April 23, 2024/Skin Care & Beauty

6 Benefits of Medical Pedicures: Should You Try It?

Safety, hygiene and technician training are among the biggest benefits of a ‘medi pedi’

Medical technician looking through large, lighted magnifying glass, working on patient's foot

Your feet carry you through the ups and downs of life. But when that journey starts to take its toll, it might be time for a pedicure — especially during sandal season.


Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

You could DIY a pedicure at home or head to your local nail salon for the full treatment. But did you know there’s another option? (Hint: It’s not a so-called “fish pedicure” — which you should probably skip, by the way.)

“A medical pedicure offers a higher level of cleanliness, safety and care compared to traditional pedicures,” shares podiatrist Joy Rowland, DPM. “Anyone can benefit from a medical pedicure, but they’re particularly helpful if you have foot problems or health conditions that affect your feet.”

What is a medical pedicure?

A medical pedicure, or “medi pedi,” is a clinical version of a salon pedicure. It’s based on a medical model of care that strongly emphasizes technician training, infection prevention and your health.

How does a medi pedi differ from a regular pedicure?

While they may sound similar, medical pedicures and regular pedicures differ in several ways. Dr. Rowland delves deeper into some of the differences.

Technician training

One major difference between the two types of pedicures is the level of training of the technicians who perform them.

Licensing requirements for regular nail technicians vary by state, though most states require:

  • An approved course of study or apprenticeship.
  • A passing grade on an exam.
  • Licensure from a state cosmetology board.

When you get a medical pedicure, you’ll be under the care of a certified medical nail technician (MNT), a licensed nail technician with advanced training in the medical aspects of foot and nail care. As part of their certification, they also complete an internship under the direction of a podiatrist.

The goal of the pedicure

Another important difference between the two types of pedicures is that a medi pedi focuses mainly on foot health rather than aesthetics.


“Your feet will look and feel great after a medical pedicure, but the experience itself is different,” Dr. Rowland clarifies.

For example, medical pedicures are waterless. You may find it comforting to soak in a warm, sudsy basin, but foot soaks are a source of bacteria that can cause an infection if there are any breaks in your skin.

Your MNT also may not offer foot massage, lotions or nail polish, as salons and spas do. If those services are important to you, check whether they’re offered before you book an appointment. Knowing what to expect can help you make the most of the experience. (That said, doctors recommend giving your toenails the occasional break from nail polish, anyway … so, maybe now’s the time!)

Benefits of medi pedis

Typically, you’ll need to go to a podiatrist’s office or foot care clinic for a medical pedicure, Dr. Rowland says. The clinical nature of the medi pedi means it provides some different benefits from a regular pedicure, too.

1. Expertise

When you get a medi pedi, you get the expertise of the MNT and the podiatrist they work with. You probably won’t see the podiatrist directly, but the MNT can consult with them if needed, which isn’t an option in a salon.

2. Infection prevention

You certainly don’t expect to get an infection at a nail salon, but bacteria, viruses and fungi may be lurking in the water basins, tools and even nail polish — yes, even when the nail technicians are diligent about disinfection.

“Foot and toe infections can have serious consequences,” Dr. Rowland warns, “but certified MNTs use the same sterilization procedures and sterile techniques that healthcare providers use to prevent infections.”

3. Specialized tools and techniques

You won’t find a metal, grater-like callus remover in a medical pedicure office. MNTs use sanding files that are less likely to tear the skin, Dr. Rowland says. They may also use more sophisticated instruments than what you’ll find in a traditional nail salon, like a sharp blade (scalpel) to remove calluses and a rotating power tool to sand down calluses and thick toenails.

4. Safety

In a medi pedi, safety is always a priority. Your MNT will be careful to:

  • Cut your nails the right length. The right length is important for foot health. If left too long, toenails can rub on your shoes and cause pain, while cutting them too short can lead to ingrown toenails.
  • Remove calluses appropriately. When removing calluses, your MNT will check your skin often, making sure not to sand too deep or cause too much friction.
  • Protect your cuticles. Your MNT may file your cuticles gently, but they’ll be very careful about cutting them. The cuticle covers the area of nail growth, and scraping or cutting away the cuticle can cause long-term nail damage.

