What are they?
Verrucae are small (1 to 10mm wide) skin lesion and occur on the soles of the feet, heels or toes. They can be painful when under pressure. They have a rough surface and small black dots can sometimes be seen under the hard skin. These can be seen alone or in clusters.
They are caused by the human papilloma virus (HPV).
How did I get them?
After coming into contact with HPV, it can take anything from one month up to two years for a Verrucae to develop.
There are over 100 different subtypes of HPV that cause verrucae and warts. Certain types are more likely to cause warts on different parts of your body in particular the feet.The virus is spread by direct skin contact or by touching moist surfaces, such as floors in swimming pools and changing rooms, which have been in contact with a person who has verrucae. You tend to get verrucae more often on areas of skin that are damaged. Scratching your skin and shaving your face or legs may cause the verrucae to spread.
Most verrucae don't cause any discomfort. However, if they are on a weight bearing area they can be painful to walk on due to hard skin that can accumulate. You can pass the virus on to friends and family if they are not treated.
At Premier Foot & Ankle centre we undertake a full medial background check, history of problem to offer you a number of treatment options including:
Cryotherapy is freezing the verruca by spraying (very cold) liquid nitrogen on to it. You may need up to several sessions with one to two weeks in between. Cryotherapy can cause pain and blistering around the verruca, and infection can sometimes occur.
Electrosurgery is the use a machine called a hyfrecator, which is a low powered medical device. It works by emitting low-power high frequency A.C. electrical pulses, via an electrode, directly to the affected area on the foot.
The area in question is numbed using anaesthetic injections similar to that used at the dentist. Your podiatrist will choose the best method of numbing the area in question.
Discuss with the podiatrist about bringing a friend or family member with you or even your favourite CD to play in the surgery…whatever will help you feel confident and relaxed.
When the anaesthetic wears off it is to be expected that there may be some discomfort initially. This can be managed with over-the-counter analgesics similar to what you would take for a head ach.
The wound created heals quickly over a matter of weeks (usually 2-4). Sensible shoes and as much rest as possible will help the healing process.
You can normally go back to work soon after the procedure. Discuss this further with your podiatrist.
A crust will slowly form over the area during the healing period. We will see you for regular dressings and check ups.
As this is a surgical procedure, most health insurance companies will cover the cost of this (see page on Insurance).
Controlled depth excision
Using techniques only available to qualified surgeons, the lesion can be excised under local anaesthetic. Similar to electrosurgery the lesion is compleatley removed with all the viral tissue.
We review all our patients at 1 week following this out patient procedure undertaken at number 10 Harley St.
Should you have any further questions about Verruca then please contact the clinic on 0207 820 8007