Medically reviewed by Dr. Tom Biernacki, DPM
Ready to book laser treatment? See our laser toenail fungus treatment service page for what’s included, whether you’re a candidate, and same-week appointments at our Howell and Bloomfield Township offices.
Board-certified podiatric surgeon | Balance Foot & Ankle
Last reviewed: May 2026
In-office laser is FDA-cleared for toenail fungus — here is who is a candidate and what it costs.
You are in the right place. Dr. Tom Biernacki, DPM, FACFAS — board-certified foot & ankle surgeon with 3,000+ surgeries — explains exactly what toenail fungus laser treatment means and what works. Book online or call (810) 206-1402 for same-day appointment at Howell or Bloomfield Township.
Quick answer:Laser toenail-fungus treatment uses focused light to kill the fungus in the nail bed without medication side effects. At our Bloomfield Township office, our podiatrists use it for stubborn or recurring infections, often alongside topical care, to help a clear, healthy nail regrow. Book online or call (810) 206-1402.
In This Article
Laser works best on nails confirmed as fungal. Getting the diagnosis right first is what decides whether it is worth doing. Book a real opening at our Bloomfield Township office online — the scheduler is open 24/7, or call (810) 206-1402.
Related Conditions
Quick Answer
Toenail Fungus Laser Treatment in Bloomfield Township, MI &mdas relates to toenail conditions — typically caused by fungal infection or trauma. Most patients improve in 6-12 months for nail regrowth with conservative care. Same-week appointments in Howell + Bloomfield Township: (810) 206-1402.
Toenail Fungus Laser Treatment in Bloomfield Township, MI — Oakland County’s Best
Advanced Nail Fungus Treatment in the Heart of Oakland County
Balance Foot & Ankle Specialists at 43494 Woodward Ave, Suite 208 in Bloomfield Township offers current-generation toenail fungus laser treatment for patients throughout Oakland County. No pills. No liver tests. No downtime. Just clear nails. Call (810) 206-1402.
Our Bloomfield Township location serves patients from Birmingham, Troy, West Bloomfield, Farmington Hills, Southfield, Royal Oak, Rochester Hills, Auburn Hills, and all surrounding Oakland County communities. Our laser nail treatment is ideal for busy professionals, active adults, and seniors who want effective treatment without systemic medication.
Why Oakland County Patients Choose Laser Over Pills
Many of our Bloomfield Township patients are on multiple medications for conditions like high blood pressure, high cholesterol, or diabetes. Oral terbinafine (Lamisil) interacts with statins, blood thinners, and other common medications — making pills a complicated option. Our laser is completely non-systemic: it works locally on the nail without affecting the rest of the body. No drug interactions. No liver monitoring. Safe for virtually all patients regardless of other medications.
The Grunberger Diabetes Institute Connection
Our Bloomfield Township office is co-located with the Grunberger Diabetes Institute. Diabetic patients with toenail fungus have an especially urgent need for treatment — fungal nails can become a portal of entry for bacterial infections, which is particularly dangerous when circulation and immune function are compromised by diabetes. Our coordinated care model with Dr. Grunberger’s team ensures diabetic nail conditions are treated proactively.
✅ MLS Dual-Wavelength Laser — FDA-cleared
✅ EPAT Shockwave Therapy — 80%+ success
✅ 3D-Scanned Custom Orthotics
✅ Toenail Fungus Laser — No pills needed
✅ In-Office X-Ray & Ultrasound
📞 (810) 206-1402 | Howell & Bloomfield Township
Book at Our Bloomfield Township Location
43494 Woodward Ave, Suite 208, Bloomfield Township, MI 48302. Easy access from Woodward Ave, I-696, and M-59. Call (810) 206-1402.
MLS Laser Therapy at Balance Foot & Ankle: Michigan’s Podiatric Laser Treatment Center
MLS (Multiwave Locked System) laser therapy at Balance Foot & Ankle uses the synchronized combination of two therapeutic wavelengths — 808nm continuous wave for anti-inflammatory and analgesic effects, and 905nm pulsed wave for tissue repair and edema reduction — to treat foot and ankle pain without injections, medications, or surgery. Unlike single-wavelength cold lasers, the MLS system’s synchronized dual wavelengths produce synergistic therapeutic effects that are clinically superior to either wavelength used alone. The treatment is painless — most patients feel mild warmth during the 8–12 minute session — and requires no recovery time afterward. Patients can return to normal activities immediately after each treatment.
