Post Treatment Instructions Gotham Footcare

• After your procedure, your toenails will have little holes to allow for penetration of topical antifungal medication.
• Wash and rinse your feet in the shower daily (You can use Dial Antimicrobial soap, preferably.)
• Thoroughly dry your feet and then apply Lamasil spray onto your toenails and allow the spray to dry.
• Apply Naftin gel onto the entire foot.
• Apply prescription antifungal medication onto each affected toenail.
• Normal shoe gear may be worn as tolerated Rotate shoes, use the clean cotton or wool socks, and spray shoes and bathtubs with Lysol spray daily and wear shoes that are well ventilated
• Follow the above instructions twice daily for the next 8 weeks.
• You will follow up with your physician in one two months for a follow up evaluation and management.

After your procedure, your foot will be wrapped in a light sterile dressing and you will be given a surgical shoe for comfort.

You will remove the dressing the following day and soak your foot in lukewarm water with Epsom salts for 10-15 minutes twice daily for one week.

After soaking and usual bathing, dry the toe thoroughly, apply antibiotic cream such as Neosporin, and then cover your toe with a sterile Band-Aid in the morning only. Do not apply a Band-Aid in the evening, as this will allow your toe to air dry.

This procedure may cause the toe to look red and a bit irritated. This is a normal postoperative course. Some bleeding through the dressing is normal, but if excessive bleeding occurs, please contact the doctor.

Normal shoe gear may be worn as tolerated Using sneakers or shoes with a larger toe box are recommended to minimize any residual discomfort.

Most patients experience mild achiness or no discomfort at all. Aspirin or Tylenol may be used to relieve minor pain, however, if excessive pain occurs, please contact your doctor.

You will follow up with your physician in one week for a quick post-op evaluation.

Compound Therapy is a procedure to treat your wart or porokeratosis plantaris discreta (clogged sweat gland) by using compounded wart-removal medication that is highly effective in eliminating most wart lesions.

The procedure may result in the following adverse experiences or risks:

• There is no specific treatment that works 100% of the time
• May be painful and cause blisters, scarring, or an open sore at the treatment area.
• It requires multiple treatments and office visits to resolve a wart.
• The part of your skin that was treated may darken or lighten.
• The wart may not completely go away or may come back.
• The wart may spread to other parts of your body.

IF A BLISTER DEVELOPS FROM WART TREATMENT:

To relieve blister-related pain, drain the fluid while leaving the overlying skin intact. First, wash your hands and the blister with warm water and soap. Swab the blister with iodine. Sterilize a clean, sharp needle by wiping it with rubbing alcohol. Use the needle to puncture the blister from the side of the blister not into the foot. Aim for several spots near the blister's edge. Let the fluid drain, but leave the overlying skin in place.

Afterwards, soak your foot in luke-warm water with Epsom salt for 15-20 minutes twice a day until your condition improves or until your next office visit. Apply iodine to the blister twice a day to help prevent infection and dry out the blister. The more frequently you apply iodine to the blister, the quicker it will dry out and feel better. Cover the blister with a bandaid or moleskin. Use the doughnut shaped moleskin that was provided to you by your physician and place it so that it encircles and offloads the blister. Then cover the blister and moleskin with a bandaid. Aspirin or Tylenol may be used to relieve minor pain, however, if excessive pain occurs, please contact your doctor.

Normal shoe gear may be worn as tolerated Using sneakers or shoes with a larger toe box are recommended to minimize any residual discomfort. Rotate shoes, use the clean cotton or wool socks, and spray shoes and bathtubs with Lysol spray daily and wear shoes that are well ventilated.

You will follow up with your physician in one week for a quick post-op evaluation. Contact your physician or seek urgent care if you develop an infection or related symptoms such as redness, purulent discharge, fever, chills, vomiting, or nausea. If you have diabetes or poor circulation, call your doctor before treating the blister yourself.