Verruca & Hand Warts

Treating biomechanical issues with orthotics

East Ham Podiatry Introducing Swift® microwave therapy for warts and verruca across East London 


Verruca (warts) is caused by the Human Papilloma Virus (HPV). The virus invades the outermost Layer of the skin (epidermis) and causes visible lesions to appear on the skin. Verruca usually appears as a plaque of hard skin, with an irregular border and can have black dots (blood vessels) scattered throughout. They can be spread. 
Our immune system is far more active in the deeper layers of our skin (dermis). Which explains why some verruca is so resilient.

Verruca generally disappears of their own accord within two years as the immune system recognises the virus. It is therefore not recommended to treat them unless they are painful. However, for verruca that are spreading or cause pain, treatment options should be discussed. This is especially true for children.


Consideration should be made to what treatments you have tried before, your activity level and general health.
  • Chemotherapy (Acid Treatment)
  • Falknor’s needling
  • Microwave therapy by Swift


Salicylic Acid is a chemical that breaks down the skin. When applied directly onto the verruca it creates a macerated white appearance allowing the infected skin cells to easily be removed. Treatment can be time consuming with visits every 7 – 14 days. The foot should also be kept dry for at least the first 48 hours to allow the chemical to work sufficiently. Some padding will be applied around the verruca to prevent the chemical from spreading into the healthy tissue and a small amount of paste will be put onto the verruca. This should be painless.

What are the side effects of the treatment?
  • Pain 
  • Redness
  • Swelling
  • Dermatitis
  • Allergy


Needling is a minor surgical procedure to treat verruca under local anaesthesia. The goal is to implant infected cells into the dermis thus stimulating an immune response and therefor destruction of the virus. Recent studies have shown Falknor’s Needling resolves 6 – 7 cases out of 10.

Needling involves the use of a fine dental needle to puncture the verruca lesion and dermo epidermal junction multiple times under local anaesthesia. A debridement session is required 2 – 3 weeks post procedure to remove any surface debris and further follow up may be needed to check progress. As your foot will be numb with anaesthesia you will not be able to drive until full feeling returns, you will also need to rest your foot that day.

One huge advantage over other treatments such as cryosurgery and acids is that often only one session of treatment is usually needed followed by a debridement session. If you have multiple lesions then still only the “mother lesion” needs to be treated as a systemic immune response is initiated. There is no evidence that suggest using this technique can spread the virus further.

What are the side effects of the treatment?
  • Swelling 
  • Allergic reaction to anaesthesia
  • Infection
  • Pain
  • May need to be repeated
  • Unsuccessful resolution of the verruca

You will be assessed by the podiatrist who will discuss appropriate treatment options and suitability for each procedure along with associated costs.

All verruca treatment requires consent.
Professional podiatry expert

quick and easy treatment 
for your verruca?

Look no further than our new Swift® microwave therapy. We are the only clinic in East London offering the latest research technology.

What is Swift?

Swift is a brand-new treatment which uses microwave energy to treat verruca in a very controlled and precise manner. It is the most effective treatment for verruca on the market*. Treatment takes 5 seconds and there are no anaesthetic or dressings required which means you can continue your everyday activities immediately.

How Many Treatments Will I Need?

This is dependent on how you respond to treatment. In some cases, you may need more than one treatment (these can be from 14 days to over a month apart depending on the response). East Ham Podiatrist will be able to discuss this with you.

A treatment animation is available on vimeo
feet with nice nails
Professional podiatry expert

Microwave Treatment

Microwave treatment is by far the most popular option for verruca amongst patients for many reasons:
• Most effective of all treatments
• Fast treatment time m
• Little / No Impact on lifestyle
• No chemicals
• No needles, scalpels or injections
• No dressings or home care necessary

Contact us
East Ham Podiatry icon
For wart chemotherapy, Falknor's Needling and Swift Microwave Therapy 
Call to book an appointment 020 8472 9496
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