Verruca Needling

A treatment option worth considering

If you are considering your treatment options for a long standing verruca then needling may be worth considering…

What is a Verruca?

Verruca are benign tumours, caused by an infection of the epidermal keratinocytes by the Human Papilloma Virus (HPV) through abrasion of the skin surface. Here the virus can remain latent for up to 8 months and can evade the hosts immune system, reproducing then migrating to the surface, spreading to other hosts (people) through exfoliation.

The virus alters the character of the epidermis, resulting in the visible warty appearance. The skin striae are interrupted and there may be small black bleeding points, representing thrombosed capillaries of dermal papillae, which have extended to the surface of the lesion. Bleeding does not spread the virus as it can only replicate in the epidermis.

Verruca Sub-types

There are more than 100 known types of HPV but the most common warts on the feet are the sub-types, 1, 2 & 4.

There is no one treatment which works 100% of the time for all people. The best a podiatrist can do is instigate the battle between the White Blood Cells and the virus and hope the WBC’s win!

How can the podiatrists at Care for Feet help?

After an initial consultation the podiatrist will advise on the best treatment options for your verruca. This may include verruca needling.

Verruca Needling Procedure

First the podiatrist will administer local anaesthetic into your foot either a tibial nerve block, digital block or local infiltration depending on the location of the lesion. Once the area of skin is numb any overlying hard skin/callus will be removed with a scalpel blade. The area is cleansed with iodine before a sterile needle is utilised to puncture through the verruca lesion to the subcutaneous tissue. Each puncture produces pin point bleeding until the entire lesion is perforated. A sterile dressing is then applied.

Verrucae on 15 year old girl
Verruca Pre Needling
8 weeks post op
Long standing verruca
8 weeks post op

Post operative advice

  • The patient is advised to go home and rest for the remainder of the day.
  • To avoid NSAIDS or other anti-inflammatory medication for 48 hours to increase the local inflammatory response.
  • To lightly shower and wash the area after keeping dry for 24 hours.
  • Wound inspection and reduction of any uncomfortable scab is performed 1-2 weeks post op.
  • A final inspection is advised at 8 weeks post op to check success of procedure.

If you would like to know if verruca needling would be suitable for you, telephone the clinic to book an initial assessment and view pricing here.

Buxton & Chapel Tel. 01298 937 921

Bakewell Tel. 01629 259672

To book online: