Specialist Clinics

Minor Operations and Cryotherapy

In the first instance you will need to book a routine GP appointment for an initial assessment and then we will book you into Dr Cribbin's Minor Op Clinic to remove your lumps and bumps.

Minor surgery appointments last 30 minutes with Dr. Cribbin and a practice nurse. You will probably require stitches which will need to be removed 7-10 days later. If you will be unable to return at this time to have the stitches removed please arrange an alternative appointment time. If you cannot keep the appointment please cancel it.

It is important to note the following:

If you are on Warfarin or Sinthrone please let the doctor know. You will need to stop this treatment three days before the surgery and have an INR done the day before the operation.

  • A local anaesthetic agent will be used – please let the doctor know if you have had any adverse reactions to local or dental anaesthetics in the past.
  • You will have a scar post – operatively which may look quite angry for a while afterwards – most scars fade away quite nicely after a few months but will always remain slightly visible.
  • If stitches are used they will need to be removed about a week later.
  • Wounds can get infected and can very occasionally break down. If you are concerned about the wound please contact the surgery and ask to see either the nurse or the doctor as soon as possible.
  • Our nurse at the time of surgery will instruct you how to look after the wound site post surgery.
  • All lesions excised are sent off to Salford Royal Hospital for examination under the microscope. The results are usually available 10-14 days later. Please contact the surgery to obtain the result. If there is any cause for concern you will be given an appointment to see the doctor.
  • You will be asked to sign a consent form stating that you agree to the operation being performed and that you understand the procedure.
  • After the procedure you will be given a drink and asked to remain in the treatment room for a few minutes to make sure you feel well enough to leave the premises.

Wound care instructions:

  • Your wound will have a dressing on which can remain in place until the stitches are removed.
  • If the dressing needs changing use a breathable plaster rather than a waterproof one.                          
  • The wound should be kept dry for 48 hours to reduce the risk of infection.
  • Scalp wounds should also be kept dry for 48 hours. Please avoid the use of any products except gentle shampoo until the stitches have been removed and the wound has healed.
  • New scar tissue can be sensitive to the sun – avoid exposing it to the sun for approximately 3 months.
  • If the wound starts to bleed please contact the surgery immediately or if we are closed attend A&E at Hope Hospital.

Wart Clinic (Cryotherapy)

This is available once a month and is carried out by our trained Assistant Practitioner, Lorraine after you have first seen your doctor for assessment.  Wart removal is performed by cryotherapy (freezing).

In this clinic liquid nitrogen is used to freeze your skin lesions away. The treatment for each lesion lasts about 20 seconds and is applied with a large baby bud.

A stinging sensation is caused whilst the treatment is applied and for a short while afterwards as the skin is thawing, a throbbing discomfort may occur. Immediately after the treatment the lesion will look no different. You do not need to put a dressing on it and can wash and bathe normally.

Over the following few days the treated area may become red and may blister. If a blood blister occurs please pop it with a clean needle – do not remove the overlying skin. If the area is very red and inflamed please use antiseptic cream e.g. Savlon. After about a week the treated area will scab and then a little while later the scab will drop off. It may take a few weeks for large warts which have been treated to heal up.

The treatment is not always successful and may need to be repeated. It is quite usual for large warts and verrucas to require a few treatment sessions at monthly intervals.

If the doctor has prescribed a wart removing gel this should not be used until a week after the treatment or until any blistering has settled. It is important that if you do use a wart removing gel that at least twice a week the dead surface skin is rubbed away with an emery board or pumice stone.

As there is a waiting list for this clinic, please remember to cancel your appointment if you can’t attend or if the problem has spontaneously resolved.

Joint and Soft Tissue Injections

Dr Adams performs these for the relief of conditions such as tennis elbow etc. You will need to be assessed by a doctor before booking these.

What to expect

Joint injections are used for the treatment of conditions such as rheumatoid arthritis, certain types of shoulder pain / movement limitation and occasionally osteoarthritis (‘wear and tear’). They are generally very safe but a few points should be considered before an injection takes place. 

  1. The injection itself may be painful. Local anaesthetic and steroid are used in the injection. If you are allergic to local anaesthetic or steroid you MUST tell your doctor.
  2. The local anaesthetic injected into the joint will provide some pain relief but this may only last a few hours. In the evening after the injection, or the morning after, the joint may become painful again. This is entirely normal and not a cause for concern. Taking simple painkillers such as Paracetamol, Ibuprofen or Co-codamol should help. The pain should wear off within the following day or two as the steroid begins to take effect.
  3. As with any procedure there is a risk of infection. Before the injection the area will be fully cleaned and sterile equipment used to minimize this risk. However, if the joint becomes hot, red, swollen or tender after the injection, please consult a doctor immediately as treatment for septic arthritis (joint infection), may be needed. This is a very rare event.
  4. When steroids are injected into the joints they can cause permanent dimpling or hardening of the skin and fatty tissue at the injection site, a condition known as ‘lipodystrophy’. People with darker skins occasionally notice that the steroid injection can cause a loss of skin pigment in the area. Again this is permanent and although uncommon, should be accepted as a risk of treatment. If this is not acceptable to you please do not go ahead with the treatment.

If you are unwell at the time of the injection it may be necessary to re-schedule the appointment. Please tell the doctor if you have any coughs/colds or other illness before the injection.

Rest the joint for 24-48 hours after the injection and then start performing appropriate exercises to regain mobility (such as those advised by a physiotherapist).