5. Personalized treatment and relief

Your MNT will check your feet and tailor your medical pedicure to give you the best results. They’ll customize your service based on your:

  • Foot health.
  • Overall health.
  • Preferences.

MNTs also understand that foot problems can make every step painful — or at least uncomfortable. A medical pedicure can help resolve certain foot issues or set you on a path to healing. They may also offer suggestions on footwear or strategies to relieve problems like:


6. Prevention of future foot problems

As professionals with medical training, MNTs can often spot early signs of foot problems, including foot and nail fungus.

This is when sharing an office with a podiatrist comes in handy: Your MNT can arrange for an appointment to see the podiatrist so you can get the care you need.

What to expect after a medi pedi

After a medical pedicure, give your feet a day or two to recover. Too much activity right away can irritate or damage your skin. Also, wear supportive footwear at home and when you’re out and about.

In the long term, help keep your feet soft and healthy by applying foot cream daily — but avoid slathering it in in the area between your toes, which is prone to fungal infection.

To help prevent fungal nails, rub on a natural antifungal agent, such as coconut oil or a cream with camphor and eucalyptus oil, like Vicks VapoRub® or something similar.

Should you get a medical pedicure?

Medi pedis are for anyone who wants a safe, sterile pedicure from someone trained in foot health. It’s also the best choice if you have foot problems or health conditions like:

  1. Autoimmune diseases.
  2. Diabetes.
  3. Cancer, especially if you’re undergoing chemotherapy or radiation therapy.
  4. Compromised immune system.
  5. Peripheral artery disease (PAD).
  6. Peripheral neuropathy.

If you’re thinking about scheduling a medical pedicure, Dr. Rowland recommends doing some additional research on the facility first. “It’s OK to ask questions over the phone or even visit the office,” she suggests.

When you’re choosing a location for your medi pedi, consider things like:

  • Is the nail technician a certified MNT? How much experience do they have?
  • Is the MNT associated with a podiatrist?
  • Is the space clean? What type of sterilization procedures do they use?
  • Do they offer the services you want, such as foot massage or nail polish?
  • How much does the medical pedicure cost?

A medical pedicure can help get your feet in tip-top shape and ready to carry you wherever you need to go.


Learn more about our editorial process.

Related Articles

Acrylic nails being filed by manicurist
April 24, 2024/Skin Care & Beauty
Are Acrylic Nails Bad for Your Nails and Skin?

Before your next manicure, weigh the reward against the risk of infection, irritated skin and damaged nails

Ingrown toenail on big toe
March 27, 2024/Orthopaedics
Ingrown Toenail? Try These Home Remedies

Pain meds, toenail protectors and petrolatum jelly may spare you a trip to a podiatrist

person sitting in chair soaking feet in warm tub of water
December 11, 2023/Primary Care
Foot Soaks: What To Know and Whether To Try One

Except in certain medical scenarios, foot health experts rarely recommend foot soaks

Close up of a woman's hands receiving acrylic powder to nails during manicure
December 10, 2023/Skin Care & Beauty
Understanding the Pros and Cons of Dip Powder, Gel and Acrylic Nails

These manicure techniques vary in terms of longevity, hygiene and overall nail health

Closeup of ballerina's feet, one foot bruised with bandaid and the other still in its point slipper.
June 7, 2023/Orthopaedics
How Ballet Affects Your Feet

Poorly fitting footwear and overuse injuries can knock you ‘off pointe’

black toenail from running
May 23, 2023/Exercise & Fitness
Damage Control: What To Know About Runner’s Toe

A few precautions can keep your toenails from turning black and falling off

Closeup of fingernails bitten down to the quick.
April 11, 2023/Wellness
How To Stop Nail Biting

A combination of treatments can help you conquer the compulsion

Someone getting a gel manicure.
April 5, 2023/Skin Care & Beauty
You Guessed Right: Gel Nail Polish Is Bad for Your Nails

The temporary nail damage is bad, but the cumulative UV exposure could be worse

Trending Topics

Person in yellow tshirt and blue jeans relaxing on green couch in living room reading texts on their phone.
Here’s How Many Calories You Naturally Burn in a Day

Your metabolism may torch 1,300 to 2,000 calories daily with no activity

woman snacking on raisins and nuts
52 Foods High In Iron

Pump up your iron intake with foods like tuna, tofu and turkey