Laser Treatment

Q-Clear Laser Treatment for Fungal Nail Infections

Innovative New Laser Treatment for Pain

Q-Clear Laser

No need to hide your toes!
Lasers work amazingly well on unsightly nails.

Q-Clear Laser System is FDA-indicated for clearing nail in patients with onychomycosis.   It will eliminate onychomycosis (Fungal Infection of the Nails) caused by various organisms (e.g. dermatophytes Trichophyton rubrum, Trichophyton mentagrophytes, and/or yeast Candida albicans, etc.).

Fungal Nail InfectionThe laser light effectively eliminates unsightly, thick, yellow-colored and ugly nails; the laser light passes through the toenail without causing damage to the nail or surrounding skin. At the time of the procedure, the infection is eliminated through the infrared laser light, promoting new collagen formation and revitalizing your nail as it grows out.

Tuscany Podiatry offers consultation for laser treatment consideration.  A pathology specimen will be taken to confirm the presence of onychomycosis (fungal nails) on your visit.

We generally receive pathology results within one week of your initial visit. You will then return to discuss the findings of your pathology results and should the results confirm onychomycosis, you can schedule to receive your first treatment with the laser on that same day.

What to Expect?
Your toenails will be cleaned prior to laser treatment.  As each toe is treated with the laser you will feel a mild, warming sensation.  The laser treatment will take under 10 minutes and there is no discomfort after the treatment.  You will notice results within 2-4 months, depending on how quickly your toenails will grow. New, clear growth begins to appear at the bottom portion of your nail as the diseased portion of the nail grows out. You can immediately return to your normal activities after your laser toenail treatment.

Before and After Nail Treatment #1.


For more video demonstrating the Q-Clear Laser Treatment for Fungal Nail Infections, please watch the video below:


Diowave 30 W Therapy
As a breakthrough treatment in pain management, laser therapy is clinically proven as a painless, safe and powerful laser therapy for pain relief. By employing specific wavelengths of light, the laser results in a strong anti-inflammatory, anti-edema effect on tissues. As a result the cells of tendons, ligaments and muscles repair themselves faster. Inflammation is reduced and pain subsides very quickly. Over 90 percent of patients experience positive results. We use the Nexus 10W a class 4 IR laser.

The Nexus 10W is a Class 4 laser to treat common injuries such as pain, tendonitis, bursitis or repetitive strain injuries. It’s designed around the 980nm wavelength with maximum adjustable power of up to 10 watts and pulse repetition rates of up to 1000Hz for optimum healing operation.

How Does Laser Therapy Work?
The Nexus 10 is a therapeutic laser and works on the principle of biostimulation. Biostimulation accelerates the body’s innate ability to heal itself through the mitochondrial production of ATP. Depending on the performance of the laser, biostimulation can reduce pain and inflammation fast! Very fast! The Nexus 10W can greatly reduce pain and inflammation in the affected tissue that you can feel in as little as one 12-minute session.

Physical medicine practitioners marvel at the laser’s ability to heal inflamed tissue right before their eyes. The nexus 10W laser is effective in treating heel pain caused by plantar fasciitis, Achilles tendonitis, arthritis, joint pain, edema, bursitis, neuropathy and non-healing wounds. Recovery from sports injuries including sprains, strains and muscle tears can be greatly expedited. The effects of laser therapy are cumulative; therefore, a series of treatments are prescribed depending on the condition type and severity.

The average treatment plan ranges from three to nine sessions. Chronic conditions can be controlled with ongoing, regular treatments. Acute conditions usually subside quickly with results often noticed after the first treatment. Each treatment is painless and takes approximately 10-15 minutes. Successive treatments are scheduled as needed. No special preparations are required.

