may have missed
  3. Prevent future fungal infections from developing on the skin
  4. Allow the patient to continue to use nail polish over the over the treatment

Excerpts from this article were taken from Dr. Patrick DeHeer's article "5 Crucial Mistakes to Avoid With Toenail Laser Treatment" Dr. DeHeer offers Laser Toenail Fungus therapy in his Indiana based practice and has had over 20 years experience treating Toenail Fungus.           



Tea Tree Oil, Jojoba Oil and Menthol fight Toe Nail and Foot Fungus


Fight Fungus by using Tea Tree Oil, Jojoba Oil and Menthol 

Herbal products have been effective in treating toenail and foot fungus for centuries.  Below is a list of prominent herbal ingredients that are used in PediMD products that are known for their anti-fungal, anti-bacterial and healing properties .

Tea Tree Oil

Tea Tree Oil Plant

Tea Tree Oil has beneficial medical properties when applied topically; including anti-septic, anti-bacterial, anti-fungal, and anti-viral.  It is an effective treatment for multiple fungal diseases including ringworm, athlete’s foot and toenail fungus and thrush.

Tea Tree Oil is an ingredient in PediMD Step 1 Nail Lacquer.  We have combined the tea tree oil molecule with jojoba oil, which has a smaller particle size in order to allow the tea tree to penetrate the nail and treat the nail root where fungus thrives.

Jojoba Oil

Jojoba Oil serves as an excellent moisturizing agent with exceptional lubricity.  The oil leaves a rich velvety non-oily feel on the skin while retaining water to enhance the flexibility and suppleness of the skin and promote the growth of new skin cells.

Jojoba  Oil is used in our nail treatment system primarily to rejuvenate infected nail and skin cells and promote the growth of new, healthy cells. This oil speeds the growth of an infected nail while it heals, soothes and moisturizes the surrounding skin leaving, it soft and smooth.

Menthol - Vics Vapo Rub

Menthol has anti-bacterial and anti-septic and anti-inflammatory properties. Menthol is a strong alcohol which not only cleans the nail, but also treats the fungus as well.

Many doctors prescribe menthol cream as a cure for nail fungus.  However, menthol cannot penetrate the nail and reach the source of the fungus. PediMD Nail Treatment System is designed to unroof the top layer of the nail through the use of Urea and allow the Menthol to penetrate through the nail and into the root where fungus grows and multiplies.

PediMD Anti-Fungal Nail Treatment and PediMD Anti-Fungal Moisturizing Foot Cream incorporate Tea Tree Oil, Jojoba Oil and Menthol as well as multiple other Oils and Extracts that Fight Fungus

tea tree oil fungus



Do you have Smelly Feet? It could be Athlete's Foot or Foot Fungus.


The #1 cause of Smelly Feet is Foot Fungus. About 45 million American's get Foot Fungus aka Athlete's Foot every year. The Fungus is not harmful but it can cuase cracked, irritated, peeling skin and embarassing smelly feet! Foot Fungus can spread to the toenails and toenail fungus can affect the skin around the toes. It is critical to treat the Athlete's Foot or Toenail Fungus to cure Smelly Feet and keep skin healthy.  

Causes of Smelly Feet:

Smelly Foot
  1. Foot Fungus

  2. Reusing Socks

  3. Sweat in shoes 

  4. Toenail Fungus 

How to Prevent Smelly Feet:

Other Symptoms of Foot Fungus:

  • Itchy red skin in-between toes

  • Peeling skin on foot

  • Constant need to rub toes around

Foot Fungus can damage the skin and leave it suseptable to getting infected. Most treatments will eliminate the fungus; yet, they neglect to treat the skin. It is essential to use an anti-fungal cream with natural oils and herbal extracts which will keep the skin feeling soft and healthy. PediMD Moisturizing Foot Cream combines natural oils with FDA approved fungus fighting medicine to treat Fungus and keep feeling happy and healthy!

Foot Fungus and Athletes Foot: Causes, Symptoms & Effective Treatment


Foot Fungus and Athlete's Foot - Effective Treatments

Foot fungus is one of the most common foot and ankle problems.  It occurs due to multiple reasons and can be embarrassing and often painful.

Foot Fungus Athletes Foot

Causes of Foot Fungus:

  • Excess sweating    
  • Poor hygiene            
  • Fungus nail      
  • Family History


Video: How to Prevent Fungus and Maintian Healthy Feet

Symptoms of Foot Fungus:  

  • Peeling skin
  • Itching skin
  • Small red blisters
  • Red skin
  • Cracking skin

Learn How to Control Fungus

The problem with most fungus skin medications is that they work only when applied. As soon as the medication is stopped, the fungus returns to the skin.  Furthermore, most of the medications dry the skin and can cause crackina, peeling and pain.  Finally, they are very strong and can only be used for short periods of time.

Cure for Foot Fungus: The PediMD Advantage

PediMD Antifungal Skin Moisturizer is a new approach for treating skin fungus while rehabilitateing the skin as well.  It is a daily use moisturizing cream that contains strong anti-fungal medication along with holistic oils and extracts to treat foot fungus.  What makes it better than anything on the market is that it can be used daily to prevent fungus from returning and also to keep the skin soft and supple without any drying, cracking, peeling. 

For best results, combine PediMD anti-fungal moisturizing cream with our Anti-Fungal Toenail Treatment System.  Use daily as a treatment system and then weekly as a protection against nail fungus and foot fungus return.

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