**11. Heat therapy**

This treatment [15] is done in a single session. Under aseptic precautions, the lesion is anaesthetized with 2% lidocaine. With the ThermoSurgery instrument (fork-like applicator), heat is applied at 50° C for 30 seconds. This will cover an area of 3x 4 mm. Then the applicator is moved to an adjacent area and the same heat is applied, this process is continued until the lesion is fully covered. The entire session takes about 4-5 min. The lesion should then be covered with a gauze bandage. This is FDA approved for the treatment of cutaneous leishmaniasis.
