Understanding Verrucae: Symptoms, Treatment, and Why to Consult a Podiatrist

What is a verrucae?

Verrucae, commonly known as warts, typically occur on the soles of the feet. They are a result of the Human Papillomavirus (HPV) and can be transmitted from one person to another through direct skin contact. Typically, the virus enters the body through a cut, scratch, or dry skin on the foot.  

Verrucae are generally harmless, but when they develop on weight-bearing areas, they may become painful. In such instances, calluses can develop over the verruca, leading to discomfort. Certain verrucae may exhibit tiny black or deep-red spots, which are frequently identified as capillary heads. Some verrucae may also form clusters.

How do I get rid of a verrucae?

For many individuals, a verruca will naturally resolve within a few weeks to months. Nevertheless, if they persist, it is probable that you will need treatment to eliminate them and prevent further growth or spread.

Over-the-counter treatments might help some, but stubborn verrucae often require professional evaluation.  

Why should I see a podiatrist?

Attempting at-home verrucae treatment can pose certain risks and potential drawbacks. While over-the-counter remedies are available, they may not be as effective or targeted as professional treatments. Using improper or excessive treatments can lead to skin irritation, tissue damage, or even infection. Additionally, self-treatment may not adequately address the root cause of the verruca, allowing it to persist or spread.

Specialised verrucae treatments are typically effective and minimally uncomfortable. This may involve high-strength acid, cryotherapy with liquid nitrogen or verrucae needling. An in-depth consultation with your podiatrist can assist in determining the most suitable treatment strategy. It is important to note that multiple treatment methods may be needed to effectively treat the verrucae.    

Verrucae can demonstrate remarkable persistence, and even with treatment, they may require a significant amount of time and commitment to resolve. Podiatrists cannot always predict the number of necessary treatments as the healing process can be substantially influenced by the overall health and immune system status of the individual.