Verruca Wart Treatments

Hampshire verruca wart treatments are offered at Compleet Feet Alton and Westbourne. The clinic offers many of the most efficacious treatment options. Wide range of verruca and wart solutions. Traditional keratolytic acid treatments through to advanced  Nd:YAG laser. Latest Swift®  Microwave technology in clinic, applauded by podiatrists. Verruca needling and electrosurgery. We get referred and treat the hardest to eradicate verrucae and warts for adults and children.

Unique to Compleet Feet is our combined laser and needling treatment for patients with treatment resistant verrucae. This double treatment offers the very best in resolving the most challenging of infections.

Compleet Feet podiatrists undertake a thorough consultation to tailor make a treatment plan for patients. It is important to choose a treatment which is specific and right for a patient’s lifestyle and health status. More treatment resistant chronic infections cannot be treated on day of consultation appointment if a more advanced procedure is required.

If a patient has an immune issue we have to work harder to achieve a successful outcome.

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FAQs

Frequently Asked Questions

Some answers to our most asked questions

What are verrucae and warts?

  • Verrucae and warts are fleshy fast growing benign skin growths
  • Verrucae are commonly found on the feet and warts on other parts of the body
  • Caused by the highly infectious human papilloma virus (HPV)
  • To date over 200 subtypes identified
  • Virus thrives on moist, warm skin
  • Verrucae can spread from feet to other parts of the body
  • Contracted from other people in communal areas e.g. changing rooms, swimming pool floors
  • Verrucae generally are not harmful, just unpleasant and uncomfortable
  • There can be a genetic predisposition to ‘catching’ verrucae
  • Verrucae or warts can spontaneously resolve, but that take years to occur, meanwhile they have spread

What do verrucae/ warts look like?

  • Can be shallow limited to only upper layers of skin and grouped together to form a mosaic appearance
  • Can be singular and penetrate deeper layer of skin with a cauliflower appearance
  • On soles of feet plantar viral verrucae are flattened by pressure, but can still be pronounced by build-up of thickened skin (callous)
  • There is a disruption of the skin’s striations (finger print pattern)
  • Small dark dots can be noted which are tips of innervating blood vessels
  • These blood vessels readily bleed on paring down the hard skin
  • Hard skin returns very quickly

What do verrucae/ warts look like?

  • Appearance is generally the differential diagnosis
  • Corns generally appear on prominent weight-bearing areas of the foot
  • Corns are painful on direct pressure
  • Verrucae are painful on pinching
  • Corns can be combined with a verrucae if on a pronounced area

If not sure consult a podiatrist

What Can Be Done To Reduce The Risk Of Contracting Or Spreading Verrucae?

Not infected:

  • Check individuals in your home for signs of infection
  • Minimise time spent barefoot on damp floors in communal areas e.g. showers, pool side
  • Keep feet covered when buying new shoes
  • Don’t wear footwear of previously infected individuals
  • Wear flip flops, sandals in communal areas
  • Keep skin dry, use astringents is skin type is moist
  • Use products like Spirularin or Excilor antiviral, antifungal prevention products (ask podiatrist)

Infected:

  • Keep feet and verrucae covered up if walking barefoot on floors
  • Wear specialist socks when swimming
  • Don’t share your footwear, towels, socks
  • Ensure infected individuals in your home keep feet, verrucae covered up
  • Avoid touching your verrucae or warts, as can spread with  hand contact

Immune Ignorance

Nearly all verruca treatments are about mediating an immune response, but unfortunately for some individuals this can be hard or seemingly impossible to initiate. Patients have what we term immune ignorance, whereby the infecting HPV lives under the body’s immune radar. It does not necessarily mean that a person has a poor immune system, but just one that which appears disinterested in challenging the virus which resides in the skin’s top layer. Podiatrists cannot determine whether a patient will resp0nd to treatment or not until they start treating them.

SWIFT® Verruca and Wart Treatment

Swift® is a new technology, developed in the UK, which has been licenced for the general treatment of Verruca and skin lesions in Podiatry and Dermatology. Benefit of this treatment over all other afore-mentioned treatments is no requirement for padding or dressings to keep dry, which can hinder normal activities. It is a no nonsense treatment, but there is a bit of an “ouch” factor during treatment, which does not last long, but it gets the job done.

At Compleet Feet Alton we use a Zimmer Cooler and analgesia if required to keep treatment comfortable. Why be uncomfortable if there is a way to make treatment more pleasant? At Compleet Feet we want happy patients, and deliver great results at the same time.

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How Does Swift Work?

