Minor procedures are invasive procedures that can be preformed onsite in clinic. These procedures will typically last about 30 minutes from start to finish. You will be required to sign a letter of informed consent prior to the procedure stating that you understand the risks and alternatives to the procedure. You are required to inform the doctor if you have been diagnosed with blood flow problems, diabetes, poor healing, if you take steroids, or if you are on blood thinners prior to the procedure. Occasionally additional testing may be required prior to scheduling a minor procedure to ensure your own best healing potential.
Some examples of minor procedures are as follows:
Suspicious lesions of the skin will be viewed and captured digitally with the dermatoscope and recorded in your patient chart. If there is any suspicion for malignancy a biopsy will be recommended. This will be explained to you fully. There may be a need to take one or more than one biopsy sample of tissue depending on the size and appearance of your lesion. You will receive a numbing injection and a special instrument will then be used to remove a sample of tissue. You may or may not need stitches. The wound will be dresses and post-procedure instructions will be given to you. The removed tissue will be sent to a qualified dermatopathologist for careful evaluation and when the results come in they will be explained to you at your follow up visit.
If it is deemed appropriate to remove an offending nail margin or the entire nail you will first receive an injection to numb up the entire toe. After this the toe is scrubbed to reduce your risk of infection. A small tourniquet is used to control the bleeding. The nail margin or entire nail is then removed. A chemical is applied to kill the cells that make the nail. The procedure site is rinsed and dressed. Post-procedure instructions will be dispensed to you the day of the procedure. It is best if you wear an open toed shoe to the clinic as the dressing may not fit in your shoe. If you cannot fit into the shoe you wore to the clinic an orthopedic post-procedure Velcro closure shoe is available for purchase onsite.
Injections of steroid and local anesthesia mixtures are commonly given in the clinic. We often will use ultrasound guidance to ensure that the placement of the medication is correct. Every effort is made to minimize the pain of the injection.
Some common reasons we give injections in clinic are:
You will have a band-aid in place after the injection and will be able to wear your normal shoes and drive home. Post-injection activity restrictions will be discussed with you before the end of your visit.
Thorough evaluation will be performed after removing the superficial tissue build up of the lesion. If the lesion is felt to be a wart your treatment options will be discussed. We can destruct the wart tissue using a few different methods in the clinic and these will be explained to you. In some cases a biopsy may be recommended. Surgical excision may be recommended in severe cases.
Occasionally a patient is not a good candidate for an involved procedure in the operating room and would like a less invasive approach to correcting hammertoes. If the doctor feels you have good healing potential, a procedure releasing the contractures of the toe(s) can be performed in the clinic. You will be given a numbing injection and the toe will be scrubbed to decrease the risk of infection. A very small incision will be made at the underside of the hammertoe and the flexor tendon that is contributing to the deformity will be cut. This will release the contracture. A suture will be placed to close the skin. The stitche(s) will stay in place for 2-3 weeks. You will need to purchase an orthopedic post-procedure Velcro closure shoe to wear while your stitches are in place. This is a good alternative to a bony fusion of the bones of the toe that is done in the operating room but the recurrence rate is higher with the soft tissue procedure as opposed to the bony procedure. You and the doctor can discuss which options are the best for you during your visit.
If you have an ulceration on your foot or lower leg your routine wound care can be performed at LFAC. This may be done weekly or less often depending on your case. If a more thorough debridement is necessary you may have a procedure scheduled at the hospital. Advanced wound care modalities such as grafts will be applied after operating room debridement in the hospital. You will be discharged home the same day.
Proper care of the feet and ankles is vital to the overall health of people of all ages, and Leelanau Foot & Ankle go the extra mile needed to make sure our community’s needs are served with family-friendly warmth, compassion, and top-notch medical talent. Use this form to ask about our foot & ankle services. For confidential questions, please call us directly at 231-866-4406.
Monday: 8:30 am – 4:30 pm
Tuesday: by appointment only
Wednesday: 8:30 am – 4:30 pm
Thursday: 9:00 am – 6:00 pm
Saturday: 8:00 am – 12:00 pm (by appointment only)
To schedule an appointment, please call: (231) 866-4406