At Balance Foot & Ankle, MLS laser therapy is administered by trained clinical staff under podiatric supervision, with treatment protocols customized to the patient’s specific condition and tissue depth requirements. The number of sessions needed varies by condition severity: most plantar fasciitis patients achieve significant improvement in 6–9 sessions, while more chronic conditions may benefit from additional sessions. We offer MLS laser at both our Howell and Bloomfield Township Michigan locations. Michigan patients interested in laser therapy for foot or ankle pain can call Balance Foot & Ankle at (810) 206-1402 to schedule a consultation and determine whether MLS laser therapy is appropriate for their condition — or to schedule a series of treatments if they have already been evaluated and are ready to begin.
What Conditions Does MLS Laser Treat? Michigan Foot and Ankle Applications
Related Treatment Guides
- Toenail Treatment
- Plantar Fasciitis & Heel Pain Treatment
- Custom 3D Orthotics
- Sports Foot & Ankle Injury Treatment
MLS laser therapy at Balance Foot & Ankle is effective for a broad range of foot and ankle conditions beyond plantar fasciitis — including Achilles tendinopathy (both mid-substance and insertional), Morton’s neuroma, diabetic peripheral neuropathy, post-surgical wound healing acceleration, arthritis pain management, metatarsalgia, and sports injuries including ligament sprains and muscle strains. The tissue repair and anti-inflammatory mechanisms of MLS laser are applicable wherever chronic inflammation, impaired healing, or neuropathic pain are driving the patient’s symptoms. Michigan patients with chronic foot conditions that have not responded to other conservative treatments are often good candidates for MLS laser therapy. Most patients see noticeable improvement within 3–4 treatments and continue improving through the full treatment series. Long-term results are durable in the majority of patients — particularly for plantar fasciitis and Achilles tendinopathy where the laser addresses the underlying tendinosis rather than simply suppressing symptoms. Call Balance Foot & Ankle at (810) 206-1402 to ask whether your specific foot condition is appropriate for MLS laser treatment at our Howell or Bloomfield Township Michigan office.
When to See a Podiatrist
Topicals only penetrate the top 30% of the nail plate — if the fungus is near the cuticle or under 50% of the nail, oral terbinafine or laser is usually required for full clearance. Balance Foot & Ankle offers in-office fungal nail diagnostics and laser treatment that reaches the nail matrix where topicals can’t. We’ll examine the nail and recommend the fastest path to clear, healthy regrowth.
Call Balance Foot & Ankle: (810) 206-1402 · Book online · Offices in Howell & Bloomfield Township
In-Office Treatment at Balance Foot & Ankle
When conservative care isn’t enough, Dr. Tom Biernacki and the team at Balance Foot & Ankle offer advanced, same-day options — including Foot Fungus Treatment Michigan at our Howell and Bloomfield Township clinics.
Same-day appointments available. Book online or call (810) 206-1402 or book online.
Pros & Cons of Conservative Care for toenail conditions
Advantages
- ✓ Most cases resolve at home
- ✓ Same-week appointments available
- ✓ Permanent fix exists
Considerations
- ✗ Recurrence common without prevention
- ✗ Diabetics need professional care
Dr. Tom’s Recommended Products for toenail conditions
Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we use with patients.
Tolcylen Antifungal Solution Dr. Tom’s Pick
Best for: Most effective topical for fungus
Ready to Get Back on Your Feet?
Same-day appointments in Howell + Bloomfield Township. Most insurance accepted. Dr. Tom Biernacki, DPM & team.
Book Today — Same-Day Appointments Available
Call Now: (810) 206-1402
About Your Care Team at Balance Foot & Ankle
Dr. Tom Biernacki, DPM · Board-Certified Foot & Ankle Surgeon. Specializes in conservative-first care, minimally invasive bunion surgery, and complex reconstruction.
Dr. Carl Jay, DPM · Accepting new patients. Specializes in sports medicine, athletic injuries, and routine podiatric care.