Diowave Laser Therapy
Acute and Chronic Pain Management and Advanced Therapeutic Healing, through the application of DIOWAVE™ LASER Therapy Protocols
DIOWAVE Laser Therapy provides a safe, FDA approved, non-invasive and effective treatment for pain management using a therapeutic laser.  The concentrated application of light energy penetrates into the injured area, promoting the body’s natural ability to heal.
DIOWAVE Laser Therapy is a therapeutic medical treatment that utilizes light of a single coherent wavelength (laser). Light energy for therapeutic use has been well documented and is a generally accepted alternative treatment modality for the relief of pain and promotion of tissue repair.  The application of light energy to injured tissues promotes a therapeutic elevation of tissue temperature to safely increase local blood flow, lymphatic drainage and circulation to the treated area. In addition to these therapeutic thermal effects, DIOWAVE Laser Therapy acts to produce non-thermal, photochemical reactions in the treated tissue. These photochemical reactions appear to have additional therapeutic effects.
DIOWAVE Laser Therapy transfers energy in the form of electrons from a light source to the microstructure of the cell, which is then able to use that energy to facilitate the operation of various cell functions.  Damaged, injured cells have lost the ability to produce energy required for cellular repair.  DIOWAVE Laser Therapy produces millions of electrons per second in such a fashion that they can immediately be used by the cellular systems to facilitate cellular reproduction and repair that subsequently reduces pain. Laboratory studies to date suggest that the use of specific wave length monochromatic light stimulates collagen production, accelerates DNA synthesis, and improves the function of normal and damaged tissue.
The FDA originally approved laser treatment in 2001 as a safe method for reducing back, neck, and joint pain caused by various conditions, including: arthritis, osteoarthritis, neuropathy, Parkinson’s disease, injuries, and other causative factors.   Therapeutic laser treatment using Class III lasers was approved, and the more powerful DIOWAVE Class IV laser treatment is now the most advanced modality used to treat both chronic and acute pain caused by these various causal factors.
Class III Laser vs. Class IV Laser
Primary difference between Class 3 and Class 4 therapy lasers: POWER

  • Class III is maxed at 500mW (milliWatts) of power from one laser beam
  • DIOWAVE is cleared by the FDA for up to 10W (Watts) or 10,000mW (milliWatts) power from one laser beam

DIOWAVE laser therapy reduces inflammation, increases blood flow by up to 500%, and alleviates pain of the spine, joints, muscles, and nerves caused by various factors. This is achieved by stimulating rapid healing of the soft tissue.
Therapeutic lasers penetrate the skin tissue with photonic light energy (photobiostimulation), which reaches to the deep tissues and activates the enzymes and metabolic functions of the cells of the target area. The energy stimulates proper cell functioning and speeds up the healing process, thereby reducing pain and inflammation.
The benefits of DIOWAVE laser treatment for pain and inflammation include rapid healing of the joints, muscles, and nerve tissues, strengthening of the treated soft tissue, improved blood flow to the affected areas, pain relief, reduced inflammation and an improved immune response. These benefits are usually realized at the time of initial therapeutic treatment, and improve with each subsequent treatment.
What benefits are provided to the patient through high power laser therapy?
•Injuries treated with laser therapy heal faster
• Strengthening effect on tissue and bone repair
• Improved blood flow and lymphatic drainage
• Effective means of relief of many pain syndromes
• Improved immune response
What health Problems have researchers found to be improved by laser therapy?
• Soft Tissue Injuries
• Bone injuries
• Tedinopathies
• Back and Neck Pain
• Carpal Tunnel Syndrome
• Myofascial Trigger Points
• Epicondylitis (Tennis Elbow)
• Sprains, Strains
• Repetitive Stress Injuries
• Planter Fasciitis
• Neurogenic Pain
• Post-traumatic Injury
• Fibromyalgia
• Trigeminal Neuralgia
• Degenerative Joint Conditions
• Rheumatoid Arthritis
• Osteoarthritis
What advantages does laser therapy have over other forms of treatment?
Laser Therapy does not require the use of drugs or surgery and there are less side effects or risks than other forms of treatment. Depending on the injury, results can often be noticed within the first or second treatment. In addition, it can often achieve results faster than other treatment modalities.
Is Heat Used in Laser Therapy?
The effectiveness of Laser Therapy is not dependent on a thermal effect. The healing energy is delivered to the tissues directly and not through heat. A heat sensation is an indirect effect due to increase in circulation to the treated area.
How are Laser Therapy Treatments Administered?
Treatments can be administered:

  • Direct on acupuncture points
  • Trigger points
  • Directly over injury or lesion
  • Over nerve trunks

