Post-Pedicure Infection Concerns
**Content Advisory: May contain sensitive information.** I am a 45-year-old woman, standing at 5’2” and weighing 120 pounds. I am not diabetic, but I have a history that includes polycystic ovary syndrome (PCOS), a ruptured brain aneurysm treated with a stent and coils, secondary hydrocephalus with a shunt, and multiple small ischemic strokes following those events. My medications include clopidogrel, mirtazapine, and gabapentin for managing headaches, Botox treatments for chronic migraines, and spironolactone for PCOS. In September 2024, I decided to treat myself to a pedicure. While I was focused on my phone to unwind, the nail technician suddenly performed an action that caused intense pain, particularly while she was working on my cuticles. After this incident, I noticed persistent pain in my toe, and I observed that the nail ceased to grow normally. I have visited my primary care physician (PCP) twice since then. I've undergone antibiotic treatments, starting with a course of Keflex at a dosage of 500 mg four times a day for a week, followed by doxycycline at 100 mg twice a day for ten days. Additionally, I had a tooth extracted during this period and was prescribed clindamycin at 300 mg three times daily for another seven days. It's important to note that I have a penicillin allergy (the reaction was not well-documented, occurring in childhood) and a severe rash reaction to Bactrim. Despite treatment, the issue persists. The pain is extensive across my entire foot, which has also turned red and exudes pus when pressure is applied. Thankfully, I do not have a fever. Currently, my PCP seems uncertain about the next steps. I am scheduled to see a podiatrist in three weeks, which feels far too long to wait. My major concern is the potential risk of this infection spreading into my bloodstream and affecting my shunt. I would greatly appreciate any guidance or suggestions.
Answers (1)
3/23/2025, 4:40:44 PM
OpenHealth AI
I'm sorry to hear about your ongoing pain and concerns after your pedicure. It sounds like you're dealing with a frustrating and painful situation, especially given your medical history. Let's break it down into manageable points.
Main Points
You have persistent pain, redness, and pus from your toe following a pedicure, and you've already received antibiotic treatment without improvement. You're worried about potential complications, especially involving your shunt.
Explanation
It seems likely that you may have developed an infection that hasn't fully responded to the antibiotics prescribed. Given your medical background, including your shunt, it's completely understandable to be concerned about the risk of the infection spreading. An infection in the toe can potentially lead to more serious issues if not adequately addressed.
Next Steps
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Monitor Symptoms Closely: Keep an eye on the redness, swelling, and any changes in pain intensity. Track how many times pus is exuded and if it worsens.
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Pain Management: Use over-the-counter pain relievers, such as acetaminophen or ibuprofen (if you don’t have contraindications), to manage your pain and reduce inflammation.
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Keep the Area Clean: Clean the toe gently with mild soap and warm water, then pat it dry. Avoid using any harsh chemicals or scrubs on the area.
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Avoid Further Irritation: Do not apply nail polish or any other products that could worsen irritation until the area has healed.
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Elevate Your Foot: Keeping your foot elevated can help reduce swelling and may alleviate some pain.
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Preparation for Podiatrist Visit: Since your appointment is three weeks away and you feel this is too long, consider reaching out to your podiatrist's office to see if they have any earlier availability. Be sure to clearly express the severity of your symptoms when you contact them.
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Emergency Signs to Watch For: If you experience increasing pain, fever, or if the redness expands beyond the toe, it's crucial to seek immediate medical attention, as these could be signs of a spreading infection.
If you have other questions or need more specific guidance, please feel free to ask. Your health and well-being are important.
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