Not only do they look unsightly but they can also spread infection to the skin of the feet so treatment is recommended.

The initial treatment involves the reduction of the discoloured, thickened mass of infected nail tissue painlessly using a scalpel and a drill.

Depending on the severity of the infection we recommend the following treatment options:

Our treatment of Choice is the Lacuna method, pain free, effective and risk free.

The lacuna method involves thinning of the infected nail followed by the drilling of tiny holes into the nail plate. This allows our chosen anti- fungal preparation (Terbinafine) to penetrate to the source of the infection. This hugely increases the chance of clearance of the nail infection. The nail should be sprayed at home daily for up to 6 months. We suggest returning to the clinic after 1-2 months for a review. This method is safe and is proving to be very successful.

Other options when Lacuna is not suitable include:

  1. Oral Terbinafine – An oral medication that is prescribed by your G.P. The tablets are taken for 3-6 months and carry a high clearance rate though some users can notice side effects.
  2. Nail removal -If the whole nail plate is infected, thick and damaged it is often best to remove the nail plate and treat the underlying nail bed with antifungal spray as the new nail plate grows in. This procedure is done under a local anaesthetic and produces good results.
  3. If you are simply looking for a quick fix aesthetically we offer a brilliant new treatment called ‘Nail reconstruction’. This involves the thinning of the nail and the application of several layer of product. The result leaves the nail looking like new. It is not a treatment for the fungus but If you require the nails to look great for a holiday or special occasion it can be a great help.

Our Staff


Scott Shand BSc Pod

Director and head Podiatrist

Scott specialises in the treatment of foot and ankle pathologies using a combination of manual therapy, shockwave and laser therapy and custom designed and fabricated orthotics. Scott is Director and chief Designer at Epione Orthotics.


Pamela and Sandra are our front of house team. They are always on hand to answer your questions and queries in a friendly and professional manner.




Absolutely top-notch service. A friendlier place you will not find! Everyone is so pleasant, patient, they really listen to you and address your concerns like the true professionals they are. They are knowledgeable and the results were fantastic. Highly recommend The Shand Practice.


“Central location with on street parking outside. Great service and flexible appointments. I have been to the practice for various injuries and pains such as ‘shin splints’ and plantar plate issues. Treatment included; massage, acupuncture, review on how I was running (treadmill) and I was also given exercises to do at home and lots information and tips to stop the problem reoccurring. I would like to thank Scott as it never has! A family run business who care about their clients and the results.”



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