Verrucae are lesions on the foot, they are benign tumours caused by the Human Papilloma Virus (HPV). They are often contracted at swimming pools and changing rooms. Infection occurs when skin is broken. The virus invades skin cells and incubates, usually for many weeks or months. It then causes overproduction of skin cells as it replicates, resulting in a `warty` appearance.
There is no definite cure for verruca, however with the current evidence growing verruca needling is a safe and effective treatment. There is evidence that it works in over 67-69% of cases which is higher than any other verruca treatment. It may be necessary to repeat the procedure 10-16 weeks after the initial procedure.
Verruca needling is performed under local anaesthetic with three or four injections around the ankle 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 verruca tissue from the epidermis through into the dermis and underlying adipose tissue layer triggering a localised cell-mediated response, which can stimulate the immune system to recognise and destroy the virus.
Important information for the day of the dry needling:
- You are allowed to eat before dry needling.
- The dressing applied following dry needling is not bulky and so no particular type of shoe need be worn.
- Make arrangements for getting a lift home with someone, as you will not be covered by your car insurance to drive for 12 hours.
- You will be expected to change the dressing a couple of times in the first week.
- You should not require any time off work.
- For the first couple of days keep walking to a minimum and avoid running altogether.
- It is advisable when you get home to rest with your feet elevated for the first 2 hours – this helps the blood to clot and promotes healing.
- Painkillers may be necessary initially as the anaesthetic wears off, however avoid Aspirin- based products.