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Hello there - no laughter from me about using garlic on the good old verrucae - have used it successfully on several people and for as long as you. The main disadvantage of it is the smell and hence the lack of persistence of the client to stick with it. However, the most successful was with my own 4 year old son who acquired his plantar wart (and someone may well laugh at me here) from a toad that hid in his shoe and I insisted on pushing his foot into it until he exclaimed that there was something in the shoe!!! But anyway, the garlic on the hideous growth on the plantar aspect of his second digit every night for several weeks worked a treat. Good luck - its probably the most effective remedy yet.

How does using it successfully on several people make it the most effective remedy yet?

TO all our Aussie mates out there (and Admin) - does anyone know a Pod in the Hobart Tasmania area that does needling - I have a patient that is moving out there and would like some help please

cheers

Steve

Hi.

I Had two patients in this morning with VP's of long standing. I needled both and will let you know whether they resolve. The first patient, new to me, had a VP on the lateral border of the heel and treatment went well. The other patient had had the VP for about eighteen months, it was central, proximal just about under the area of heel strike. This went well but there was some bleeding. This led me to consider a caution to avoid turning a blood vessel into ground beef!

Sorry no pics as camera at home.

Luke

The chemical is POTASSIUM PERMANGANATE. It is a very old fashioned remedy and was called Condy's fluid of Condy's crystals after the chemist who first made it in London over a 100 years ago. In a dilute solution ot is a disinfectant and can be used for fungal nail infections. One drawback is that it stains the skin brownish

Zsuzsanna

In my early days I used successfully with Thuya occidentalis homeopathic treatment.
Currently not using this treatment.
Many are the paths that lead us eventually to the right place.
Teatino greetings

Assume you have tried Gluterol. I have found it useful in mosaics for many years.

Any information Gluterol wider?
Administration guidelines, composition, etc.
Thanks Teatino

Supplied ixn dropper bottles (amber) and applied three times a week initially and then once a week to the verrucae. If very severe daily for a week.

Let it dry before patient replaces hosiery. Hope this helps.

hi kevin,
what if the patient is/may be immunocompromised? is it possible to spread the virus deeper within the tissue and do more harm? i ask this as most treatments aim to stimulate an immume response
magda

Here's a pretty solidly guarenteed method with potassium Permanganate.

1. Place some double sided sticky tape to the lesion and mask the area.
2. Ahere some Pot Permang Crystals to the lesion, as much as possible
3. Pour some glycerol into the cavity over the crystals.
4. Run.



Regards
Robert

PS
Lest anyone not know what happens when you mix potassium permanganate and glycerol, try this on a bit of tin foil before you do it to a patient. I accept no resonsibility for damaged feet from trying this.

__________________
Robert Isaacs
Specialist in Biomechanical Therapies
www.Footprintspodiatrysolutions.co.uk

small, yellow, leech-like, and probably the oddest thing in the universe

Semper in excretum sum sed alta variat

Magda:

If the patient was immunocompromised, I would not perform the needling technique on them. My educated guess would be that the technique would have less chance of working but likely would not cause any deeper spread of the virus.

__________________
Sincerely,

Kevin

**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College

e-mail: kevinakirby@comcast.net

Private Practice:
107 Scripps Drive, Suite 200
Sacramento, CA 95825 USA
My location

Voice: (916) 925-8111 Fax: (916) 925-8136
**************************************************

To all,

I first tried the needling technique last October and whilst I didn't think there was anything to it, as my first experience appeared to fail, I now know differently :)

A young 20 something man had multiple mosaic and single verrucae all over one foot, and I needled the large mass, as he was going away for 6 month, and surprise surprise they have all gone! I am totally amazed as is he, not even a scar!

Another young 30 something lady with a stubborn verruca has advised me hers is almost gone too, this one I did in February.

An older lady with a large vp to the PMA was needled in October and by January had doubled in size so I resorted to traditional methods, this is too, almost gone - whether it was the needling or the traditional methods I will never know!

This is just a small amount of what I have done, but I believe the immune response may sometimes take longer than the 6 months some have said, so I will now attack more of the stubborn vps with glee and wait for the results.

So, from being a sceptic, I believe it could offer an alternative to traditional methods, especially if someone can't attend regularly for treatment.

Angie

Please do not mix potassium permanganate with glycerol! There is a slight delay and then there is a pretty violent reaction releasing oxygen. NOT recommended!!

For what it's worth. I have done ten needling procedures on my most stubborn warts 9 of which have totally resolved. 5 had multiple warts on both feet and one hand, all of which resolved also.

