“Very professional staff, very polite and explain everything to you about the treatment. I would recommend this clinic to everyone.”

Dr. Bryan Scotson Smith

5 Star rating on Trusted Practitioner.









We are fungal nail infection specialists.

On a daily basis we see a range of fungal nail infections, from those cases affecting just one or two toes, to severe cases across all ten toes. Patients may have spent a small fortune on over the counter fungal nail treatments, but sadly, clinical studies have proven that fungal nail lacquers are only effective in 22% of cases. Resigned to simply putting up with it, many people then just hide their feet away, where in the vast majority of cases it spreads to their other nails.

Thankfully, technology has now developed, allowing in the vast majority of cases, for it to be treated effectively in a clinical setting.

More highly targeted than traditional laser treatment of fungal nail, we believe that Photodynamic Activated Treatment (PACT) is the best and most effective fungal nail treatment as it allows us to treat the nail fungus:


Without harming any of the surrounding cells


With very high, CLINICALLY PROVEN, success rates


With NO known side effects

What is PACT treatment?

More highly targeted than a traditional laser, Photo Activated Treatment (PACT) is a method that has been used extensively in medicine since the 1990’s for the treatment of wound infections, tumours and skin diseases.  It is a method used across specialisms ranging from Dentistry, Opthalmology, Oncology, and wound care to name a few.  Podiatrists use the technology for the treatment of fungal nail (nail fungus).  It works by using light at a frequency close to, but not in, the infra red level, selectively targeting the fungal cells with clinical precision, whilst leaving all other cells untouched and therefore unharmed.  As a result there are no known side effects.  It is one of the most effective fungal nail treatment methods being over 90% effective, and therefore due to its highly targeted nature considered by many to be the best fungal nail treatment method available.



Other conditions such as psoriasis of the nail need to be indentified/ruled out as these conditions don’t respond to fungal treatments, and a different course of action would need to be taken, which we can advise on. We want to be confident that the treatment we are offering in each case, is the right one for you. We often see patients who have been treating what they thought was a fungal infection without success, when in fact it wasn’t fungal at all!


For example, if tinea pedis can often be present without the patient realising. For fungal nail to be cured this must be treated first. This can be simply done, by following the instructions given by the podiatrist during your initial consultation.


We will explain the pros and cons of each treatment method, so you leave the appointment with all the knowledge required for you to decide how you want to move forward. For example, if fungal nail treatment is not suitable for you, we can manage the condition and provide fungal nail care, rather than treatment. We can also provide fungal nail removal if that is deemed the best way forward. For more information on fungus nail removal please see our nail surgery clinic page.

Initial Consultation
Price: £79

Examples of PACT treatment results…

Below are just a couple of our own case studies.  The patients below had their final reviews at 6 months and these are photos showing their nails at this point (nails can take 18 months to fully grow).



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After decades of seeing a fungal toenail deteriorate and spread to 2 other toes, I saw an advert for the foot clinic and was interested in the laser treatment. As it was local, I popped in to find out more. I must say, I found the cost projection and the many months duration for the treatment ( and the small possibility of it not working!) very daunting at first, but decided, after a few hours deliberation to go for it. From the initial examination of my feet to the final appointment, I received lots of informative advice, knowledge of the condition and the factors which lead to infection, treating shoes, socks, bedclothes, how parts of the feet work etc. I asked loads of questions all of which were answered. The treatment was successful, my nails are improving slowly with the new growth. I would certainly recommend the clinic to others.


I came to the clinic with fungal nail infection in 2 toe nails. In the clinic I was first assessed and then received pact treatment on both nails. Although I had to travel some distance for appointments , it has been well worthwhile as it has been successful so far. Without exception all the staff are very friendly caring and helpful. After treating the infection at home topically with prescription medication for several years this had been both tedious and unsuccessful. I am delighted that my nails now look healthy. It has been a pleasure receiving treatment at the clinic and I have no hesitation in highly recommending the clinic to anyone.

