Photodynamic Therapy is a safe and gentle treatment option that is used to treat fungal nails. This is a new pain free therapy, which is offering positive results for safely removing fungus from the nails.  Bounce Podiatry now provides this service within the clinic. 

What are fungal nails?

Fungal nail problems are caused by a spreading of a fungus under the nail plate and into the nail bed. Different types of fungus can affect the nails including dermatophytes, yeast and moulds. The fungus can infect a broken or damaged nail or may spread to the nail from a nearby fungal skin infection.

Fungal nails are estimated to affect up to 1.6 million Australians. Some treatment options include topical antifungals and in resilient cases, oral antifungals. 


Fungal nail infections can be difficult to treat.  The most common ways of treating fungal toenails is with topical antifungal lacquers (the type you paint on) or with oral antifungals (medications).  The topical lacquers require regular application for up to 3 months. Oral antifungal medications are prescribed through a GP and have a greater risk of adverse side effects and drug interactions, so not everyone is able to take them. 

A new alternative 


Bounce Podiatry are now offering Photodynamic Therapy to treat fungal nails using PACT ® Nail Fungus Therapy.

What is it?

Photodynamic therapy is the term given to describe the interaction between light and photosensitive agents. As seen in the diagram, a gel (photosensitive agent) is applied to the toenail. When the light is applied, it interacts with the gel and causes photochemical reactions, which result in cellular changes within the nail to effectively kill fungi that is found on the skin or around the nail.  

Upon your first visit, your podiatrist may do one of the following.

(a)Your podiatrist will do a mechanical debride of the nail with a burr or file. This is to reduce the thickness of the nail to allow better penetration of the gel and light.

(b) Your podiatrist may use a chemical debridement, with the use of 40% Urea. This is applied to severely infected fungal nails to further enhance the effect of the PACT treatment. Your podiatrist will discuss this with you.  You will have to apply this for a few days before your first PACT treatment.

What to expect during a PACT Fungal Nail Therapy appointment? 


  • A Nail Fungus gel is applied to cover the entire nail plate, including the side grooves and above and below the nail plate (see image). The Nail Fungus Gel is left to stand for 10 minutes before the light application.
  • The PACT LED light is applied to each affected nail plate for 9.5 minutes.

How many treatments are required?

Mild fungal infection: 3 x applications in the first week. Then review after 3 months and may require 1 x repeat application.

Severe fungal infection: 3 x applications in the first week. A repeat application will be applied after 1 month. This will then be reviewed at 3 months, where another repeat application will be considered.

The effectiveness of the treatment can only be assessed after a period of approximately 3 months due to the time it takes for the nail to grow.PACT fungal nail treatment progression bounce podiatry.png

Contraindications and Side Effects

There are no known contra-indications for the PactMED. However, it is important to consider the ingredients of the gel and your podiatrist will discuss this with you to determine any risk for allergic reaction.

Tips will also be provided to patients to prevent re-infection. 

BOOK your NAIL ASSESSMENT on 08 94993585.