Pedicures: Be Cautious During Chemotherapy
It’s a nice feeling to walk out of the salon with fresh, vibrant feet decorated with that perfect shade of polish. Nothing better accessorizes a favorite pair of sandals than a great pedicure! However, recent infection breakouts compelled us to warn you again—be sure you’re frequenting only high-quality salons, especially if you have, or are in remission from, cancer. If foot spas aren’t properly cleaned and disinfected, they can harbor dangerous bacteria.
The bugs that can live in footbaths are commonly found in dirt, dust, and water supplies—but they’re nasty little critters. According to “Nails Magazine,” California has had several outbreaks where people suffered pus-filled sores all over their lower legs. (The infection had to be treated with strong antibiotics.) The breakout looked something like insect bites, or pimples, that gradually grew in size and severity.
The cause was traced back to bacteria from pedicures performed weeks or even months before the sores showed up. Nearly 200 people were affected, and similar problems have now showed up in other states, including Georgia, Illinois, Oregon, Texas, and Arizona.
It’s not just that technicians aren’t cleaning the spas. Sometimes, they may not clean them frequently enough, but more often, they don’t clean them correctly. Proper cleaning involves several steps that include draining the tub, rinsing thoroughly, cleaning with the right surfactant, and disinfecting with a hospital-grade disinfectant. A more complete cleaning should be done every night (to clean filters), with thorough disinfecting every couple weeks. Companies should keep logs, to be sure the cleaning is completed as intended, and should be sure they’re using the right cleaners for the types of foot spas they have. Oftentimes, technicians are unaware of the manufacturer’s requirements, and use cleaners that aren’t strong enough to break down the oil buildup on the spa, including leftover lotion and skin oils. Bacteria can also become trapped in filters, jets, and drains, which need to be regularly flushed out.
If you’re going through cancer treatments, to safeguard your health, we suggest avoiding pedicure salons altogether. If you get a pedicure from a loved one, be sure that your spa is very clean, and don’t shave beforehand. Tiny nicks and cuts are perfect entryways for bugs. Even if you have insect bites, wait until they’ve healed.
When treatments are over and you go back to the salon, remain cautious. Mama’s Health recommends you ask the manager how often the footbaths are cleaned and what products are used to clean them. Don’t allow the technician to trim your toenails, and take your own tools for filing and cuticle-pushing. (No cuticle-cutting allowed!) Make sure the spa is licensed, and that technicians wash their hands frequently. If you have any doubts, leave the salon and find a better one. For anyone with a compromised or recovering immune system, pedicures can be a risky treatment, so either do them at home, or be positive that your salon is squeaky clean.
What do you think about pedicures? Do you have any important experiences to share?
Photo courtesy of Snap Village.


I was so shocked to read this about pedicures…(and I guess manicures fall into this also)…I had asked my oncologist about this and she said, ‘No Problem’….. I had my doubts and that was why I asked her… I am beginning to doubt her treatment.
I am in total agreement with the caution that is required with any service during cancer treatment.
While undergoing chemotherapy your immune system is compromised and if no extra care is taken, you might end up with an infection that could halt your treatment or worse.
With all the said, proper precautions can be taken to ensure you have the benefits of a pedicure while maintaining a close watch on any harmful procedures.
Make certain that the spa maintains the highest levels of cleanliness and your technicians are not cutting of cuticles or too aggressive with filing. Limit the use of any sharp instruments that might cause problems for your clients while undergoing cancer treatment.
A pampering pedicure might increase the massage portion to offer clients the best experience available. Pedicures can also benefit the heels and toes. Like anything else, eliminating isn’t always the best solution, but taking extra care is.
Hi Kathleen, I’m glad that you enjoyed the post. Please take a look at our salon and spa directory for natural salons and spas in your area. Thank you so much for commenting and please let me know how treatments go. – Britta
Thank you for all of the great information and tips Saundra. I hope that spas that offer services to cancer patients follow your advice and understand the extra care needed when dealing with cancer fighters. Thanks for commenting! – Britta