Clinical Studies and Trials of DIOWAVE Laser Therapy have shown the following benefits on tissue and cells:
Pain Relief
Laser Therapy has a beneficial effect on nerve cells by blocking the pain transmitted by the cells to the brain, which decreases nerve sensitivity and reduces the perception of pain. This results in decreased inflammation and reduced level of edema. Pain is also decreased due to the production and release of endorphins and enkephalins, which are natural pain-relieving chemicals released from the brain and adrenal gland.
Improved Nerve Function
Laser therapy speeds up the process of nerve reconnection, often eliminating pain, tingling and burning.
Accelerated nerve growth and cell repair
Photonic Laser Light penetrates deep within the tissue to accelerate cell reproduction and growth. Laser Light increases energy to the cell, which helps aid nutrient absorption and waste removal. The result is accelerated healing of muscles, tendons, ligaments, and even bone.
Enhanced Immune Function
Photons of laser light are directly absorbed by chromophores (molecular enzymes within cells) that are embedded within most cells of the body. This laser light absorption activates a specific enzymatic process that triggers the production of ATP (adenosine tri-phosphate) ATP is the single most important form of energy that powers ALL chemical reactions within ALL cells of the body. Higher energy production leads to faster and more efficient function – especially true of immune-specific cells that are exposed to Laser Therapy. This improved efficiency aids the immune system in fighting off undesirable microbes and pathogens.
Reduced Edema and Inflammation
Laser therapy reduces edema, inflammation and congestion by activating vasodilatation that promotes proper lymphatic drainage.
Faster Healing and Reduction of Scar Tissue Formation
Laser therapy increases blood flow to injuries, which increase the rate of healing and reduces scar tissue. Laser therapy has proven effective in treating burns, wounds, and surgery sites.
Acupuncture Point Stimulation
Laser Therapy is an effective alternative to traditional acupuncture treatment. Laser Therapy stimulates acupuncture and muscle trigger points providing musculoskeletal pain relief and better flow of blood flow (sometimes referred to as CHI.
The Noninvasive, Drug Free Answer to Pain
Deep Tissue Laser Therapy is an innovative, scientifically based, therapeutic modality. This new technology, offers advanced pain relief and expedited healing times through a process known as photobiostimulation.
The DIOWAVE laser delivers deep, penetrating, photonic energy to bring about profound physiological changes. ATP (Adenosine-triphosphate) production is increased, inflammation and pain reduced and circulation increased at the site of injury. These changes in cellular chemistry are triggered by the laser, making it a true healing modality (in other words, it not only penetrates deep into where the pain is and eliminates it, but it also heals the tissues so that you aren’t just masking the pain, but ending it once and for all).
Deep Tissue Laser Therapy does not require the use of drugs or surgery, and no known side effects or risks exist, that may occur with other forms of treatment. In addition, it can often achieve results faster than other treatment modalities. During the treatment, the patient will feel deep, soothing warmth. This pleasant sensation reassures the patient that the laser is stimulating cellular activity.
Deep Tissue Laser Therapy provides all of the benefits of Cryotherapy (Ice) without the uncomfortable side effects, but instead has all of the benefits of Heat Therapy without the problems of increased inflammation that heat creates; the end-result is that the patient feels good during and especially after treatment.

