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Nail removal on affected lymphedema leg

So I have lymphedema in my leg, had cellulitis, and took 2 weeks antibiotics and now on 8 weeks prophylactic antibiotics.

I also have a fungal nail infection on two toes on the foot of the affected leg. My leg was originally swollen, now my ankle and foot after EVLA surgery, but not toes. I am in a dilemma - do I take fungal meds, which can cause liver damage, or risk a minor surgery that, if done, could cause infection, and if not done, is a risk factor for cellulitis?

My podiatrist suggests I get a compression garment (which I understand is more to prevent swelling, promote fluid movement, and not so much reduce swelling), take any antibiotics to reduce chance of infection and have a nail avulsion. She said the infection only lives on the nail and nowhere else so this will sort that problem out, plus is a very quick treatment. Terbinafine, on the other hand, can cause liver damage.

What do you guys recommend?

Also, can a warm shower aggravate a cellulitis in remission?

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I have bilateral LE from toes to waist have had nail fungus on 5 toes on one foot and 4 on the other. Tried everything including fungal lacquer on perscription.... nothing. Started taking the pill about 5 months ago and at last results. You have blood test 3 monthly for the liver. Good Luck.

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Did you try nail avulsion? If so, what was the problem with this?

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Just got fed u with nothing working so went for the pills.

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I see. So you never tried nail avulsion?

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It was never mentioned and try not to have any surgical procedures unless there is no option on my LE limbs.

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Yeah surgery is a risk, but so is terbinafine. Thanks, looks like I need to speak to doctors. The surgery is in a part of limb not affected by swelling though, so that should be ok? Again, will discuss with doctors before commiting.

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I have lymphoedema (below knee, both kegs/ feet). I had fungal medication (for one toe nail), along with regular liver checks. Medication worked brilliantly.

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Podiatrists are pretty good at nail avulsion and you have been given really good advice re avoiding infection, and you sound reluctant to take Terbinafine.

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What is nail avulsion?

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Nail avulsion is removal of the nail with or without phenolisation (that destroys the nail bed so the nail can't grow back - not sure if this is recommended with LE).

I'm reluctant either way as both approaches aren't risk free. Some doctors say that liver damage is highly likely, some say they are not. Podiatrist did say check with a liver specialist if possible and if I am worried that much.

Like most of us, I have enough health issues to manage and I don't want to add on the list with another significant problem.

My podiatrist is quite familiar with LE too which gives me confidence.

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Thank you for the information. I can understand why you wouldn't want this. I have heard that having a nail removed can affect balance in some people. i don't know if this is just a minority or if this is a lot of people, i do know one person who had a nail removed on her foot and eventually she lost the ability to walk. She was only in her forties and had over the years suffered with pain in her feet and infection after infection in the nails. She also suffered two or three bouts of recurring celucitis , the infection of the skin in one lower leg and foot. She now hurries around using a mobility scooter. I hope your issues ease.

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Wow I've no idea how nail removal can effect balance? Not saying it is not true, there must be more involved? I've had nail removal done before for problematic nails, way before my LE developed, no issues. I don't know how significant it is but my toes do not have lymphedema. Anyway, I guess I need to discuss this a bit more. It's good to hear people's experiences.

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People's Pharmacy had a list of possible natural solutions, if you want to take a look. Just scanning through, it looks like iodine, hydrogen pyroxide, and vick vapor rub have worked. here's the link. peoplespharmacy.com/health-...

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