Ann Thomas

I was schedule for surgery on my foot, which would greatly improve my painful walking condition. Unfortunately I had a fungal nail infection & needed to have clear enough for the surgery to take place. I goggled for places that completed this treatment & chose the foot clinic in Darlington. From the first visit I knew I had chosen the right place. From the welcome at reception in to the clean clinical rooms, with experienced & knowledgeable staff, I felt my issue was in the right hands. The treatment & costs were fully explained as was the length of time it would take. My operation went ahead, & has made a difference to the quality of my life, meaning I can walk without pain, none of this would have been possible without the care I received from Ben, Nicola & Corrine. My last visit was tinged a bit with sadness as I had enjoyed my visits & chat with the staff, & looked upon them as friends. The treatment was as successful as I could have wished for, & equally the clinic has the most up to date treatments & equipment for many ailments. I was surprised at just how much they offer, from full gait assessments, to treating fungal nails..they do it all. I can not recommend this clinic & all that work there , highly enough. If you need anything these are the people to call.

Patricia Robinson

EXCELLENT. The PACT treatment really works and ended up costing less than the over-the-counter so called remedies from the chemist. The staff are lovely and the offices bright and clean. Couldn’t recommend it enough.

Pat Hamilton

Ready To Book?

Please call our reception team on 01325 639025 to book an appointment.
We are located in Darlington, Co. Durham, close to Middlesbrough, Stockton and Yarm in Teesside/Cleveland.

Frequently asked questions

What happens in a PACT treatment?
The first step is to thin thickened nails to ensure the fungus is penetrated. This involves the Podiatrist using an electric burr to thin the nail. This is a painless procedure and takes around a few minutes per nail. After this the foot is placed under the PACT machine, which, depending on the severity of the infection, for most people takes between 20 minutes to half an hour.

The treatment plan is safe, quick, pain free and highly effective and does not require a GP referral. It is also safe and effective for use on patients with Diabetes. PACT Treatment does not use any drugs or acids.

How long does the fungal nail treatment take to work?
The sessions are short and effective, however waiting for the new nail to grow takes a few months. Everyone’s nails grow at a slightly different rate but commonly healthy new nail growth is evident at between 3 and 6 months.
What are Fungal Toe Nails?
Fungal toe nail infections are an unsightly, and for many embarrassing, problem affecting around three in every 100 people in the UK. They are more common in men and as you get older. They can involve all or part of the nail, including the nail plate, nail bed and root of the nail, often starting along the outside rim of the nail which turns whitish-yellow, brown or green.


What is a fungal nail infection?
Fungal infections of the nails are also known as dermatophytic onychomycosis, or tinea unguium. The responsible fungus is usually the same as that that causes athlete’s foot – a common fungal infection of the skin of the feet, especially between the toes. In athlete’s foot the responsible fungus lives in the keratin that makes up the outer layer of the skin. When the fungus spreads to the keratin of the nails, the result is a fungal nail infection.
What does fungal nail look like and how do I know if I have fungal nail?
A fungal toe nail will often look thick and yellow and as it becomes more severe it will become difficult to cut. As it spreads into, or underneath, the nail plate it can cause pressure on the end of the toe due to their thickness which in turn causes pain. It can also cause a distinctive odour in more severely affected nails.
How could I have developed a Fungal Toe Nail infection?
Dermatophytes (fungi) are usually found in warm, humid places such as bathrooms and swimming pools, etc. Athlete’s foot, another type of fungal infection that infects the skin between the toes, is very contagious and may also cause one or more nails to become infected.
How can I be sure that I’ve got Fungal Toe Nails?
Our podiatrist will be able to tell you in most cases if you have fungal nails, or if it is a different condition causing your symptoms, by a visual inspection. Occasionally, a sample of your nail clippings may need to be taken and analysed for further clarification. There are some conditions which can also change the appearance of your nail e.g. psoriasis so it is important to ensure that a fungal infection is present.  If a test is required this can be done on the spot using a dermatophyte test testing kit.  70% of fungal nail cases can be visually identified by a specialist podiatrist, however in 30% of cases to ensure it is not misdiagnosed, further testing may be required.
Is the treatment for toe nail fungus the same as for fingernails?
Yes.  The same nail infection is responsible for both.  Therefore, fungal toenail treatment is the same as that used for all fungal nail treatments (nail fungus treatments).  We are able to  offer both treatment for fungal toenail and fingernail here at the clinic.
How does fungal nail medication compare with other treatments for nail fungus? Which is the best treatment for fungal nail infection treatment?
Fungus nail medication can be prescribed by your GP to be taken orally, but it has to be taken for 3 months or longer, and can have a heavy impact on your kidneys and liver, with only a 56% cure rate. Terbinafine (which is the most common oral fungus toenail medication, (or fingernail) ) occasionally causes a potentially very severe allergic reaction and can make some skin conditions worse, and in rare cases it can affect the sense of taste permanently. You can also experience headaches, itchiness and diarrhoea whilst on the toe nail fungus medication. It can also affect your kidney and liver so often your GP will arrange monthly liver and kidney function tested whilst you are on the nail fungus medication.

