Once the nails have been drilled, the nails are then treated with Terbinifine. An anti-fungal spray. This anti-fungal spray is then able to directly access the infected nail bed which is the source of the infection via the drilled micro-holes.
Nail fenestration is a technique that works by drilling tiny micro holes into the infected nail plate through to the nail bed. (the skin under the nail).
Daily application of the anti-fungal spray to the nail will then be required to allow the infection in the nail bed to clear as the nail grows out.
Although most people find the procedure painless occasionally patients can experience a short lasting discomfort.
There is sometimes bleeding from beneath the nail where the holes are made. This is to be expected and a dressing will be applied if required.
There may be a stinging sensation on initial application of the anti-fungal agent.
This is not a “quick-fix” treatment and you will need to commit to applying the spray daily for at least 6 months.
You should return to have the nails cut back and have existing holes re-drilled and further holes drilled (if necessary) as the nail grows, approximately every 6 weeks.
Any fungal infection of the skin should also be treated.
No nail varnish should be worn for the duration of the treatment .
PLEASE NOTE: Lamisil spray (Terbinifine) is a treatment for fungal infections of the skin not the nail. Using it for the nail is considered as “off-license”. However, there have been several clinical trials using Lamisil and nail fenestration with good results