Controlled, targeted microwave energy is delivered through a special probe into the infected verruca or wart
Microwaves work by generating heat in the wart/verruca, focused under the probe, to a maximum depth of 5mm.
Microwaves love water and when the electric field is applied, local water dipoles (H2O) try to align with field but lag slightly behind causing collision between molecules and therefore generating heat.

Is The Treatment Painful?

Yes, we cannot lie and state like other clinics that Swift treatment is painless. In our experience people have vastly different pain thresholds, so we ensure we have various methods to make the treatment acceptable for our patients. The microwave energy creates very short spikes of generated heat which can be sharp in intensity. Using a Zimmer Cooler or ice we can help to modulate the spikes of heat to make the treatment comfortable. We can also administer local analgesia for complete pain relief which is great for toes or fingers.

The heat generated in the tissues is extremely short lived, it dissipates very quickly so unlike other conventional verruca treatments you will be able to comfortably walk away without painful side effects. This is a very important point to note. Swift does not hinder normal activities. It does truly represent a break through in the treatment of verrucae.

Effectively eradicating any verruca requires initiating tissue damage. Verrucae can be quite deep, and if you have tried to treat it over a long period of time there will be a certain amount of scar tissue to break down.

Who can benefit from Swift verruca treatment?

Almost anyone who has stubborn warts and verrucas can benefit from Swift. We do not treat children under 11 with verrucae and carefully consider whether those 11+ are suitable.

Why Chose Swift Over Other Treatment Options?

Swift is a great verruca treatment for patients who do not want to have any pads or dressings applied to foot which may inhibit daily activities e.g. swimming, showering. It is a great treatment solution for patients with multiple verrucae/warts, especially those on toes. Acid treatments can break down good skin to result in further spread of infection, especially on toes.

A Swift treatment does not involve significant breakdown of the skin which can occur with other treatments although treatment times maybe a little longer to achieve a resolution when compared to laser, which is quicker, but healing takes longer.

What are the Contra-Indications?

There are contra-indications to Swift, but outside these anyone who has warts/verrucas on their hands or feet can benefit.

Precautions

If any of the following apply to you, speak to your Podiatrist before treatment –

  • Metal pins, plates or replacement joints in the foot or ankle
  • Pacemaker
  • Neuropathy or poor peripheral circulation
  • Poor or limited healing capacity
  • Immune suppression
  • Pregnancy or breast feeding. It is known that verrucas and warts can increase in size during this period
  • Low pain threshold
  • Young children

We do not treat children under 10 with Swift, but this is decided during a thorough consultation

How Many Treatments Do I Have?

Verrucae and warts come in many shapes and sizes, and appear on different parts of the foot which will have an impact on how many treatments are required, but we generally advise a course of 3, although older verrucae may require more applications. Older treatment resistant verrucae may have an element of scar tissue which is harder to break down. The new Swift protocol (November 2017) for time between treatments is 4 weeks.

As well as scar tissue present, the number of treatments required depends on an individual’s immune response. The Swift mediates an immune response, some people respond faster than others in producing antibodies. Research demonstrates the heat generated by the microwaves stimulates heat stress protein production which is known to prompt a strong healing response. These stress proteins are active for several weeks so at least 4 weeks between treatments is necessary for an optimal immune response. Think of 1 Swift treatment being akin to taking a ‘therapeutic dose’ of a drug; 1 dose lasts 1 month, 1 month to deliver desired outcome.

Patients who are immune-suppressed are at risk of developing multiple, resistant lesions, which are difficult to treat, but at Compleet Feet we will employ all the verruca treatments we have to get an effective result. We may need to combine the Swift with other treatment modalities. We find combination treatments work well.

What To Expect After Treatment

Key to a Swift treatment is patience.

Generally after a treatment there will be no change to the appearance of the wart/verruca, but occasionally there may be  signs of early blistering. The treated verrucae may throb or sting for a short period of time, but generally it does not cause you to limp. The discomfort dissipates quickly. We can offer deflective padding if the verruca is over a pronounced weight-bearing area to off-load any discomfort caused by pressure.

A change should start to show after a few days.The immune system is starting to ‘kick-in’. As regression is established the verruca will shrink in from the edges at the same time as reducing in thickness – or ‘debulking’. There may be blistering or darkening of the verruca tissue as capillaries have thrombosed.

Desired outcome is dermal striations or ‘fingerprint’ of the skin  gradually re-establishing. Skin will be clear.

Cost

You may only require 1 session, but sometimes up to 3 are required so we offer a sliding payment scheme.

First Swift application                   £150

Second Swift application              £125

Third Swift application                  £100

Additional tips used during a treatment session £30. Each tip applicator delivers 15 minutes of treatment.

Thermal Nd:YAG Verruca Laser Treatment

Compleet Feet is a specialist laser clinic. We offer many different types of laser treatments, and are highly trained in foot and ankle analgesia techniques. Researchers have reported success rates of 76 – 89 % with the use of thermal lasers for treatment of recalcitrant verrucae or warts. Anectdotally laser application for difficult to treat verrucae is by far our most effective treatment. It is a powerful treatment modality. We will always undertake a consultation first to ascertain suitability.

What laser do you use for verrucae and wart treatments?

We use a  Fotona  XP Spectro long wave Nd:YAG 1064 nm laser. This is a vascular laser with a wavelength that is specific for deeper lying targets with a vascular component e.g. blood vessels. We can carefully and precisely target into verrucae or warts to destroy infected tissue only with reduced marginal skin damage.

How do lasers work?

The infrared beam needs colour/ pigment for the light energy to be absorbed into to create heat. This is termed a chromophore. The chromophore in a verruca is the capillary blood vessels which are drawn up into the infected verrucerous tissue. The infected tissues are heated up to cause localised tissue destruction. Laser heat energy is attracted to haemoglobin in verruca/ wart blood vessels causing the vessels to thrombose.

Why use a laser over other verruca treatment options?

  • Quick and very effective
  • Direct precise tissue destruction to reduce potential risk of verruca getting bigger as can occur with acid treatments.
  • Reduces risk of collateral skin damage
  • Generally, only 1 treatment required
  • Will treat deep seated recalcitrant verrucae/ warts which have not responded to other treatments

Are there downsides to laser treatments?

  • Not suitable for very young patients
  • There will be localised deep tissue ablation which will require dressings
  • Some disruption to normal sporting activities
  • Pain during treatment

How painful is the treatment?

The laser causes a build-up of concentrated localised thermal heat so it is a sharp stinging sensation. Everybody has a different pain threshold. Some individuals tolerate the discomfort much better than others and no problem with the lasering requiring no analgesia. It is a quick treatment only lasting seconds, but if an individual cannot tolerate the discomfort that could mean we may not be able to deliver an effective treatment so we do recommend analgesia. This will be discussed during a consultation.

How can you make the laser treatment more comfortable?

A cooler can be used during lasering to keep the skin’s thermal temperature down, or analgesia can be administered for a pain free and effective treatment. We are specialists in ankle block analgesia techniques. Ankle blocks are very safe and are comfortable.

What will I expect after a laser treatment?

A post laser blister will form whether clear or blood filled (haematoma) over 24 -72 hours. If the blister is on the sole of the foot it will flatten out slightly whereas on a toe or hand it will be raised. We will issue deflective padding and dressing if required to make treated area comfortable. You will be required to return to clinic after 1 week to have the blisters drained and dressed. Several dressing appointments may be required. Depending on the size and location of the lasered verruca/ wart healing can take 2-6 weeks. Verrucae can be 2-3 mm thick in depth.

Cost

A consultation is required first prior to any laser treatment to check suitability. Only available at Compleet Alton.

From £60 for laser treatment

Laser and Needling Combined

Unique to Compleet Feet is the powerful combination of laser with needling. Needling is a treatment which spikes a well needed systemic immune response. Directly after laser application the verrucae are punctured multiples times with a fine needle. This introduces cellular viral particles subcutaneously beneath the skin’s barrier. This double treatment increases the efficacy of the treatment with no unwanted side-effects. Please read more about needling below.

Verruca Needling

Compleet Feet can performneedling and electrosurgery for verruca infections. Needling is also termed the Falknor method. Needling is an effective treatment which mediates an immune response. It is great for treatment resistant and multiple presenting verrucae. Often only 1 verruca needs to be needled to resolve all the others! Analgesia is required.

What is microneedling?

Miconeedling is a specialist skin technique whereby the infected verruca tissue is punctured multiple times with a sterile thin needle. Infected cells are ruptured and 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. The major  advantage of this treatment is that if an  immune response is initiated, the response is  systemic. The effects are widespread thus  other untreated verrucae will go into  spontaneous remission.

How is microneedling performed?

Local analgesia is required whether it is a toe or ankle block. Once the area of concern is nice and numb the selected verruca is punctured multiple times into the deeper dermal layers of the skin to penetrate the subcutaneous layer. It is a very targeted treatment. Once the verruca is treated it is appropriately dressed with antiseptic dressings and deflective padding. The patient is advised to get a lift home and not drive.

