Lacuna method for Fungal Nails

Fungal Nail Treatment (Lacuna Method®)

Clear, healthy nails start here. Fungal nails are extremely common and affect around 15% of people. Although not dangerous, they can be unsightly, embarrassing, and difficult to treat at home. At GPC Foot Clinic, we offer the Lacuna Method® — a safe, painless and highly effective treatment that helps the nail grow out clear and healthy.

🔍 What Does a Fungal Nail Look Like?

Fungal nails can appear:

• Thickened

• Yellow, brown or discoloured

• Crumbly or flaky

• Misshapen

• Sometimes with an odour

Left untreated, the infection can gradually worsen or spread to other nails.

🧪 Do I Need a Fungal Nail Test?

Yes — around 50% of damaged nails are NOT fungal, so testing avoids wasting time and money on the wrong treatment.

You can choose:

• GP laboratory test – nail clipping sent to the lab

• On‑site rapid test at the clinic (£40) – clear, accurate results in 5 minutes

Once a positive result is confirmed, treatment can begin.

💡 What Is the Lacuna Method®?

The Lacuna Method® is a painless, non‑invasive treatment that creates tiny micro‑holes in the nail plate using specially designed micro‑burrs. These holes allow an antifungal agent to reach the infected skin beneath the nail, where the fungus lives.

⭐ Why it works

• The nail itself is dead — so you cannot feel the holes being made

• The antifungal spray spreads under the nail as you walk

• Daily application stops the fungus spreading

• The nail grows out healthy over time

As with all antifungal treatments, results depend on nail growth, which can take up to 18 months.

🩺 What to Expect During Treatment

• Completely painless procedure

• Micro‑holes created in the affected nail(s)

• Antifungal spray applied directly to the nail bed

• You continue daily application at home

• Review appointments every 6 weeks to redrill holes if needed

• A personalised treatment plan will be discussed with you

👩‍⚕️ Who Developed the Lacuna Method®?

The Lacuna Method® was created by Nicola O’Brian, a Podiatrist with over 18 years’ experience in Cosmetic Podiatry, Dermatology and Rheumatology. After treating many patients with fungal nails, she developed a method that was effective, affordable and accessible for private clinics.

💷 Treatment Costs

Initial Assessment – £48

Includes full medical history, nail trimming/reduction and clinical examination.

(All patients start here.)

Fungal Nail Test – £40

On‑site rapid test with clear results in 5 minutes.

Recommended because 50% of damaged nails are not fungal.

Lacuna Method® Treatment Plans 

6‑Month Treatment Plan – £200  

Includes 4 treatment sessions, review appointments and redrilling as required.

• Ideal for moderate to severe infections.

Single Lacuna Appointment – £65  

• Suitable for mild cases or maintenance.

Other options may include:

• Amorolfine lacquer (for mild cases affecting 1–2 nails)

• Terbinafine tablets via GP (requires liver function blood test)

• Surgical nail removal under local anaesthetic

• Nail‑softening creams

• Leave alone and have nails reduced

🧼 Preventing Re‑Infection

To improve results, it’s important to treat:

• Skin

• Socks

• Shoes

This helps prevent the fungus returning and supports healthy nail regrowth.

⭐ Ready to Treat Your Fungal Nails?

Healthy, clear nails start with the right treatment plan. Whether you’re dealing with long‑term fungal infection, thickened nails, or changes you’re unsure about, we’re here to help.

Book your fungal nail consultation today

✔ Professional assessment

✔ Clear diagnosis

✔ Personalised treatment plan

✔ Friendly, expert care

Take the first step towards healthier nails.  

Book online now or call the clinic — we’re happy to help.