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I have joined this late. Firstly, as far as I am aware there is no clinical evidence for any one verrucae cure. Therefore, to date they have not greatly assisted in this particular area. Regarding this technique it is possible on some paients to use very thin acupuncture needles, or small biopuncture needles with little or no L.A. If the needles are sharp and thin, and the acupuncturist is skilled at relaxing and diverting the patient ( mild hypnosis for want of a better term), then a similar effect can be created, often with little or no pain. Sorry, I like Kevin have little time for carrying out clinical trials on the matter, so please feel free to shoot me down in flames!
Best wishes to you all.
Colin
Thanks for the insight, Kevin on Needling, I know this post is somewhat belated, but I was spurred to research a comment made by a patient about Duct Tape. She had apparently read about it in a local newspaper and it was claimed to have a 70% success rate!! Anyhow, I gently explained to her that if this was true, we would all be doing it.
Her case, has been a resilient lesion, which I have removed with the Radiolase, but it came back, then applied Marigold Therapy - a paste serived from marigold flowers for four weekly aplications, then a 2 month homework period with Tincture and Oil derived from the same. Active ingredient - Thuja. But still no response. So having found your thread on Needling, I thought what the hell, the patient was willing, so, lets see how it goes. Will update in a few weeks time.
Cheers
Iain
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oh, I wish I was out on My Harley
I know this post is somewhat belated, but I was spurred to research a comment made by a patient about Duct Tape. She had apparently read about it in a local newspaper and it was claimed to have a 70% success rate!!
Cheers
Iain
Ian I think I recall a Cochrane review citing that ZO Tape was one of the most effective methods of treating VP's. Maybe your patient wasn't so wrong after all!
Hi Paul
Perhaps the low VAS reporting was due to the analgesic effect of phenol.
We have done many excisions using electrosurgery with a high proportion of patients taking over 4 weeks to heal and high VAS readings. I must admit, I like the sound of the needling technique!
Regards, Russ.
Well, I managed to stick this chap, like a pincushion, possible as a direct result of the frustration I have had in dealing with his case. He presented with a serious case of multiple, long standing common and mosaic verrucae. He has been there and done that. Considering the sheers size and volume of the infestation, I utilised Marigold Therapy, and advised Cellfood, as a nutritional support with the intention of boosting his immune system.
Well, I guess the only reason he keeps coming back, after six months and two series of marigold application (4x 1 weeks application paste, 8wks tincture and oil = 1 series) is because he has never felt healthier ie Cellfood .
In any case, I had read up about the Needling, and he accepted a go.
So I'll let you know in due course.
Cheers
Iain
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oh, I wish I was out on My Harley
I had a large v removed a few years ago.LA in the area not ankle block.The healing process was a little long winded but without complication or much scarring.However,I recently gained a few more on the same foot and the thought of going through that again, only this time with multiple V`s was not a pleasant prospect.I was advised to try needling and underwent the procedure on Monday this week.The only pain was the initial LA after that there was very little pain until later on during the evening but I would grade that more as discomfort than actual pain.I will see the results over the coming weeks I guess.
For those that have used this tecnqiue in Australia, what item number do you use for private health funds? Is it just a standard consult and do you use a speciality code number? Any replies would be great.
Hi there, I'm currently looking at this subject for my dissertation too. Could you direct me towards any of the studies you used.
Quote:
Originally Posted by Nina
When I did my top up degree a few years ago (I originally qualified in '83) I did a retrospective study on the blunt dissection of verrucae done the the School of Podiatry in Plymouth, of the lesions which were successfully erradicated all the untreated lesions resolved within 3 months of the original lesion being excised.
I have never surgically excised vp's but have been successfully treating them for many years. It seemed to me from the cases I studied for my dissertation that the patients had considerable post operative pain and had a wound which took about 3 weeks to heal.
I have used the needling technique on only a couple of patients so far but have found post operative pain to be minimal, only the simplest dry dressing is required and only for 24 hrs.
I am now a huge fan of needling, it's simple, and highly effective.
You are stimulating an immune response - there are plenty of studies on treatments of VP's. Gary Dockery writes a bit about the above technique, and Kevin Kirby discusses it regularly. Personally if you are going to do this, I don't see why you wouldn't sharps excise it and phenolise the base - much easier and efficient. Basically by dong the above technique you are curretting the lesion anyhow.
Thanks Paul, That is exactly what I do "every time" I agree, It has a very high success rate, and the only discomfort for the patient is the first 3 seconds or so of LA. A GP colleage of mine showed me a technique , where he introduces the anaesthetic from the side of the lesion rather than at 90 Deg to the plantar surface of the foot. I have tried it and the discomfort rate for the patient is reduced quite alot
All the best
Thanks Paul, That is exactly what I do "every time" I agree, It has a very high success rate, and the only discomfort for the patient is the first 3 seconds or so of LA. A GP colleage of mine showed me a technique , where he introduces the anaesthetic from the side of the lesion rather than at 90 Deg to the plantar surface of the foot. I have tried it and the discomfort rate for the patient is reduced quite alot
All the best
FDCB
I have used the multiple puncture technique with very minimal post-op pain and injected the L.A. as above, but I haven't used the phenol yet!
Yes I have read about that in the literature - however after 12 years I am still at a loss as to how phenol has an analgesic effect.
Can't tell you why, I've never seen it explained either. But from personal experience of phenol splash I can assure you that the area does go quite numb!
Re: Multiple puncture technique for verrucae
Anyhow, I gently explained to her that if this was true, we would all be doing it. 
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