New Treatment List

Needling a New Treatment for Verrucae

Verruca Advice and Needling

A Verruca is an enlarged growth of normal skin caused by the human papilloma virus. The virus enters the skin through microscopic breaks in the skin and is usually transferred in communal areas that are damp (around swimming pools, on shower floors at Gyms and Hotels, on bathmats). They vary in size, shape, numbers and texture. There is no one definitive cure. Untreated they can stay on the skin for extended periods of time. Once the immune system identifies the virus it will produce antibodies that will destroy it. This can occur at any time even after several years. Treatments aim to either directly destroy the cells containing the virus or to inflame the area stimulating the immune system or a combination of both.  Your Podiatrist will assess your verrucae and inform you if needling is suitable or suggest alternative treatments.

Percutaneous Immune Stimulation (Needling)

This treatment is usually advised if the verruca is resistant to other treatments or is very painful. The procedure is designed to make the immune system aware of the presence of the virus. The virus is fairly well protected in the cells of the outer layer of the skin (epidermis) which is particularly thick on the sole of the foot. The procedure requires local anaesthesia at the level of the ankle. The whole of the sole of the foot is numb for a few hours so suitable transport should be arranged for the journey home. The centre of the verruca tissue is broken down using a needle. This stimulates the immune system by making it aware of the virus which hopefully stimulates an immune response destroying the verruca. There is minimal discomfort following the procedure. A thick dressing is applied for 24 hours after which normal showering/bathing can be resumed. In the case of multiple verrucae one or two lesions are selected for treatment which usually results in the resolution of the other verrucae, even those on the other foot. Resolution, if achieved, usually occurs between 3 to 12 weeks following the procedure. Follow up appointments are necessary to reduce the thickened skin during this time. Published results of clinical research suggest a 70% to 98% success rate using this treatment.


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Croydon Chiropody and Podiatry Centre

80 North End




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