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An abscess on the skin is often red, swollen, and painful. It is the body's way of fighting off infection. Often the best way to help get rid of the infection is by incision and drainage. The provider will start by numbing the skin around the abscess. Then using a small scalpel, an incision will be made into the abscess allowing the discharge from the infection to drain. Depending on the size and location of the abscess, it may need to be packed with a gauze material to promote healing.

Many rectal complaints require the provider to take a closer look at the rectum and anus. The anoscopy is the tool and procedure that allows the provider to view these areas better.

Bladder catheterization is used to remove urine from the bladder and may be required if you are unable to urinate.

A Nursemaid's elbow is a partial dislocation of the elbow, which occurs when the lower part of the arm slips out of its normal position at the elbow joint. It is also called a radial head dislocation. It is prevalent in young children when they have had someone pulling on their arm or swinging them by the arm. The provider will determine if this is the cause of pain and the inability to move the arm. X-rays of the elbow are often ordered to evaluate the elbow joint before treatment. The provider will then manipulate the arm back into the proper position. The arm pain is resolved, and a full range of motion is restored.

Hormonal implants and intrauterine devices (IUDs) are both safe and dependable methods of birth control. They are called long acting reversible contraceptives (LARCs). These "fit-and-forget" methods last for years, and once inserted, pregnancy is safely prevented but easily reversible. A provider must insert and remove them. They're more expensive at first than other kinds of birth control, but that cost evens out over time. In many instances, patients note menstrual cycles are significantly dimished or in some cases absent altogether.

Hormonal Implant	Insertion	Removal
Nexplanon (Up to 3 years)	$1,149.99	$199.99

The birth control implant (AKA Nexplanon) is a tiny implant that releases hormones into your body to prevent you from getting pregnant. The provider inserts the implant into your arm and pregnancy is prevented for 3 years.

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Intrauterine Device (IUD)	Insertion	Removal
Scyla (Up to 3 years)	$699.99	$99.99
Mirena (Up to 5 years)	$899.99	$99.99
Paragrid (Up to 5 years)	$999.99	$99.99
Patient provide device	$149.99	$99.99

An Intrauterine Device (IUD) is a small, T-shaped device inserted into the uterus to provide birth control. It prevents pregnancy by stopping sperm from reaching and fertilizing eggs. Several options exist for IUD’s such as Mirena, Skyla and Paragard. The provider will evaluate and discuss the benefits and considerations of each device prior to making recommendation to each patient.

A cyst is usually a benign (harmless) "lump" under the skin. It is a collection of oil and skin debris that is walled off by a sac. The provider will start by numbing the skin around the cyst. Then using a small scalpel, the provider will make an incision in the skin overlying the cyst. A tool similar to tweezers will be used to pull the cyst out of the skin. Depending on the size of the cyst, packing, or sutures may be needed to ensure proper healing.

Removal of Up to 10 Lesions/Tags - $14.99 Each Lesions can include moles, skin tags, and other abnormal growths on the skin. The provider will begin by numbing the area surrounding the lesion. The lesion can be removed by burning, freezing, or using a scalpel to cut it off. The provider will determine the best method and if the lesion needs to be sent to a lab for a biopsy.

The ears naturally make earwax (cerumen) to protect the ear. Occasionally too much wax builds up and blocks the ear canal, causing discomfort, decreased hearing, or just obstructs the provider's view when trying to evaluate for an ear infection. The earwax is removed with a special tool called a curette. If the wax is very packed or hard, it may need to be irrigated with medication to soften the wax and flush it out of the canal.

Fiberglass splinting is indicated for fractures, unstable dislocations, and some sprains and strains. The purpose of the splint is to immobilize the bones and/or ligaments to allow them to heal. The fiberglass will be wet and then applied to the site of the injury. It is formed around the body to hold the area in proper alignment. An ACE bandage is wrapped around the fiberglass to hold it in place. The fiberglass hardens within 15 minutes. This splint can be easily removed for showering.

Fluorescein eye stain is used to visualize scratches or foreign bodies on the surface of the eye. The provider will first use medicated eye drops to numb the eye. Next, a moistened paper strip with fluorescein will be applied to the eye that will temporarily color the eye orange. The fluorescein stain will stick to any abnormalities. A fluorescent light will be used by the provider to visualize the dye. Then the provider can remove the foreign body or determine if the cornea (surface of the eye) is scratched or damaged in any way.

Foreign bodies are commonly removed from the eyes, nose, extremities, or just about any part of the human body. Depending on the location, different approaches may be taken to remove the foreign body.

A hemorrhoid is a varicose (swollen or dilated) vein in the anal region. Occasionally they develop a blood clot. The provider must then remove this clot. After examining the anus and rectum, the provider will numb the area with medication. A scalpel will be used to make an opening in the hemorrhoid, and the clot will be removed.

A joint injection is a corticosteroid that provides pain relief by reducing inflammation. The corticosteroid is injected into the joint with a needle. This is typically indicated when swelling and/or pain in a large joint is not improving after rest, ice, compression, elevation, and anti-inflammatory medication. A fracture, infection, or ligament/tendon tear must be ruled out first.

• Size 1-5 cm - $134.99
• Size 6-10 cm - $159.99
• Size 11-15 cm - $199.99
• Larger than 16 cm - $249.99

The laceration will first be cleaned, and any debris removed. The provider will use an injectable medication to numb the laceration before suturing. The suturing process consists of using a curved needle and a specific thread to close the wound.

Toenail removal is indicated when an ingrown nail becomes infected, continues to grow into the skin, or for a chronic fungal infection under the nail. The toe is cleaned and numbed. A special tool is used to cut and remove the nail.

A subungual hematoma is when blood builds up underneath the nail. It usually occurs with acute trauma to a finger or toe. The build-up of blood can cause pain due to intense pressure. The provider can drain this blood by using a device to make an opening in the nail.

Liquid nitrogen is applied briefly to the wart, causing a cooling sensation. Depending on the size of the wart, it may need multiple treatments, meaning the patient might have to return in 2 weeks for repeat treatments. The liquid nitrogen kills the virus that is causing the wart to grow.

After a laceration is sutured, cyst removed, or an incision and drainage of an abscess is done, the provider will have the patient return to make sure the wound is not infected. If the wound is infected, the appropriate treatment will be determined. The provider may also want to see a patient back for a wound check after an already existing infection to ensure the infection is getting better and not worse. Sometimes a cyst or abscess requires packing after treatment for the wound to heal from the inside out. In this situation, the wound may need to be repacked with the sterile medicated gauze. The repacking consists of removing the old packing with forceps, cleaning the wound, and then putting in more packing.