Verrucae are warts in the foot. They are problematic because the skin is thicker on the feet and pressure of walking pushes them into the skin. They can also be present for some time before being noticed because they are not on view all the time.
There is no one treatment that works for everyone and treatment can be unpredictable.
Verrucae and warts are caused by the human papilloma virus (HPV). The virus lives in the body’s cells making it difficult for the immune system to identify and react.
Treatment aims to either stimulate the immune system into reacting or destroys the skin containing the virus.
Various acids are applied as a first line treatment- commonly salicylic acid but at a much higher concentration than in bazooka! This is applied every 2 weeks for 2-4 sessions and works in around 70% of the time. It is tolerated well by children. However it requires the dressing to remain in place for 2-4 days for optimal results.
Alternatively we could freeze it with Dermafreeze which freezes the area to try and cause frostbite. This is best when there are one or two solitary verrucae or they are on the toes.
For multiple verrucae, patients who are very active or resistant verrucae we will offer dry needling. This method stimulates the immune response to fight the infection. It requires one or two treatments if it’s going to work and has from 65% to 90% effectiveness. Dry needling information.
Our YAG laser has also exhibited antiviral activity. We also can use a surgical technique called curettage to cut out single verrucae.
In all cases we will discuss the treatment suitable in your case and devise a sensible plan of attack. As such it is difficult to provide specific information on a treatment approaches until we have discussed and assessed.