What type of medical conditions respond to DIOWAVE high power deep tissue laser therapy? New and advanced applications of highly developed treatment protocols utilizing the DIOWAVE laser are being discovered daily, and include those conditions listed below:
• Musculoskeletal Pain
• Soft Tissue Injuries
• Migraine Headaches
• Back Pain & Spinal Conditions
• Myofascial Trigger Points
• Epicondylitis (Tennis Elbow)
• Carpal Tunnel Syndrome
• Neuropathic Pain
• Parkinson’s Disease
• Bell’s Palsy
• Plantar Fasciitis
• Sports Injuries
• Sprains, Strains, & Breaks
• Knee Pain
• Hamstring Tears
• Arthritic Pain
• Many other conditions not listed here
How Does Laser Therapy Work?
The effects of Laser light energy have been well documented over the last 25 years. Laser energy affects the body by accelerating the healing process of damaged tissues, non-invasively and without side effects. The problem over the years has been that because of the limited power output of therapeutic lasers, the results on major pain conditions like herniated discs, spinal stenosis, sciatica, back and neck pain, arthritis and neuropathy where minimal at best. With the higher output power of the DIOWAVE laser, this problem has been resolved.
What Does Treatment Feel Like and When Can a Patient Expect to Experience Results?
Patients typically describe the feeling of warmth and profound relaxation. You can expect to begin to see results in approximately 3-5 treatments. Treatment sessions can range from 10-20 minutes. The majority of pain conditions are resolved in 5-10 treatments. The results are most often permanent. Neuropathy treatment is typically 15-20 treatments and is typically long term if not permanent. 
What can a Patient do to Prevent the Pain from Returning? 
Although laser technology is highly effective, without correcting existing underlying biomechanical causes, pain will return. Many pain conditions from the back down to the feet can permanently be corrected when the biomechanical issues exacerbating the problem are dealt with. The doctors will correct these problems by doing a combination of computerized gait analysis and expert clinical evaluation to build the patient custom orthotics inserts which are worn inside of your dress or athletic shoe. Once orthotics are in place, the healing effects of laser become more permanent.

Do safety risks exist that are associated with DIOWAVE laser therapy? 
The DIOWAVE high power laser is extremely safe; however, it is not used over the eyes due to the sensitivity of the retina, therefore, all patients wear protective safety glasses during the treatment.
Is there any pain or side effects associated with DIOWAVE laser therapy? 
The DIOWAVE high power laser is painless and has no side effects. It is completely safe. During treatment, the patient experiences a gentle warming effect, and most times a profound feeling of relaxation. 
Laser Therapy Benefits
Soriano et al, Laser Therapy, 1996 (8) pp 149-154

After treatment, there was an improvement of 71%. Only 43% continued to have loss of protective sensation. Light treatment associated with a reduced incidence of diabetic foot wounds and amputations
J Am Podiatr Med Assoc. 2005 Mar-Apr; 95 (2)

Laser can regenerate nerve tissue.
Peric Z, Srp Arh Celok Lek 2007 May-Jun; 135 (5-6): 257-63

Laser improves osteoblastic formation, bone strength in fractures, implant stability, and can improve osteonecrosis of the jaw.
Lasers Med Sci. 2010 Jul; 25(4): 559-69). Photomed Laser Surg. 2010 Jun; 28(3): 365-9 Lasers Surg Med 2009 Apr;41(4):298-304
J Orthop Surg Res. 2010 Jan 4;5(1):1

LLL better than splinting
Clinical Rheumatology (2009 Sep;28 (9):1059-65

Laser therapy significantly enhanced the stiffness of the cartilage after approximately 8 weeks of treatment. Laser therapy has ability to regenerate damaged cartilage.


Laser increases strength of muscles during exercise
Lasers Med Sci. 2010 Nov 18

A significant improvement in laser therapy compared to the control group. The treatment group experienced significantly less pain and significantly improved disability scores. Range of motion in the treatment group was better than placebo.
Photomed Laser Surg. 2008 Mar 16.
Contolled trial showed regeneraton of sciatic nerve and myelination in rat.
Rochkind. Photomed & Laser Surg. 2007, 25(3): 137-143.

Improves oxygen production, promoting cellular survival, Increased Cytochrome c oxidase – terminal enzyme of the electron transport chain and a strong photacceptor and other mitochondral enzymes
J Photochem Photobiol B. 2006 Nov 17

Acute tendinitis had the best response
Logdberg-Anersson et al, Laser Therapy 1997 (9) pp 79-86


Kemmotsu. Laser Therapy 1997 (9) pp 5-6

Statistically significant difference to pain relief with reduced consumption of analgesics in 60% of pts whose treatment was successful was maintained at 1 year follow up
Eckerdal & Bastian Laser Therapy 1996 (8) pp 247-52

Treatment affects degenerative changes in tendon matrix/collagen production and inflammation.  The mean effect over placebo was 32%. Optimal treatment intervals: daily or every other day for 2-4 weeks
Bjordal et al, Physical Therapy Reviews 2001