Topical fungus nail treatments that have to be applied everyday for between 1 and 2 years only have a 22% success rate, but they are not likely to cause side effects and it is therefore deemed a safe treatment option. The topical treatments used most often are amorolfine nail lacquer and tioconazole nail solution. Alone, they may not be able to clear the deeper parts of an infected nail, though regular removal of abnormal nail material with clippers or filing can help with this.

PACT treatment has no known side effects and has a 90% success rate.

How long does the fungal nail treatment take to work?
The sessions are short and effective, however waiting for the new nail to grow takes a few months. Everyone’s nails grow at a slightly different rate but commonly healthy new nail growth is evident at between 3 and 6 months.
Is there anything else I need to do?
Preventing re-infection is really important to having a good outcome. It is important that socks and hosiery are washed on a hot wash (60 degrees) during the treatment. Shoes will need to be treated with an anti-fungal preparation. A homecare mycotic solution should be applied during the treatment process and any fungal skin infection will need to be treated at the same time. Your podiatrist will be able to advise of the best strategy for all of this to ensure you have the best results. Fungal infections can spread easily, so it is important not to share nail clippers or scissors and also to disinfect your shower floor and wear flip flops in gyms and swimming pools, to minimise chances of cross-infection.

Most people present initially with toe nail fungus but it can affect fingernails as well.  The advice for both finger and toenail fungus is the same in terms of e.g. hot washing towels, not sharing nail scissors etc.

If fungal nail treatment is not suitable what can I do?
If the treatment is not suitable for you, as a dedicated fungal nail clinic we can also manage the condition and provide fungal nail care, rather than treat, if that is what is required.  We can also provide fungal nail removal if that is deemed the best way forward.  For more information on fungus nail removal please see our nail surgery clinic page.
Where is the clinic?
We provide fungal nail treatment in Darlington, less than an hour’s drive from Teesside/middlesbrough/cleveland, Leeds, York, Durham and Newcastle/Gateshead/Tyneside.
What geographical area do we cover for treatment?

Patients travel from all over the North to access the treatment, with many coming from the larger areas in the North East and North Yorkshire of Middlesbrough, Darlington, Stockton, Teesside, Sunderland, Hartlepool, Tyne-and-wear, York, Yarm, Durham, Cleveland, Thirsk and Northallerton.

Some helpful videos…

Do you have to treat a fungal nail infection?

Will a fungal nail infection spread to other nails?

So fungal nail and why it can be difficult to get rid of?

Is it possible to get rid of fungal nail?

Why does fungal nail spread to other nails?

Is it ever too late to treat fungal nail?

Fungal nail and damaged nails look so similar, how do I know which I have?