Dr. Daria Gutkin, DPM, AACFAS · Accepting new patients. Specializes in surgical reconstruction and pediatric podiatry.
Locations: 4330 E Grand River Ave, Howell, MI 48843 · 43494 Woodward Ave Suite 208, Bloomfield Township, MI 48302
Hours: Mon–Fri 8:00 AM – 5:00 PM · (810) 206-1402
In-Office Treatment at Balance Foot & Ankle
If home treatment isn’t providing relief for your toenail fungus, our podiatry team at Balance Foot & Ankle can help with same-day evaluations and advanced in-office care.
Same-day appointments available. (810) 206-1402
Learn about our laser toenail fungus treatment → | Book online →
Frequently Asked Questions
Can toenail fungus go away on its own?
Almost never. Once a fungal infection establishes in the nail matrix, it rarely self-resolves. The nail acts as a physical barrier protecting the fungus from both topical treatments and the immune system. OTC treatments like Vicks VapoRub and tea tree oil show limited evidence for mild cases, but clinical cure rates are under 20%. Prescription treatment — topical ciclopirox, oral terbinafine, or laser therapy — is typically required for meaningful improvement.
What’s the most effective treatment for toenail fungus?
Oral terbinafine (Lamisil) remains the gold standard with 70–80% clinical cure rates over 12 weeks. Topical treatments (efinaconazole, tavaborole) cure 18–55% but avoid the systemic drug exposure. Laser therapy in our office shows 60–75% improvement rates and is a good option for patients who can’t tolerate oral medication. Combination therapy — laser plus topical — produces better outcomes than either alone. Cure is defined as a fully clear nail, which takes 9–12 months even after the infection is eliminated.
Can toenail fungus spread to other nails or to family members?
Yes to both. Toenail fungus spreads readily via shared surfaces — floors, bath mats, showers, socks. Within the same foot, it typically spreads from nail to nail if left untreated. Family transmission is common in shared showers and from shared nail tools. During treatment, disinfect shower floors weekly, avoid sharing towels or nail clippers, wear flip-flops in shared shower areas, and wash socks in hot water. Treating the shoes is also important — antifungal spray applied inside shoes during treatment prevents reinfection.
Why isn’t my over-the-counter toenail fungus treatment working?
Three common reasons: (1) The infection is in the nail matrix, too deep for topical penetration. (2) The nail is too thick for medication to reach the fungus. (3) What looks like fungus may be nail psoriasis, nail trauma, or a secondary bacterial infection — which don’t respond to antifungals. A nail sample for culture confirms the diagnosis and identifies the specific fungal species, which guides treatment selection. We see patients weekly who’ve spent hundreds of dollars on OTC products without a confirmed diagnosis.
Is toenail fungus dangerous?
In healthy individuals, toenail fungus is primarily a cosmetic and quality-of-life issue. In diabetic patients, patients with peripheral vascular disease, or immunocompromised individuals, it’s a genuine safety risk — the thickened nail causes pressure sores, the infected nail provides an entry point for bacterial infection, and tinea pedis (foot fungus) associated with nail fungus can cause skin breakdown. For these patients, aggressive treatment is medically indicated, not optional.
How long does treatment take?
This is the most important thing to understand about toenail fungus: even after successful treatment kills the fungus, the nail takes 9–12 months to grow out completely. Oral terbinafine is taken for 12 weeks; the fungus is eliminated within that period, but patients expect to see a clear nail immediately and feel the treatment failed. Improvement at 3 months looks like a clear nail growing from the base. Full cosmetic clearance at 12 months. Patience with the process is essential.
Can toenail fungus cause other health problems?
In high-risk patients — yes. The most important association is athlete’s foot (tinea pedis), which frequently co-occurs with nail fungus and can cause skin fissuring that allows bacterial entry. For diabetic patients especially, treating foot fungus is part of diabetic foot care. Severe nail deformity from long-standing fungus can also cause subungual pressure sores, ingrown nails, and difficulty fitting footwear. What starts cosmetic can become functional.
Does insurance cover toenail fungus treatment?