__________________
Graham Curryer

None of us know what we are doing, but some of us know more about what we are not doing than others!::

I have recently come across a beautician using electrolysis for the treatment of verrucas and warts. this is the same treatment as used for hair removal and for other minor skin problems (ie skin tags). She has had great success on all ages including small children. No anaesthetic is required,it is not bloody and there is minimal pain. It seems as though she basically applies the electrolsis needle which is very fine, with a mild electric current, multiple times to the lesion. Do you think that the same principles as our needling technique are being employed here?
Christine

I have a Biogun which emits a very small electric current that is forced to travel across the air due to a very high voltage, and is carried by oxygen ions in the air. This has helped to remove some verrucas. I am not sure if the electrolysis is the same. With the Biogun the electrode does not touch the skin at all. Has anyone else have a Biogun?

Hello Poppet,

I use, direst from the plant. Aloe Vera Gel - it takes a little while to resolve- patients find it eases the build-up of callus, reduces the friction on the plantar aspect, is easy to apply - keeps in a fridge up to 10 days. I normally suggest they purchase a plant so that they have a ready supply.

The gel direct from the plant appears to offer a better gel than processed Aloe Vera. I see them on a regualr bases and debride the site as nec. and laser to encourage the immune system to aid in the healing process. Thuja is also helpful


Gillian

Kevin, I was wondering how you apply local anesthetic to the plantar surface of the foot when using this technique. If the lesion is digital then a digital block would work well. However if the lesions are on the PMA or otherwise how do you achieve a block? Do you use a field block or a total ankle block?

__________________
My location

Trent:

Please pick which of the following you were referring to when you used the acronym, PMA:

PMA Positive Mental Attitude
PMA Premarket Approval
PMA Photo Marketing Association
PMA phpMyAdmin
PMA Phorbol 12-myristate 13-acetate
PMA Programa Mundial de Alimentos (Spanish: World Food Program)
PMA Philadelphia Museum of Art
PMA President's Management Agenda
PMA Produce Marketing Association
PMA Países Menos Adelantados (Spanish: Less Advanced Countries)
PMA Precision Metalforming Association
PMA Pacific Maritime Association
PMA Publishers Marketing Association
PMA Promotion Marketing Association, Inc.
PMA Pressurized Mating Adapter (ISS)
PMA Philippine Military Academy
PMA Pilates Method Alliance
PMA Physical Medium Attachment
PMA Policy Management Authority
PMA Paramethoxyamphetamine
PMA Pacific Media Associates (Menlo Park, California)
PMA Pakistan Medical Association
PMA Prime Minister's Awards for Teaching Excellence (Canada)
PMA Provincial Museum of Alberta (Edmonton, Alberta, Canada)
PMA Postmenstrual Age
PMA Plan de Manejo Ambiental (Spanish: Environmental Management Plan)
PMA Penanaman Modal Asing (Indonesian: foreign direct investment)
PMA Philippine Medical Association
PMA Poste Médical Avancé (advanced medical post)
PMA Progressive Muscular Atrophy
PMA Portland Museum of Art (Maine, USA)
PMA Primary Market Area
PMA Pencil Makers Association
PMA Power Marketing Administration
PMA Peroneal Muscular Atrophy
PMA Paesi Meno Avanzati (Italian: Least Developed Countries)
PMA Permanent Magnet Alternator
PMA Palestine Monetary Authority
PMA Phi Mu Alpha Sinfonia (men's music fraternity)
PMA Pakistan Military Academy
PMA Polyurethane Manufacturers Association
PMA Pharmaceutical Manufacturers' Association of South Africa
PMA Performance Measurement Association
PMA Portable Maintenance Aid
PMA Propylene glycol Monomethyl ether Acetate
PMA Performance Management Association
PMA Physics, Mathematics, and Astronomy (Caltech division)
PMA Purchasing Management Association
PMA Paul's Model Art (Germany)
PMA Post Mission Analysis
PMA People's Memorial Association (Seattle, WA)
PMA Presentation of Mary Academy
PMA Planned Maintenance Availability
PMA Power Marketing Agency
PMA Particular Material Appraisal
PMA Program Management Associates (Arlington, VA)
PMA Port of Melbourne Authority (Australia)
PMA Phased Maintenance Availability
PMA Pilomyxoid Astrocytoma
PMA Portfolio Management Account
PMA Project Manager Analyst
PMA Pre-Motor Area (of the brain; neurology)
PMA Part Manufacturing Approval
PMA Professional Marketing Association
PMA Pakistan Marine Academy (Karachi Pakistan merchant navy institute)
PMA Program Management Agreement
PMA Performance Measurement Analysis
PMA Pump Module Assembly
PMA Program Management Activity (US Navy)
PMA Print Media Austria
PMA Parts Manufacture Authority
PMA Power Memory Area
PMA Program Management Administration
PMA Program Management Air
PMA Palouse Mycological Association (Pullman, Washington)
PMA Post Metal Annealing
PMA Presidential Mandate
PMA Plant Growth Modeling, Simulation, Visualization and Applications (symposium)
PMA Palau Mission Academy
PMA Priority Memory Access
PMA Program Management and Analysis
PMA Plumbing and Mechanical Association
PMA Permanent Magnet Assembly
PMA Parallel Multithreaded Architecture
PMA Pathology Management Assembly (Medical Group Management Association)
PMA Program/Project Manager, Air (NAVAIR)
PMA Production-Marketing Association
PMA Philippine Motors Association
PMA Pointing Mirror Assembly
PMA Pennsylvania Manufacturers Association Insurance Group
PMA Project Military Adviser
PMA Post Metallisation Anneal
PMA 4-Methoxyamphetamine Paramethoxyamphetamine
PMA Probability of Mission Abort
PMA political/military assessment (US DoD)
PMA Post Mortem Autolysis (pathology)
PMA Planar Monopole Antenna
PMA Paging Message Analyzer
PMA Project Market Area
PMA Poid Maximal Autorisé (France)
PMA Psycho-Motor Activity
PMA Pilot Maintenance Activity
PMA Personnel Management Advisor/Academy
PMA Professional Manager's Association
PMA Peat Moss Association
PMA Probabilistic Modeling and Analysis
PMA Procurement Method Analyst
PMA Project Model Administration
PMA Printing Management Associates (Cerritos, CA)
PMA Paint Makers Association
PMA Paddle Monitoring Acceleration
PMA Pierce, Monroe and Associates, LLC (Detroit, MI)
PMA Partner Market Agreement

