Needling for Verrucae

About Verruca Needling

Verruca needling procedure is a treatment for verruca which has become a more popular treatment method over recent years. It is also known as Falknor Needling. The technique is intended to break down the verruca and create a controlled inflammatory response which, in turn, stimulates the body’s immune system to fight the infection. One treatment is sufficient for about 80% of cases and if a second treatment is needed, the outcome is often higher.

It offers advantages over the traditional salicylic acid therapy in that it does not require 2-6 treatments every week, and after the first few days, does not need to be kept dry to allow the acid to work. This makes it an ideal treatment option for busy people. The treatment is carried out under local anaesthetic. Most people report only minor soreness for 2 to 3 days post treatment.The treatment has been around for over 45 years (being first described in a medical journal in America in 1969) and is used routinely with great success by practitioners internationally. It has been reported to be highly effective, even for longstanding verruca.

How does this method of treatment work?

Once the foot has been numbed with a local anaesthetic, the verruca is pricked with an empty sterile needle many times, the viral particles are directly exposed to the fatty tissue beneath the skin where the body is rich in immune regulators. Here, the immune system can recognise and destroy the virus. As this immune response is often systemic, treatment of only one verruca is required even where there are many lesions as spontaneous remission can occur in all, or most, verruca at the same time.

What will happen during the treatment?

There are three stages to the procedure:
1. You will be given an injection of local anaesthetic which will make your verruca and surrounding area numb.
2. Once the verruca is numb, the podiatrist will carefully needle the verrucae to implant the virus into the dermal layer of the skin so that the body’s immune system can come into contact with the virus.
3. A dressing will be applied to the verruca once the procedure is completed. you are advised not to drive when the foot or part of the foot has been anaesthetised. Our advice is to get a Taxi or a lift home and avoid walking.


Verruca immediately after needling procedure. A gauze plaster and pad is applied to this. Note how only one verruca is treated. They tend to resolve when the immune system reacts.

Will it be painful afterwards?

Some patients can experience soreness once the anaesthetic wares off. This soreness can best be described as a bruised feeling that can last for 1 to 2 days after the procedure. Painkillers such as Paracetamol are normally sufficient to reduce any discomfort. Use of Ibuprofen or any other anti-inflammatory medication is not advisable since it reduces the inflammatory response.

Dressings and follow-up

Routine post-operative check-ups are put in place for patients by the clinic. Most patients are seen 1 week after the procedure and then 12 weeks after the procedure. Following the procedure, the wound will have to be redressed by the patient daily for up to 10 days. Details of dressings to use will be provided to patients.

(a) verruca before needling treatment; (b) during treatment; (c) verruca resolved, one month after treatment.

Risks and complications

Although very rare, the following risks have been noted:
• Infection
• Recurrence
• Delayed healing
• Adverse reaction to Local anaesthesia
• Scar tissue


We usually provide this treatment after attending for an initial consultation where the suitability for the treatment will be discussed.


The cost of verruca needling is typically £180, and will include a follow up appointment to review your condition 1-2 months later. The number of verruca treated per session will vary depending on the location and size of each lesion. All fees must be paid at the time of procedure. Further appointments are charged at our normal rate (£21 – 15 minute verruca appointment). A second needling procedure can be carried out within 3 months if it has not resolved at a reduced cost of £140.


We generally advise booking a new patient appointment so we can check suitability, health and discuss the procedure on the basis of your specific case. In cases where you have been advised by another Podiatrist or Doctor to have this procedure or you have tried all other treatments we could arrange a telephone consultation initially.

Craig Barrell performing a tibial ankle anaesthetic to numb the sole of the foot. Depending on the location of the verruca different nerves need to be numbed.

The link below allows you to book the procedure with our associate Craig Barrell who performs the procedure on Wednesdays. To search for other days, please use the booking link on the top right of the website.