Advanced Treatments

There is rarely a “one absolute” form of treatment for every foot and ankle condition. Different forms of treatment will have different rates of effectiveness depending on the patient, the severity of the condition, and other factors. That’s why listening to a patient and providing a thorough evaluation are so important!

The more options of treatment we can provide, however, the better equipped we can be to provide the best care for all our patients. That is why we are proud to provide advanced treatment options at our offices.

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Lunula Laser Treatment for Toenail Fungus

When a fungal infection invades a toenail, it can take a considerable amount of time and effort to eliminate for good. The longer an infection has gone without treatment, the more opportunity it has had to take up residence in the nail and build up a fortress of thick, crumbling nail around it.

Lunula laser treatment can be a considerable option for fighting toenail fungus because it can penetrate nail tissue and hit the fungus directly.

Topical creams, in comparison, often require filing the nail down to reach the area better, and even then it can still be a challenge. Oral medications can reach the fungus “from the inside out,” but can come with side effects that do not make it a suitable treatment for all patients.

Lunula treatment sessions use very low wavelengths and frequencies of laser, making them effective without causing discomfort, burning, or pain. Nearly 90 percent of fungal nail patients respond to a series of treatments, with each session taking about 20 minutes and not requiring any downtime whatsoever.

Even if this treatment is effective, every treatment for fungal nails still requires time to eradicate the fungus and to have new nail grow out and replace the old battlefield that has been left behind. We still highly recommend starting treatment as soon as possible if you want clearer nails for an upcoming event.


Laser therapy is not just for fungal nails. A different form of laser therapy can be used to treat pain and aid in recovery.

Multiwave Locked System (MLS) laser therapy works by stimulating the body’s own natural abilities using light energy. It is often recommended for soft tissue injuries and pain, such as Achilles tendinitis and heel pain associated with plantar fasciitis.

By stimulating an area of pain, MLS laser therapy can:

  • Increase blood flow to the area, and even encourage the formation of new tiny blood vessels. This provides additional oxygen and nutrients to cells in need, and can also help carry out excess fluid to reduce swelling.
  • Cause an acceleration or re-ignition of recovery processes in damaged cells, reducing overall recovery time.

MLS laser therapy is conducted over a series of sessions, each tending to take less than 30 minutes. Many patients report feeling effects directly after the first session, while most report increasingly stacking positive results with each successive treatment.

Digital X-Ray on Premises

Digital radiography is a form of X-ray imaging, where digital X-ray sensors are used instead of traditional photographic film. Advantages include time efficiency through bypassing chemical processing and the ability to digitally transfer and enhance images. Images can be seen and interpreted instantly to obtain a diagnosis readily.

Shockwave Therapy Treatments (EPAT)

Shock wave therapy is a noninvasive method that uses pressure waves to treat various musculoskeletal conditions. High-energy acoustic waves (shock waves) deliver a mechanical force to the body’s tissues. In particular, conditions like plantar fasciitis and achilles tendinitis, it is a great treatment option before surgical intervention is considered.

Diagnostic Ultrasound

This device is a diagnostic tool used to make a live image of the structures beneath the skin. Ultrasound can play an important role in examining soft tissue structures such as ligaments or tendons, which cannot be visualized on a standard x-ray. The results are immediate and the examination poses no risk to the patient.

Keryflex™ Cosmetic Nail Treatments

  • A safe, quick, in-office application that restores the appearance of natural nails affected by fungus, nail dystrophies and trauma.
  • The patented resin gel is insoluble to water and seals the prepared nail bed, making it more resistant to recurrent infections and creates a flexible nail that allows the remaining natural nails to grow.
  • Provides an immediate cosmetic solution to those suffering with toenail infections or malformations.
  • Allows patients to use antimicrobial solutions to treat fungal infection, while providing cosmetically pleasing nails during oral, topical or laser anti-fungal therapy.


Radiofrequency ablation is a minimally invasive procedure that is usually performed with local anesthetic and mild sedation.

Radiofrequency ablation is best performed under fluoroscopy (live x-ray) for guidance in properly targeting and placing the needle (and for avoiding nerve or other injury).

The Best Treatments for Your Needs

At Associates in Podiatry, we seek the optimal course of treatment for each of our patients. An advanced treatment might be a consideration, but it also might not. If a traditional treatment will provide the optimal results, we will recommend it in addition to or instead of other treatments!

If foot or ankle problems are bothering you, do not hesitate to give us a call and schedule an appointment. Reach our Princeton office at (609) 924-8333 or our Roselle Park office at (908) 687-5757.

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