Oral terbinafine is inexpensive and usually covered by insurance with a copay under $30 for a full course. Prescription topical treatments (efinaconazole) are often not covered and cost $400–600 out of pocket. Laser therapy is not covered by insurance but typically costs $400–700 per course of 3 treatments in our office. We’ll discuss what’s appropriate for your case and what your out-of-pocket costs will be before prescribing. Call (810) 206-1402 to check your specific coverage.
What’s the difference between toenail fungus and nail psoriasis?
Both cause nail thickening, discoloration, and deformity — they can look identical to the naked eye. Key differences: psoriasis often causes ‘pitting’ (small dimples in the nail surface), oil-drop spots, and is associated with skin psoriasis elsewhere on the body. Fungus causes more uniform thickening and yellowing. The only definitive differentiation is a nail sample sent for PAS staining and fungal culture. Misdiagnosis is extremely common — we’ve seen patients treat ‘fungus’ for years when they actually had nail psoriasis.
How do I prevent toenail fungus from coming back?
The three most evidence-supported prevention strategies: (1) Antifungal spray or powder in shoes daily — the shoe environment harbors fungal spores even after treatment. (2) Replace old shoes after completing treatment; they may be recontaminating you. (3) Flip-flops in all shared showers, pools, locker rooms. Beyond that: keep nails trimmed short, dry feet thoroughly after bathing (especially between toes), and wear moisture-wicking socks. Recurrence rates are 25–30% at 1 year even with good hygiene.
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Same-day appointments in Howell & Bloomfield Township, MI.
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Or call: (810) 206-1402
Livingston County patient? The same laser treatment for toenail fungus is available at our Howell office on E Grand River Ave.
Dr. Tom Biernacki, DPM is a board-certified foot & ankle surgeon (ABFAS & ABPM) at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has made him one of the most-followed foot & ankle educators on YouTube.
More questions patients ask
Where can I get toenail fungus laser treatment in Bloomfield Township?
Balance Foot & Ankle offers toenail fungus laser treatment at 43494 Woodward Ave #208, Bloomfield Twp, MI 48302. Dr. Tom Biernacki DPM and Dr. Carl Jay DPM use advanced laser technology to safely and effectively eliminate toenail fungus. Call (810) 206-1402 to schedule your appointment.
What laser is used for toenail fungus at the Bloomfield Township office?
Balance Foot & Ankle uses an FDA-cleared laser system specifically designed for onychomycosis (toenail fungus) treatment. The laser energy penetrates through the nail plate to destroy fungal organisms without harming surrounding tissue. It is safe, painless, and requires no anesthesia.
How many laser sessions are needed for toenail fungus?
Most patients require 1 to 3 laser sessions depending on the severity of the infection and the number of nails affected. Balance Foot & Ankle will assess all ten nails and develop a personalized treatment plan. Follow-up appointments monitor nail regrowth and address any concerns.
How long until I see clear nails after laser treatment in Bloomfield Township?
Toenail fungus laser treatment destroys the fungal organisms, but the nail must grow out fully to reveal clear results. Toenails grow approximately 1mm per month, so complete clearance can take 9 to 18 months. Patients begin seeing healthy nail growth emerging from the base within the first few months after treatment.
Does insurance cover toenail fungus laser treatment in Michigan?
Most insurance plans consider toenail fungus laser treatment cosmetic and do not cover it. However, if the infection is causing pain, ingrown nails, or complications for diabetic or immunocompromised patients, some coverage may apply. Balance Foot & Ankle will help you understand your options. Call (810) 206-1402 to discuss.
What is the best treatment for toenail fungus?
Oral antifungal medication has 70-80% cure rate. Laser therapy and topicals work for milder cases. Dr. Biernacki creates individualized plans based on severity. Treatment takes 3-6 months. Call 810-206-1402.
Is toenail fungus contagious?
Yes, it spreads through direct contact and contaminated surfaces. High-risk: pools, gym showers, locker rooms. Wear shower shoes, keep feet dry, use antifungal powder, don't share nail tools.
How do I know if I have toenail fungus?
Signs: yellowing/whitening, thickening, crumbling edges, separation from nail bed, foul odor. Professional diagnosis recommended as it can be confused with nail psoriasis or trauma.
Still have a question about coverage or cost? Book online and we will check your benefits before your visit: Book in Howell · Book in Bloomfield Township. Prefer to talk it through first? Call (810) 206-1402.