Quantitative Evaluation of the Clinical Evolution of Traumatic Onycholysis after Laser Treatment

Nail disorders are the most frequent reason for visits to the podiatry clinic. Although they are not a severe health problem, these types of pathologies have a psychosocial impact on patients, affecting their self-esteem and leading to social and professional self-isolation that can cause anxiety an...

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Main Authors: Felix Marcos-Tejedor, Raquel Mayordomo, Ana María Pérez Pico, Pablo A. Cantero-Garlito, María José Iglesias-Sánchez
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/11/15/6817
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author Felix Marcos-Tejedor
Raquel Mayordomo
Ana María Pérez Pico
Pablo A. Cantero-Garlito
María José Iglesias-Sánchez
author_facet Felix Marcos-Tejedor
Raquel Mayordomo
Ana María Pérez Pico
Pablo A. Cantero-Garlito
María José Iglesias-Sánchez
author_sort Felix Marcos-Tejedor
collection DOAJ
description Nail disorders are the most frequent reason for visits to the podiatry clinic. Although they are not a severe health problem, these types of pathologies have a psychosocial impact on patients, affecting their self-esteem and leading to social and professional self-isolation that can cause anxiety and depression. Laser therapy is considered a potential treatment for nail disorders because it is a fast, easily applied treatment that avoids interaction with medication. However, the literature includes no definitive studies with scientific evidence about the efficacy of laser treatment in traumatic onycholysis, the most frequent clinical sign of nail disorders. Objective: We carried out an objective and quantitative study of the efficacy of laser in treating traumatic onycholysis to provide a new, non-invasive treatment for this pathology, and describe an objective method for its clinical evaluation and evolution. Methods: A strictly repetitive protocol of Nd:YAG 1064 nm laser (PinPointe FootLaser™, Spain) was applied to nails with idiopathic disorders, following the manufacturer’s instructions. The clinical evolution of nail dystrophy was quantitatively evaluated using the affected percentage of the longitudinal axis of the nail. Results: A significant improvement was obtained in nail appearance (dystrophy) in 100% of cases (<i>p</i> < 0.006) after treatment with Nd:YAG 1064 nm laser. Conclusion: Treating traumatic onycholysis with Nd:YAG 1064 nm laser can be a good alternative to conventional pharmacological treatments.
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spelling doaj.art-b7a6d5e88d144b468321b0fb398c7a8a2023-11-22T05:20:04ZengMDPI AGApplied Sciences2076-34172021-07-011115681710.3390/app11156817Quantitative Evaluation of the Clinical Evolution of Traumatic Onycholysis after Laser TreatmentFelix Marcos-Tejedor0Raquel Mayordomo1Ana María Pérez Pico2Pablo A. Cantero-Garlito3María José Iglesias-Sánchez4Department of Nursing, University Center of Plasencia, University of Extremadura, 10600 Plascencia, SpainDepartment of Anatomy and Human Embryology, University Center of Plasencia, University of Extremadura, 10600 Plasencia, SpainDepartment of Nursing, University Center of Plasencia, University of Extremadura, 10600 Plascencia, SpainDepartment of Nursing, Physiotherapy and Occupational Therapy, Faculty of Health Sciences, University of Castilla-La Mancha, 45600 Talavera de la Reina, SpainDepartment of Medical and Surgical Therapy, University Center of Plasencia, University of Extremadura, 10600 Plasencia, SpainNail disorders are the most frequent reason for visits to the podiatry clinic. Although they are not a severe health problem, these types of pathologies have a psychosocial impact on patients, affecting their self-esteem and leading to social and professional self-isolation that can cause anxiety and depression. Laser therapy is considered a potential treatment for nail disorders because it is a fast, easily applied treatment that avoids interaction with medication. However, the literature includes no definitive studies with scientific evidence about the efficacy of laser treatment in traumatic onycholysis, the most frequent clinical sign of nail disorders. Objective: We carried out an objective and quantitative study of the efficacy of laser in treating traumatic onycholysis to provide a new, non-invasive treatment for this pathology, and describe an objective method for its clinical evaluation and evolution. Methods: A strictly repetitive protocol of Nd:YAG 1064 nm laser (PinPointe FootLaser™, Spain) was applied to nails with idiopathic disorders, following the manufacturer’s instructions. The clinical evolution of nail dystrophy was quantitatively evaluated using the affected percentage of the longitudinal axis of the nail. Results: A significant improvement was obtained in nail appearance (dystrophy) in 100% of cases (<i>p</i> < 0.006) after treatment with Nd:YAG 1064 nm laser. Conclusion: Treating traumatic onycholysis with Nd:YAG 1064 nm laser can be a good alternative to conventional pharmacological treatments.https://www.mdpi.com/2076-3417/11/15/6817nail disordersonycholysislasertreatmentclinical evaluation
spellingShingle Felix Marcos-Tejedor
Raquel Mayordomo
Ana María Pérez Pico
Pablo A. Cantero-Garlito
María José Iglesias-Sánchez
Quantitative Evaluation of the Clinical Evolution of Traumatic Onycholysis after Laser Treatment
Applied Sciences
nail disorders
onycholysis
laser
treatment
clinical evaluation
title Quantitative Evaluation of the Clinical Evolution of Traumatic Onycholysis after Laser Treatment
title_full Quantitative Evaluation of the Clinical Evolution of Traumatic Onycholysis after Laser Treatment
title_fullStr Quantitative Evaluation of the Clinical Evolution of Traumatic Onycholysis after Laser Treatment
title_full_unstemmed Quantitative Evaluation of the Clinical Evolution of Traumatic Onycholysis after Laser Treatment
title_short Quantitative Evaluation of the Clinical Evolution of Traumatic Onycholysis after Laser Treatment
title_sort quantitative evaluation of the clinical evolution of traumatic onycholysis after laser treatment
topic nail disorders
onycholysis
laser
treatment
clinical evaluation
url https://www.mdpi.com/2076-3417/11/15/6817
work_keys_str_mv AT felixmarcostejedor quantitativeevaluationoftheclinicalevolutionoftraumaticonycholysisafterlasertreatment
AT raquelmayordomo quantitativeevaluationoftheclinicalevolutionoftraumaticonycholysisafterlasertreatment
AT anamariaperezpico quantitativeevaluationoftheclinicalevolutionoftraumaticonycholysisafterlasertreatment
AT pabloacanterogarlito quantitativeevaluationoftheclinicalevolutionoftraumaticonycholysisafterlasertreatment
AT mariajoseiglesiassanchez quantitativeevaluationoftheclinicalevolutionoftraumaticonycholysisafterlasertreatment