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Needling – An Effective Treatment For Verruca And Warts

What Is A Verruca?

Verruca or warts are caused by a viral infection. Initially verrucae are painless and can sometimes resolve by themselves. However they can also be painful and spread to other areas of the foot. We at Flawless feet offer a wide range of treatment for warts in London.

Verrucae are caused by the human papilloma virus, of which there are many variants. The virus is contagious, but not everyone will develop a verrucae. They appear as small, innocuous circles on the skin. As they grow, they form a “cauliflower” like appearance and often are covered with tiny back dots, which are actually small blood vessels.

Verrucae can be spread through contact with contaminated surfaces such as those in areas surrounding swimming pools and communal washing areas. They are more likely to spread if the skin is wet, soft or has been in contact with a rough surface. People with scratches or cuts on the soles of their feet are particularly vulnerable.

What Is Needling?

Needling is a procedure where the verrucae / wart is punctured with a small needle to cause bleeding and stimulate the body’s immune system to resolve the problem.

Needling  is proving to be the most reliable treatment for the removal of warts and is very practical for the busy person who can not come in for regular sessions.  Acids and Cryotherapy involve multiple appointments which can add up a lot of time out of work and expense and rely on the patient being fit and healthy.

The procedure is performed under local anaesthetic to ensure the foot is completely numb before proceeding.

Having established that the area to be treated has been completely anaesthetised a hypodermic needle is used to repeatedly puncture the verruca. This pushes verrucae tissue from the epidermis through into the dermis and underlying adipose tissue layer.

Once this process has been completed a simple dry dressing is applied. This must be kept dry for at least 24 hours.

The anaesthetic will start to wear off in 2 to 3 hours, but do not be concerned if it takes a little longer as the effects vary from person to person.

After 48 hours showering is permitted and life can continue as normal.

Is It Painful?

This procedure is performed under local anaesthetic and therefore does not hurt. There may be some slight discomfort for the first couple of days and pain relief may be taken to ease this as long as it is not aspirin based.

What Is The Advantage Of This Procedure?

There are many treatments for a verrucae / wart although the results are mixed and the treatments are often painful.

One huge advantage over other treatments such as cryosurgery and caustic is that only one session of treatment is usually needed. If you have multiple lesions then still only the “mother lesion” needs to be treated as a systemic immune response is initiated.

Needling is an effective treatment, often working following the first treatment.

There are very few contraindications as needling does not destroy skin tissue but as with all procedures the outcomes are influenced by your general health and medical history.

Please Note: Other Treatments for verrucae / verruca are available include cryosurgery (freezing), the use of strong acids, Or Swift Microwave Therapy.

It is worth noting that NO single treatment for verrucae / verruca warts is 100% effective, and there is no guarantee that the verrucae / verruca warts will not return.

The Treatment of Verrucae Pedis Using Falknor’s Needling Method:

A Review of 46 Cases


How successful is the treatment?

Until recently, there was very little information on success rates. However, a recent paper has demonstrated:

  • 31 patients (69%) had complete resolution
  • 3 patients had reduced size and pain
  • 11 showed no improvement
  • There were no post operative infections or scarring
    Only mild symptoms were reported – bruising, slight discomfort
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