What to expect afterwards?

The treated verruca will be sore for several days after treatment, but will quickly settle down if patient has rested the area and kept wound clean and dressed. The wound will soon start to scab over. It is advised to have a follow-up appointment with the podiatrist a week later.

How effective is verruca microneedling?

Clinical evidence has demonstrated verruca microneedling to be up to  80% effective. Sometimes a 2nd treatment is required or an application of a keratolytic to break down any superficial presenting infection. Often only one verruca needs to be treated to resolve any other presenting verrucae. Please read this paper by Belinda Longhurst and Ivan Bristow; leaders in UK verruca microneedling.

Cost

Cost varies for verruca needling depending on location of verruca and analgesia required:

Toe                                               from £150

Foot                                             from  £200

Verruca Electrosurgery

Verruca electrosurgery is a dermatological minor surgical skin procedure performed for difficult to treat infections. The infected verruca tissue is excised and ablated with an electrode using a Schuco 2000 Hyfrecator. This treatment requires local analgesia and is recommended for long standing painful verrucas.

What does verruca electrosurgery involve?

The area of concern has to be effectively anesthetized prior to surgery. Once the verruca is numb the infected tissue is excised with a scalpel. To ensure deeper removal of infection an electrode is used to ablate the area using a Hyfrecator. An electrical current is safely targeted into the tissues to cauterise any bleeding. Once area is treated appropriate dressings and deflective padding is required.

What to expect after treatment?

The treated area will require careful woundcare. A follow-up appointment is booked 1 week after treatment. The wound will heal by secondary intention, and will take 2-4 weeks to heal depending on size and location of treated verruca. The treated area maybe sore for awhile so it is advisable to rest the foot for 2 -3 weeks.

Is electrosurgery safe?

Yes, electrosurgery is safe in the hands of a skilled practitioner. A very low electrical current is used and it is focused only to the area treated. There is no risk of burns or electrocution. A thorough consultation will be performed before assessing a patients suitability. It is not suitable for all patients.

How effective is verruca electrosurgery?

Verruca electrosurgery is quite dependant on the skill of the podiatrist. All infected tissue needs to excised and ablated.  It is also helps if  an immune response is triggered. This treatment is generally  reserved for patients who have not responded to other treatments. One of the prime objectives is to remove any painful scar tissue, but careful wound healing post operatively is required.

Cost

Cost is dependent on size and location of verruca. Discussed during consultation.

Verrutop Topical Wart/ Verruca Teatment

A clinically applied painless topical solution. New to UK (November ’19). For further information click on link: VERRUTOP 

Verrutop is great for children and periungual warts; those found around finger and toenails.

3 – 6 required

Still got some questions?

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Swift

Swift® is a new technology, developed in the UK, which has been licenced for the general treatment of Verruca and skin lesions in Podiatry and Dermatology.

Find Out More

Fotona Laser Nd:YAG

Compleet Feet is a specialist laser clinic. We offer many different types of laser treatments, and are highly trained in foot and ankle analgesia techniques.

Find Out More

Compleet Feet offer a broad range of treatments for the resolution of verrucae and warts. Treatment options are chosen after a thorough consultation with the podiatrist to make an informed decision. Age, health, activity and cost are all taken into account.

  • Caustics – High strength keratolytic acid preparations are carefully applied to the skin to break down infected tissue
  • Marigold Therapy – Homeopathic treatment using a marigold formulation to initiate a healing response. Suitable for children and ‘high risk’ patients
  • Cryotherapy – Freezing verruca or wart to minus 58 degrees to destroy infected tissue. Suitable for toes or hand growths. Less effective on sole of foot and multiple lesions.
  • Electrosurgery – Verruca is sharply excised under analgesia and blood vessels cauterised with a hyfrecator electrode. Suitable for deep verruca and those with fibrous scar tissue from previously unsuccessful treatment attempts. 90% successful.
  • Laser – Using a long wave pulsed laser to cause localised tissue destruction. Reported 76 – 89% effective for really difficult to treat recalcitrant verrucae
  • Swift Microwave – Latest technology using controlled targeted microwave current to eradicate verrucae and warts. Reported 76% effective. Suitable for all verrucae presentations.
  • Dry Needling – Faulknor’s method of using a fine needle to puncture the dermal epidermal junction multiple times to initiate immune response. Research demonstrates a 70% success rate.

Please Note in some unfortunate cases, approximately 5 – 8%; ‘all’ attempts at treating persistent verrucae fail. We will appropriately refer patients for a biopsy or to a consultant dermatologist in these cases if deemed appropriate.

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