PinPointe Laser Fungus Nail Treatment FAQs

Frequently Asked Questions

How does it work?

The PinPointe FootLaser kills the fungus that lives in and under the toenail. The laser light passes through the toenail without causing damage to the nail or the surrounding skin. At the time of the procedure, the toenail will not become instantly clear - it takes time to grow out.

What can your patients expect?

They can expect a consultation with you explaining the procedure to be performed and any follow-up visits you prescribe.

Can the patient expect more than one treatment?

One treatment kills the fungus for most patients. You will determine if the patient needs follow-up care.

Is the procedure painful?

Most patients feel no pain. Some may feel a warming sensation and very few feel a pinprick.

Is there a recovery period? No; just walk in and walk out.

How long does the procedure take?

The Footlaser procedure takes less than 30 minutes.

Will the fungus grow back?

The fungus is killed after one treatment, and typically you can recommend care techniques to reduce a recurrence of the infection. There is a chance of reinfection because the fungus is present everywhere in the environment.

When can your patient paint their nails or have a pedicure?

They can apply polish immediately after the treatment. It is important to inform the patient that they should remove all nail polish and nail decorations the day before their treatment.

What kind of payments can I accept for the procedure?

Credit cards, cash, money orders can be accepted. The patient may also use their Medical IRA, Health Savings or Flexible Spending Accounts.

Can the procedure be covered by their insurance?

If they have a Health Savings Account or Medical IRA, 100% of cost can be covered. However, in most situations, this procedure is considered aesthetic, and therefore health insurance plans do not provide coverage.

How long have you been doing this?

Clinical studies began in November 2007 demonstrating over an 88% success rate.

Is it FDA cleared?

Yes, it is cleared by the FDA.

Who developed this laser procedure?

Leading scientists and medical professionals working together for 20 years with funding provided by the National Institutes of Health developed the technology in the patented PinPointe FootLaser.

The Pediatric Foot

As the summer transitions into autumn, many households begin to focus their attention on preparing their kids for the upcoming school year. Some foot problems have been around since birth, others have developed and worsened over time due to poor shoe gear. One item on many shopping lists is very likely to be the latest trendy new shoes (--- I beg you, please say no to Converse if your child has a flatter arch). On a positive note -- this annual ritual also presents as an opportunity to review and evaluate the foot health needs of our youthful scholars.

Common knowledge amongst clinicians tasked with treating disorders of the lower extremities, is the lack of subjective symptoms often being presented by children, adolescents and teenagers. Conditions that may be painful or at least uncomfortable in an older individual often are non-symptomatic in younger people. It doesn't mean that there isn't something that needs to be addressed biomechanically. Many parents have been told by doctors that their child will “grow out” of their flat feet or turned in legs, only to discover when growth of the child ceases, the condition does not disappear.

This mark in the calendar year presents a golden opportunity to evaluate our pediatric patients, and assess if last year’s treatment plan (if any) is still effective.

• Has the child outgrown their orthotics?

• Is it time to transition from an OTC device to a prescriptive one based on the patient's individual structure and function?

• Are the adjunctive treatments you recommended (stretching, etc) being followed?

• Are the correct size and type shoes being worn?

• Has the child embarked on any new activities, such as trying out for a sports team that may necessitate a different approach in your treatment regimen.

• Perhaps that college freshman may need a second pair of orthotics (we know how kids are once they leave home for the first time)

• Has a non-symptomatic deformity, such as juvenile Hallux Valgus progressed since the last evaluation?

These are just a few questions that can be asked regarding this subject. A proactive approach regarding the treatment of lower extremity conditions in children, adolescents and young adults may prevent future avoidable pain and suffering.

Dr. Sara Shirazi at Pasadena Orthopedics is ready to grow with you! Please call 626-517-0022 for an evaluation today!

PRP Injection or ''Platelet Rich Plasma Injection" (...the natural alternative to cortisone)

Have you ever heard of Platelet-Rich Plasma therapy? Also known as PRP, doctors have been prescribing these treatments since the 1970s to boost the body’s ability to heal itself. Perhaps a healthcare provider has recently suggested that PRP might be a beneficial approach for one or more of your medical conditions. Historically, PRP has been used to treat:

• Hair loss

• Aging skin

• Muscle strain

• Tennis elbow

• Pain related to arthritis

• Torn tendons

• Arthritis in any joint of the body

• Torn rotator cuff

• Knee pain and not ready for a knee replacement yet?

