Prior to arrival please ensure:

-Prescriptions (if needed) and instructions for use are on hand.

-Wear comfortable clothing, button/ zip down so that nothing is going over your head.

-Notify us of any personal history of herpes simplex virus 2, otherwise known as cold sores or fever blisters on the outside of your mouth or nose.

-Remember, we won’t let you leave the building without an escort driving you home.

It is important to follow your practitioner’s instructions for treatment. You will have little to no discomfort when these instructions are followed:

During the first 24 hours post:

•  Vinegar soaks at least 3-5 times daily. Cannot soak too much!

•   Use ice/cold packs every two hours for 20 minutes maximum for swelling and discomfort.

•   Cover your treated areas with Pro Salve (included in Post Aid kit) or Aquaphor.

•   Keep your head elevated by using two or more pillows when lying down.

Should you have any concern after hours following treatment please call the office at 615-829-7198 and follow instructions to reach the Nurse Practitioner on call.

After the first 24 hours:

•   Continue taking all medications as directed by your physician.

•   If necessary, as directed take a pain reliever of practitioner’s choice.

•  Skin may feel sensitive; have a red pigmented and swollen appearance depending on treatment. Treated area may also itch. These are all normal.

•   Continue to keep treated areas covered with Pro Salve every 3-4 hours. This will decrease healing time and minimize discomfort and itching.

•   Periodically spray the area for moisture. Avene spray water and Cucumber Spritz are included in your Post Aid kit for this purpose. (feel free to refrigerate these)

•   If you feel pain 2 days or more after the procedure, call your Practitioner.

•   Begin cleaning the skin twice daily with a mild, hypo allergenic cleanser. DO NOT SCRUB treated area. Apply the salve after each wash.

•   Avoid sun exposure during the first few weeks following the procedure. A sunscreen with SPF 50 or above should be used for any transient exposure. If possible cover the treated area with a hat or clothing to further reduce exposure.

•   Keep all follow up appointments so your practitioner can assess your progression.

•   If there is an increase in pain or redness call practitioner promptly.

•   Following treatment normal activities may resume per level of comfort. However, no swimming or using hot tubs/ whirlpools while redness is present. Usually 72 hours.

•   Once you feel comfortable and healed, a normal skin care regime, including make up or shaving, can be resumed. Make sure water is not too hot for cleansing or shaving.

•   With any further questions please contact your nurse practitioner.