Verrucae are warts of the foot and are a result of infection with the human papilloma Virus (HPV). There are 90 subtypes of HPV, and transmission is by direct contact with the virus. It is not spread by blood but often spread by coming into contact with infected skin fragments and contaminated surfaces – hence the requirement for children with verrucae to wear plastic socks when swimming and the prevalence of the infection in children as the virus is predisposed to love moist conditions. Interestingly, those infected with the virus do not have to have the lesions (warts) on their feet, but may still be carriers of the virus – spreading it to their friends and family – so, beware of all those without socks and treat them with the utmost suspicion!!!
Although verrucae present in all different kinds of ways, they are often characterised by a rough surface protruding slightly from the skin which is surrounded by a “horny” collar. Many verrucae present with small dots – which are the capillaries in them. They often feel prickly when squeezed. Verrucae in weight bearing areas – such as on the feet are pushed into the skin, however those on the side of the heel and other areas can be fairly prominent as there is no pressure forcing them inwards. Verrucae are also known as plantar warts, and can be similar to the warts on the hands and elsewhere.
So, how to treat them?
· Conventionally, cryosurgery (freezing) using liquid nitrogen is used when you get your verrucae treated on the NHS – by your doctor or a local outpatient clinic, or by your NHS chiropodist. The NHS freezes verrucae at -180°C, which can be sore and leave nasty tender and painful blisters. For those who prefer a one off (but painful) treatment, rather than weeks or months of daily applications, this is the treatment of choice. Do note however that repeat treatments are still often required.
· At the Complementary Health Care Clinic, Nitrous Oxide is used (which freezes at -90°C). We have found it is less painful, produces less blistering and appears to be just as effective. Cryosurgery works by injuring the skin, thus prompting the immune system to “fix” the wound – and the verruca too in the process as it will be “noticed”, recognised as “non-self” instead of “self” – and bingo, your verruca is gone. A series of treatments is usually recommended.
· Some over the counter treatments contain acid – such as Bazooka Verruca. They are applied topically and work by causing a chemical burn to the skin. The top layer of the verruca is then removed, and more acid reapplied. In some cases, this type of treatment is used in conjunction with cryotherapy.
· Duct tape can be used to help remove the verrucae – either you or your chiropodist can apply this, and it may be used in conjunction with cryotherapy too.
· The last resort for verrucae is surgery – however please do be aware that there are many other things that can be tried before surgery (not least Homeopathy), meaning other treatments such as cryotherapy may well become options again.
· You can of course do nothing – however, do be aware that although your verruca may simply disappear one day, there is the risk that it may grow, and even spread. Of course, you could also be spreading the human papilloma virus to everybody else in your family – if not at work, then the local gym etc etc ……
· Homeopathy, we have found to be extremely effective – particularly the use of Thuja (which can be purchased from The Natural Food Store for only £5.50). Homeopathy in combination with cryotherapy is also particularly effective, reducing the number of cryotherapy sessions you may require.
· Tea Tree & Lemon essential oils – these can be applied, one drop of each to a cotton bud, and applied directly to the verrucae. You can use just tea tree, or lemon on its own, but combined they create a synergistic blend and are more effective. Neem essential oil may also be very helpful.
Do not’s: do not scrub your feet (such as exfoliators) with anything which may encourage the virus to spread. Removal of the hard tissue surrounding your verruca/e is not recommended as HPV may spread to your hands via cuts or hangnails. Do nottreat your verrucae yourself if you are diabetic or have a circulatory problem – or if you are unsure about anything, seek professional attention. Our feet are valuable….respect them!
In treating verrucae, we must remember that not every treatment is successful on everyone, as we are all individuals – and everybody is different. Here at the Complementary Health Care Clinic, we treat you as an individual – and will not automatically recommend the cheapest treatment, or the most profitable. If we think your verruca can be helped with an over the counter purchase of Tea Tree & Lemon essential oils combined with Homeopathy, rather than the more expensive option of cryotherapy or surgery, we will tell you! If you choose to take this option, where other chiropodists may not, we will still support you with ongoing care. Do however be aware that it is advisable to get your chiropodist’s advice in tailoring a treatment specifically for you; there are pros and cons for all treatments. There are over 90 subtypes of the Human Papilloma Virus, many of which respond better to slightly different treatment combinations.
At The Complementary Health Care Clinic, treatment will also include a routine chiropody treatment and check-up – including toenail trim and callous removal where needed. Treatment and advice of any other problems is included.
For more information on any foot issues, please contact Robin Crawley at The Complementary Health Care Clinic, 34 Exchange Street, Norwich, NR2 1AX. www.holistic-care.com For appointments (Wednesdays 9am-6pm £35) call the clinic reception on Tel 01603 665173. (Please note that Robin also runs clinics in Gorleston).
For more information on verrucae, fungal nail infections, orthotics, and biomechanics please ask us to send you leaflet, or pop in.