• Meniscus injuries

• Bunion pain

• Neuromas

• Painful scars

• Scar tissue

• Back pain

• Nerve pain

Do Platelet-Rich Plasma Injections Really Work? Most experts agree that more studies are needed to fully and conclusively determine just how effective PRP treatments are for various ailments. Nonetheless, a wealth of anecdotal evidence suggests that many people experience significant relief from this therapy, and there is a growing body of scientific evidence that demonstrates the effectiveness of PRP. There is often times a spectrum of pain relief from 25% reduction to 100% reduction in pain. What Exactly Is Platelet-Rich Plasma? PRP is created in a laboratory by a skilled technician using the whole blood of a donor, who generally also is the patient. Whole blood is removed from the patient just as it is for any normal lab work. After being placed in a centrifuge, the blood is spun in circles at a high rate of speed. This spinning serves to separate the blood into three components: red blood cells, white blood cells that may be referred to as the “buffy coat” and a third component containing mostly platelets. Platelets also may be present in the buffy coat, and both this component and the third component may be used to make platelet-rich plasma. This method of preparing platelet-rich plasma was FDA approved in 2009. Technicians collect the platelets, which are then injected back into the patient at the site of the injury. This speeds the healing process and may help patients to make a full recovery. Why Is PRP Therapy Sometimes Prescribed? A reasonably wide range of injuries or conditions may be treated or alleviated through the use of PRP. Everything from an injury to the musculoskeletal system to nerve pain may respond favorably to the therapy. It is even possible that PRP may be used for some cosmetic purposes. Here is a closer look at PRP’s many uses. One of the most common uses of PRP therapy is in the world of sports medicine and orthopedic surgery. In fact, many people who suffer an injury may be able to avoid having to undergo surgery if they try PRP treatments first. Doctors have found success using platelet-rich plasma on Achilles tendon ruptures and rotator cuff tears as well as a variety of soft-tissue injuries. Reduced pain and improved function often is experienced by patients who receive PRP therapy for tennis elbow, chronic tendinosis or tendonitis. Why is PRP therapy so frequently chosen in the field of sports medicine and orthopedic surgery? It’s because doctors and patients have realized that such treatments often mitigate the reliance on opioids and anti-inflammatory medications. Side effects are either minimal or non-existent from the treatment because it is manufactured from the patient’s own blood. Basically, the use of PRP simply speeds up the healing process so that the patient can get back to their normal daily routine. PRP treatments also may be valuable for those who are experiencing nerve injuries. This is a relatively new application, with doctors having used PRP since about 2012 to treat peripheral neuropathy, which is a specific nerve injury. PRP treatments help to stimulate blood flow and cell growth right where it is needed. The result is that you gain back valuable range of motion and functionality that you may not have had for years. Is PRP Therapy FDA Approved? We’ve already mentioned that the method of collecting platelet-rich plasma in the lab is FDA approved. It’s vital to understand that the FDA is closely involved in the approval and clearance of all devices that are used to make PRP and the treatments themselves. The vast majority of devices that are used to make platelet-rich plasma in the laboratory are FDA approved. On the other hand, PRP treatments are a different subject. Because platelet-rich plasma is a natural substance that is withdrawn from the patient’s own body and then replaced in the patient, it is not considered a drug under FDA guidelines. Accordingly, FDA approval is not required for these treatments. Nonetheless, the treatments and procedures that are most commonly used in clinical settings have been “cleared” by the FDA, which means that they are legally allowed for use. This also is true where platelet-rich plasma therapies are used to treat sports injuries. Although no formal FDA approval of these treatments has been granted, PRP therapy is widely used around the world for sports-related injuries. In the case of orthopedic surgery, the FDA has approved the use of platelet-rich plasma treatments, and approval is pending for tendonitis. Because platelet-rich plasma is a natural therapy and not a drug, it can be difficult for a government agency that is specifically targeted at approving drugs to make known its stance on the treatment. However, the FDA has given every indication that they see no reason to object to PRP treatments when they are being administered by a healthcare professional. In fact, the devices and methods for creating platelet-rich plasma are approved by the FDA, and many of the treatments have been officially cleared. Many doctors believe insurances will not pay for PRP because of this "excuse" but truly because it is so powerful that it would put insurances out of business! Regenerative Medicine on the Horizon Platelet-rich plasma therapy is just one example of the growing field of regenerative medicine. In fact, in accordance with the 21st Century Cures Act, the FDA has founded a special initiative called Regenerative Medicine Advanced Therapy Designation that will help to advance the cause of PRP therapy and similar treatments in the new century. Should You Try PRP Therapy? Talk to your our specialists today to learn more about platelet-rich plasma therapy. It is possible that you could benefit from one or more PRP treatments if you are suffering from a musculoskeletal or other injury. People with tendonitis, arthritis, nerve damage and other conditions also may benefit, so it is always a good idea to bring up this subject with your care provider. When platelet-rich plasma therapies are administered in a clinical setting by a licensed professional, they are thoroughly safe, and the FDA has either approved or cleared all of these uses. This means that you can rely on your healthcare professional to provide you with PRP treatments that will do you no harm and may actually do you a world of good. The best part is - THERE ARE NO SIDE EFFECTS WITH PRP. Contact us today to learn more about PRP therapy and how it may be the key to getting you moving again and feeling like your old self in no time. 626-517-0022 to schedule your appointment now.