top of page

You no longer need to be embarrassed from ugly toenails.

We specialize in combination medical, and laser therapy for toenail fungus!

Board Certified Podiatrist
Dr. Andrew Alward
Chattanooga, TN


Why combination therapy for toenail fungus?

Toenail fungus is difficult to treat because it mostly infects non-vascularized tissues like the nail plate where the immune system cannot reach it, and so we must deliver medication to prevent new fungus from growing, then destroy existing fungus living in the nail. Most therapies only do one of these things, and it's simply not enough! You must treat fungus from the inside, and outside!

Step 1

Test the toenail for fungus.

This is vital when the diagnosis is in question. We take a portion of the nail and look under the microscope, and/or culture the sample to confirm the diagnosis. We do this free of charge.

Petri Dish

Step 2

Remove areas of diseased nail.

By removing as much of the fungus as possible it increases the dose of our therapies on the remaining fungus, increasing our chances of killing it.

Step 3

Laser Therapy

We treat the toenails 3 separate times, 4 weeks apart. Laser works to kill fungus in two ways: #1, by heat, and #2, by the wavelengths of the laser which disrupt fungal cell metabolism.


Final Step


We use several medications to kill fungus:

  1. Topical Tolcylen - This is 4 medicines in one. A specialized formulation which softens the nail to allow medications to penetrate into the nail plate.

  2. Oral Terbinafine (Lamisil). This is the most effective oral medication we have to fight toenail infection from the inside out.

Clinical Cure in 6 Months!

This is the most comprehensive toenail fungus treatment you will find. Our results produce over 90% clinical cure rates.


Free Consultations

What is involved in free consultation? We will take a sample of the nail and confirm the diagnosis free of charge. This is a $300 value completely free to you.


Is the laser painful?

No. However, the laser's energy can be very powerful, and must be balanced so that it does not cause a thermal injury as it heats up the toenail. Patient's are monitored closely during the procedure by the podiatrist.

Are there side effects to the laser?

Some patients may feel the toe be slightly more sensitive for several days following the procedure.

Will the toenail fall off after the laser?

No. The laser and medications work to eradicate the fungus from the nail plate, and skin. This allows a healthy nail to grow in. The diseased nail will simply grow out and be removed.

Are there any limitations following the procedure?

No nail polish can be worn during this treatment, which is about 3-4 months.

When can I expect the toenail to look normal?

A healthy nail is needed to replace a diseased nail and this can take 6-9 months for the big toenail. However, our topical medication softens, and lightens the nail and can show results in only 4 weeks!

I've heard the oral medication can damage my liver?

For most healthy people this is so rare that studies aren't sure it occurs. However, those with current liver damage should not take Lamisil, the oral medication commonly used for toenail fungus. Also, we prescribe the medication in a pulse-dose regimen to ease any anxiety or complications.

Is this covered by insurance?

No. Laser treatment and Tolcylen treatment is not covered by insurances.

How much does this cost?

Its best for you to come in so that we can fully evaluate your toenail, or toenails, and to perform testing on the toenail to confirm the diagnosis. Once this is done an accurate quote can be provided. If cost is a concern, we have very flexible financing with CareCredit Credit Card which allows interest free monthly payments. Learn more about financing here.


Dr. Andrew Alward DPM

Board-Certified Podiatrist

A native of Illinois, after completing his medical training in Chicago, IL Dr. Alward relocated to Chattanooga, TN with his wife for the love of the outdoors, great hospitality, and community of Chattanooga! He is honored to serve the area!​

  • Doctor of Podiatric Medicine Rosalind Franklin University North Chicago, IL

  • Podiatric Medicine & Surgery Residency Sts Mary & Elizabeth Medical Center Chicago, IL

  • Board Certified American Board of Podiatric Medicine

  • Fellow of the American College of Podiatric Medicine

5 Star Google Review

"I had gone in to the appointment concerned and in pain and walked out well informed and pain free. If you’re in need of a podiatrist, look no further. Dr. Alward will not disappoint!"

M. Hernandez

New Tread Podiatry PLLC

9 - 1 Mondays & Fridays

9 - 5 Tuesdays & Thursdays

bottom of page