Blog - Dr. Tammy Gracen BSc. DPM

A multifaceted approach to Vancouver toenail fungus treatment

There is no clear answer to the best way to treat fungal nail infection. There are many things to take into consideration such as state of health, potential interactions with other medications, type and extent of fungal infection and personal preferences. What is clear is that fungus is difficult to treat when it is in the nail. The best chance of success is achieved with a multifaceted approach of oral medication, topical medication and laser treatment.

A combination of three treatments are available: laser treatment, oral drug treatment and topical cream treatment

Half of suspected fungus infections are not fungus infections so accurate diagnosis is crucial. Once toenail fungus has been accurately diagnosed through both a visual and lab test, a combination of three treatments are available: laser treatment, oral drug treatment and topical cream treatment. However, certain treatments are not advised due to existing medical conditions.

A Word About Sandals

Ahhh…the elusive comfortable summer sandal…You know the one…It’s cute and you can wear it all day long and not be dying to take them off at the end of the day! Sandals can be difficult so I’ll be breaking this subject into categories. Firstly, what are the elements of a good summer sandal, the everyday variety?
Heel height is a big issue. Look for something in around the ½ to 1 inch heel height. Flat shoes accentuate abnormal pronation (beware my flat footed friends!) and can put undue strain on the Achilles tendon for those with rigid high arches. Often, they are poorly padded.
The next thing you need to look at is where the straps are. You should have a fairly substantial strap over the instep (or several narrower ones) as well as some form of backing. The more flexible (flatfoot) the foot, the more important this element becomes. Watch straps over bony prominences. I will address how to fix the nasty strap in the wrong place in a later post (How to Make Your Sandals Perfect).
If you require some arch support and the sandal is lacking in this department, you can always purchase an arch pad (often referred to as an arch cookie) from a shoe repair and attach it to the sandal. The straps around the arch should hide it!
Some examples:
sandal 1

sandal 2

sandal 3


Finally, Spring!

Spring is in the air…at least that’s what my allergies tell me! So, what to wear on your feet during this difficult to figure out in between “I’m tired of my black boots but it’s too cold for sandal “ season??? Well, to get the feel of the season, perhaps something floral. This seems to be a definite trend this spring. I found these beautiful floral ankle boots at the John Fluevog Store and at Gravity Pope. These are not as heavy as the similar looking Dr. Marten’s, so any easy look for many ages (ie. Cute with a skirt on my 22 year old daughter, but for my crowd, would work with light solid coloured pants). My orthotics fit in easily. There is adequate toe clearance and no seams on the toe box. It does come in some other fun colours (at Fleuvog), but for whatever reason, there seems to be slightly less toe clearance in the solid colours for those with hammer toes.
“Radios” $285


Custom Orthotics

We also offer quality custom orthotics

Business Hours

Wednesday Closed

Sunday Closed

Contact Info

Dr. Tammy Gracen BSc. DPM
Phone: (604) 734-7331
Fax: (604) 737-1146
#530-943 West Broadway
Vancouver, BC V5Z 4E1

Online Foot Pads

Please visit for Quality foot pads shipped anywhere in Canada.
Providing Laser Toe Fungus treatment in the Vancouver Lower Mainland