Fungal nail infections are notoriously difficult to treat. Progress can be slow — sometimes, it feels like treatment reaches a standstill.
While many practitioners offer solutions like laser treatments, costly equipment, medications with potential side effects, and alternative therapies, these methods often fall short — leaving patients frustrated and financially burdened.
It’s no surprise that many patients lose hope, and as a practitioner, it can be disheartening to hear the familiar question:
"Is there anything else you can do?"
What if there was another option?
A treatment that is:
- Affordable and cost-effective
- Simple to learn
- Safe, pain-free, and patient-friendly
Introducing the Lacuna Method® — a proven approach that empowers you to make a real difference in your patients’ quality of life.
What is the Lacuna Method?
The Lacuna Method™ offers a cutting-edge yet straightforward solution for fungal nail infections. This technique involves painlessly drilling micro-holes into the damaged nail, creating small channels that allow an anti-fungal agent to penetrate directly to the infected skin beneath the nail.
Patients then continue treatment at home by applying the prescribed anti-fungal medication daily. Over time, this supports healthy nail growth as the infection is gradually eradicated.
The Lacuna Method™ is an effective, minimally invasive, and patient-friendly treatment — giving practitioners a reliable option to tackle stubborn fungal nail infections.
Meet Nicola O'Brian — The Creator of the Lacuna Method®
Nicola O'Brian is a highly experienced Podiatrist who earned her BSc (Hons) in Podiatry from Brighton University in 2001. With over 18 years of specialization in Cosmetic Podiatry and a keen interest in Dermatology and Rheumatology, Nicola has dedicated her career to enhancing both the aesthetic and medical outcomes for her patients.
Her passion for cosmetic treatments led her to work extensively with patients suffering from fungal nail infections. Frustrated by the limitations of simply disguising the problem — and recognizing that many small private practices couldn't afford costly machinery or complex therapies — Nicola was determined to create a better solution.
This drive for innovation led to the development of the Lacuna Method® — a simple, safe, and effective way to treat fungal nails without the need for expensive equipment.
After four years of research and development, the Lacuna Method® emerged as a breakthrough treatment. It works by painlessly drilling micro-holes into the affected nail, allowing an anti-fungal agent to reach the infected skin beneath. Patients then continue daily treatment at home, supporting healthy nail growth over time.
Today, Nicola travels across the UK and Europe — both online and in person — delivering training courses to Podiatrists and Foot Health Practitioners. As a result, there are now Lacuna Practitioners treating fungal nails in:
- Every county in England
- Most regions of Scotland and Wales
- Northern Ireland, Ireland, Guernsey
- The Languedoc region of France
- Gibraltar, Cyprus, Australia, and the USA
Ready to transform the way you treat fungal nails?
Get instant access to a course designed to help you treat more patients effectively while boosting your practice's revenue.
Choose from flexible learning options:
- Self-study at your own pace
- Group study for interactive learning
- 1:1 training with the creator of the Lacuna Method®, Nicola O'Brian
Take the next step in advancing your practice — start your Lacuna Method® training today!
Course Options
Online Only
What’s Included in the Lacuna Method® Online Course:
- Full online access to the Lacuna Method® training — learn at your own pace, anytime, anywhere.
- Lifetime access — revisit the materials whenever you need.
- Learn comfortably — no dress code required!
- Exclusive Dave James Marketing Module — boost your practice with expert marketing strategies.
- Starter kit (worth £30) — includes:
- 1x Ball burr (0.4mm)
- 1x Needle burr (0.4mm)
- Drill adaptor
- Practice pad — perfect for mastering the technique.
- SHIT PACK X1
- eCertificate — to proudly display your new qualification.
- eBooklet — a comprehensive guide to the Lacuna Method®.
- ePoster — ready to promote the service in your clinic.
- ePatient leaflets — to educate and inform your patients about their treatment.
£207
Online + Group
Get everything included in the Lacuna Method® Online Course plus exclusive group training and additional resources to elevate your practice:
What’s included:
Everything from the Online Course:
- Lifetime online access to the Lacuna Method® training
- Dave James Marketing Module
- Starter kit (Ball burr, Needle burr, and Drill adaptor)
- Practice pad
- eCertificate, eBooklet, ePoster, and ePatient leaflets
Exclusive Group Training:
- Live group training via Zoom — learn and interact in real time
- Training from an approved Lacuna Method® tutor — personalized guidance and support
Hard Copy Resources:
- Printed Certificate — professionally recognize your achievement
- Hard copy Booklet — a physical reference guide for easy access
- Printed Poster — perfect for promoting the Lacuna Method® in your clinic
- SHIT PACK for 5 patients — giving you the tools to start treating straight away
£297
Online + 121
Elevate your skills with personalized training and an upgraded toolkit. This package includes everything from the Online + Group Training Package — plus exclusive one-on-one support and additional resources.
What’s included:
- 1:1 training via Zoom with an approved Lacuna Method® tutor
- Printed materials: Certificate, Booklet, and 2 Posters
- Enhanced tools:
- SHIT PACK for 10 patients
- Large burr container for sterilizing
- Medium burr kit worth £105 (2 holders & 5 each of the 0.4mm Ball and Needle burrs)
Plus, full access to the Online Course and Group Training Package content.
Get personalized support, advanced tools, and the confidence to deliver results for your patients.
Join the 1:1 Training Package today!
£597
How is this course delivered?
The Lacuna Method® Online Course is delivered entirely online through the Kajabi learning portal. Lessons are presented via video, allowing you to learn at your own pace with lifetime access to the material.
For those choosing Group or 1:1 training, sessions are conducted live via Zoom with an approved Lacuna Method® tutor, offering real-time support and interactive learning.
No matter which option you choose, the course is designed to fit around your schedule — giving you the flexibility to learn in a way that works for you.
How long do I have access to the course?
You will have lifetime access to the online version of the course, allowing you to revisit the materials at your convenience. Furthermore, any updates or new content will be automatically incorporated, ensuring that you have access to the most current information without any additional effort on your part.
Can I get in person support?
Yes, absolutely!
We host events throughout the year (when permitted), and you are welcome to join us at any of these sessions.
Additionally, if you prefer more personalized support, you can opt for 1-2-1 training sessions, which are available through the options provided above.
How do I get more equipment?
To acquire the necessary equipment, simply visit the Shop section of this website. As the exclusive distributors for the Lacuna Method®, we offer a range of products tailored to your needs.
Additionally, we provide equipment packages designed to help you maximize your return on investment.
How long till I recoup my investment?
You can recoup the investment for both the online and group versions of the course with a single packaged treatment to your first patient.
For the 1-2-1 training, your investment can be recovered with just two packaged treatments.
Additionally, we've carefully structured the pricing of the burrs and equipment to ensure you achieve an excellent return on your investment.
How successful is the Lacuna Method?
No treatment is 100% successful, and the Lacuna Method® is no exception.
However, we have found the results of this method to be consistently effective. One of the key benefits of the Lacuna Method® is the ability to complement it with other cosmetic approaches, such as nail reconstruction and Pedi Safe.
It's important to note that any fungal nail treatment regimen requires time, and combining methods can enhance overall outcomes.
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