__________________
Sincerely,

Kevin

**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College

e-mail: kevinakirby@comcast.net

Private Practice:
107 Scripps Drive, Suite 200
Sacramento, CA 95825 USA
My location

Voice: (916) 925-8111 Fax: (916) 925-8136
**************************************************

Sorry Kevin, I was in a hurry

Plantar metatarsal area.

__________________
My location

Trent:

I use ethyl chloride spray to freeze the plantar skin then inject from plantar, unless I can reach the plantar area from dorsally with the needle. I described this technique more fully earlier on in this thread. You may have to go looking for it.

__________________
Sincerely,

Kevin

**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College

e-mail: kevinakirby@comcast.net

Private Practice:
107 Scripps Drive, Suite 200
Sacramento, CA 95825 USA
My location

Voice: (916) 925-8111 Fax: (916) 925-8136
**************************************************

Thanks Kevin I'll read through the whole thing. Appreciate the time you have taken to respond.

__________________
My location

Trent:

When you find it, why don't you copy it back up here toward the front of the thread so others can also read it without having to wade through the whole thread.

Thanks.

__________________
Sincerely,

Kevin

**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College

e-mail: kevinakirby@comcast.net

Private Practice:
107 Scripps Drive, Suite 200
Sacramento, CA 95825 USA
My location

Voice: (916) 925-8111 Fax: (916) 925-8136
**************************************************

It appears those contibuting to this thread have had excellent success with the needling technique, I am curious if this is front line management for singular VP's or is it best left for mosaic presentations??

Excellent thread, have gained valuable info, thanks to all!

a question, would you only do the needling once? or do you have to do it a few times over the healing period?

Thanks,

Jaimee

a question, do you only need to do the needling once? or do some patients require multiple sessions over the time period?

Thanks,

Jaimee

I will use the needling technique not only for isolated verrucae plantaris lesions but also for mosaic verrucae lesions. The cure rate is approximately 70-80% with a single treatment of the solitary verrucae lesions. If it fails for a solitary lesion, I don't needle a second time but rather perform a currettement procedure with phenol applications at the base of the lesion. I haven't had the needling technique fail yet in the treatment of mosaic verrucae.

Hope this helps.

__________________
Sincerely,

Kevin

**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College

e-mail: kevinakirby@comcast.net

Private Practice:
107 Scripps Drive, Suite 200
Sacramento, CA 95825 USA
My location

Voice: (916) 925-8111 Fax: (916) 925-8136
**************************************************

It is some time since I last visited Podiatry Arena and so I have just discovered this fascinating thread. I have read through the entire thread and have some questions.

Have any of the 'needled' areas become infected or exhibited any adverse reations? (other than coincidental gout)

Have any of the NHS pods hoping to persuade their managers to allow the procedure been successful?

Does the absence of photos in the later posts suggest that success has tailed off over time?

bumping the thread a bit.