Verruca Pedis

 

What is it?

A verruca pedis is a wart located on the foot and is caused by the human papilloma virus (HPV). The virus infection is usually transmitted through direct contact, entering through tiny abrasions in the skin. They are commonly spread via communal activity, such as swimming pools, health clubs, and bathrooms. Though some types of warts can go away within a month or so, some of them can be painful and therefore require treatment.

Typical appearance

  • It can affect any area of the foot, including between the toes

  • The size and shape can vary, and may be singular or multiple

  • The wart disrupts the regular striations of the skin and often has a ‘cauliflower-like’ appearance

  • It may have overlying callus and may or may not be painful

  • There is pin point bleeding on debridement

Treatment

  • Treatments are aimed at addressing and easing symptoms and causing remission of the virus. However, once a person is infected, there is no evidence that any treatment eliminates the HPV infection. Therefore warts may recur after treatment because of activation of latent virus present in healthy skin adjacent to the lesion. • All treatments will require weekly or fortnightly podiatry visits. The frequency of your visits depends on the progress of your treatment. At these appointments, your podiatrist will debride the wart, assess its condition, and then make a decision as to your next level of treatment.

What can you expect after the procedure?

You will need to sit with your foot raised for the next 24-48 hours to prevent bleeding.

  • Pain and discomfort may be - but not usually - experienced over the next 2-3 days.

  • It may take up to 2 months before the area has completely healed.

  • In 70% of cases the nail does not grow back.

Surgical Risks

With every surgical procedure, there are risks involved. You may experience one or more of the following:

 

Infection

Despite all precautions taken, infection can sometimes still occur. It is up to you to let the podiatrist know of any signs or symptoms of infection. These will be explained at the time of the procedure.

Delayed healing

Sometimes healing of the wound may be compromised due to a number of reasons. This may include age, systemic complications (e.g. heart or kidney conditions, diabetes, etc), inadequate wound care, dehydration, alcohol consumption, vitamin deficiency and some medications.

Numbness of the toe

The injection may sometimes affect a nerve, which can temporarily result in numbness of the toe for up to 12 months.

Chemical reaction

Please advise us if you have any known allergies prior to the procedure. In rare circumstances, a reaction to the chemicals used throughout the procedure may result which requires immediate attention.

The nail may grow back

Three in ten cases result in nail re-growth. This varies depending on the nature of the nail and surrounding tissue

Challenges following the PNA

We wish that dealing with the human body were like buying a new car. However this simply does not happen because everyone is different in shape, size, age, etc. We find that people will vary in the way they react to injections, the nail procedure and how the body heals itself.

Sometimes we find the nail may not heal the way it does with most people and scar tissue may form beside the nail. In some circumstances the nail may begin to re-grow differently with ridges or thickening of the nail may occur after the wound has healed.

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