Applied directly to AP of porcine subjects; 6% of photons reached cord and increased CGRP/mRNA
Kimberly Byrnes, PhD, NAALT, 2003/2004

Desensitizes C-fibers
INCREASED: Conduction latency, Schwann cell product, Nerve cell metabolism, Nerve process sprouting
DECREASED: Neural scarring and nerve microtubules, Retrograde posttraumatic degeneration, Multiple nerve discharge
Rochkind S, Photomed Laser Surg. 2006 Jun;24 (2):121-128

Laser as effective as NSAIDs
Bjordahl J, Photomed Laser Surg. 2006 Jun; 24 (2):158-168


Laser applied to acupoints lowered blood pressure
J of Chiro Med, 2008 Dec; 7 (4):134-9

A 25 year follow up showed no increase in mortality when cancer patients were treated with low level lasers
Vopr Kurortol Fizioter Lech Fiz Kult. 2009 Nov-Dec; (6):49-52

Decreased of pain and anti-inflammatory effects; Confirmed by thermographic examination.
Photomed Laser Surg. 2006 Aug;24 (4):522-7

Animal study; 810-nm laser was almost as good as cortisone at reducing swelling. Higher doses showed most benefit.  Laser therapy reduced joint swelling and correlated with decreased serum prostaglandins
Castano AP, Lasers Surg Med 2007 Jul;39(6):543-50


Animal study; laser treatment provided a much greater increase in the wound strength than ultrasound.
J Rehab Res & Dev, Volume 41 Number 5, September/October 2004

LIPUS enhanced bone repair by promoting bone resorption; LASER THERAPY accelerated this process through bone formation.
Photomed Laser Surg. 2006 Dec; 24 (6):735-40

Laser applied to skull improves brain following stroke
Curr Cardiol Rep. 2010 Jan; 12 (1):29-33

LLL applied to skull decreased depression and anxiety.
Behavioral and Brain Functions, 2009, 5:46, 8 December 2009

INCREASES: cell proliferation, cell division, cell maturation, secretion of growth factors, wound healing, collagen production, wound strength, wound closer, fibroblasts, myofibroblasts, chondrocytes, epithelialization, skin circulation, oxygen supply, activity satellite cell cultures (stem cells)
DECREASES: Prostaglandin E2, substance P, cyclooxygenase 2 (Cox 2), muscle tension
J Clin Las Med Surg 2004; 22 (2) 141-150

Laser improves the function of the thyroid based on lab values with chronic autoimmune thyroiditis.
Lasers Surg Med. 2010 Aug;42 (6):589-96


INCREASES: mitochondria and ATP production, cytochrome oxiase and singlet oxygen, tissue regeneration genes and motor proteins, RNA DNA synthesis, growth factors, cell metabolism, angiogenesis, and mitosis
Desmet K, et al. Photomed Laser Surg. 2006 Jun; 24 (2):121-128

Laser plus cortisone more effective than cortisone by itself
Photomed Laser Surg. 2010 Oct;28 (5):639-46

Laser doubles the rate of muscle regeneration in ischemia reperfusion injuries. Laser reduced scar tissue post MI by 70%; Dramatic stimulation of satellite and stem cells. Increased Heat Shock Prot and anti-oxidants
Oron U. Photomed Las Surg. 2006; 24 (2):111-120

Laser creates an increase in Osteoblasts & Calcium
Pinheiro L, Photomed Laser Surg. 2006 Jun;24 (2):169-171

Prostaglandin E2 concentrations were significantly reduced. Pressure pain threshold had increased significantly and reduced inflammation and pain
Br J Sports Med. 2006 Jan;40 (1):76-80; discussion 76-80.

LLL improves nerve function with Parkinson’s
Molecular Degen 2009 Jun 17;4:26

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Contact Information

Tuscany Podiatry, P.C.
215 Hargrove Road E.
Tuscaloosa, AL 35401

Toll-Free: 1-866-902-3668
Phone: 205-758-8809
Fax: 205-758-8870


Hours of Operation:
Monday - Thursday:
8:00 a.m. – 5:00 p.m.

8:00 a.m. – 12:00 p.m.

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