Call 01282 453 110 to book your appointment today.


What is a verruca?

Verruca Pedis (a verruca) is a very common foot complaint; it is a benign tumour caused by The Human Papilloma Virus (HPV).  The virus affects only the outermost layer of the skin (the epidermis) and causes visible lesions to appear on the skin – a lesion may look like a corn, but it has an irregular border and there may be small black dots (blood vessels) present.

Verrucae are usually painless but they can be uncomfortable if they are in an area of high pressure on your foot.  People often request treatment because they feel embarrassed about showing their feet in public when they have a verruca.  Verrucae are highly contagious and you may spread the virus to others without realising it.


What is verruca needling?

Verruca needling is a procedure where the verruca is punctured with a small sterile needle; this causes bleeding and inflammation, which stimulate the body’s immune system to resolve the problem.  Needling pushes viral cells into the deeper layers of the skin where there is an excellent blood supply and the immune system is far more active.


Can I drive to my appointment?

You can drive to us, but it would be better if you can get a friend or relative to bring you to your appointment as you will be unable to drive home after your needling procedure.  We recommend that you go home and rest with your foot elevated for the remainder of the day following your treatment. We have parking facilities outside and around our clinics in Burnley, Padiham, Skipton and Lancaster.


Is it painful?

This procedure is performed under local anaesthetic, so because the tissue is numb you will not feel a thing.  Some patients experience a little discomfort when we put the local anaesthetic in, but this is over very quickly.  Patients generally experience very little pain after the procedure – although it may be a little sore when the anaesthetic wears off.


What is the advantage of this procedure?

There are many treatments for treating verrucae (including doing absolutely nothing); however, the results are mixed and the treatments are often painful, with many requiring several consultations.  Verruca needling is an effective treatment, with up to 69%[1] of patients reporting success following the first treatment.  Patients can remove the dressing the within 1-3 days and continue as normal.


Can needling be used on multiple verrucae?

Needling can be used to treat all verrucae, large or small, and if you do have several verrucae then the largest one will be treated, often if this is successful the others will regress at the same time if they are caused by the same strain of the virus.


Will it work?

There is no treatment that can offer a 100% success rate for verrucae; although verruca needling success has been reported as being as high as 69%.  If it does not work on the first round then you can arrange for a second needling procedure to be done or you can ask us about any of the other common treatments available.


Will I need to take painkillers afterwards?

Most patients do not require any pain relief but once the local anaesthetic wears off you may wish to take your usual painkillers.  We strongly advise against using anti-inflammatory medication or aspirin as these may reduce the effectiveness of the treatment or encourage excessive bleeding.


Will I need to take time off?

Patients are usually able to attend work the day after treatment and you are expected to be able to return to your usual activities after about 48 hours.


What do I do about dressings?

Your verruca will be dressed after the needling procedure and you will be given a semi-compressed felt pad to reduce pressure on the area, you need to keep this in place and keep it dry for 24 hours.  After that you can remove the dressing and take a light shower; you should not require any further dressings.


Do I need to come back for another appointment?

We will arrange to see you 2 weeks and 8 weeks after your needling procedure, we can reduce any callus that has formed and also assess your progress.  You can call us at any time to ask any questions or to discuss any concerns you may have.


Call 01282 453 110 to book your appointment today.


[1] Longhurst B, Bristow I. The Treatment of Verrucae Pedis Using Falknor’s Needling Method: A Review of 46 Cases. Journal of Clinical Medicine. 2013;2(2):13-21. doi:10.3390/jcm2020013