Post Treatment Advice

Verruca Treatment

Your Podiatrist would have discussed that the usual aim of verruca treatment is to destroy the skin containing the virus. Chemicals or freezing techniques are commonly used to achieve this.

After freezing the area can be sore for a few days. In some cases a blood blister can form in which case this can be treated in the clinic. Otherwise we can provide padding to the area to reduce pressure whilst the area calms down after the freeze.

If strong chemicals are used, it is not uncommon to experience pain or discomfort after 2 days. This usually subsides after 2 more days. The advice I normally give is that if it is particularly sore or with a child then REMOVE the dressing and bathe the area in a strong salt water solution. Painkillers such as Paracetamol/Calpol can be taken as directed. In addition, a paste of bicarbonate soda/baking powder can be made and applied to the area. This helps neutralize the acid. If this is still unhelpful then please call and arrange an appointment where we usually remove the superficial dead skin of the verruca to remove the acid in there.

In all cases please do not hesitate to call the clinic for help and advice if you are at all uncertain.

Following treatment with acids, the area can often look white and with black areas where the blood vessels in the verruca are killed. Sometimes there is a brown thick discharge where the verruca liquefies. This is all normal.

Ingrown toenail surgery – PNA

Painkillers (paracetamol/ibuprofen) can be taken afterwards as required and as directed on the medicine. The toe is not normally that painful and some people do not require much analgesia.

If there is excessive bleeding, for example if you knock the toe, then apply additional dressings over the existing dressing and apply pressure for 10 minutes with the leg raised. This will usually stop the bleeding.

Please call us if you are at all worried. If you do need out of hours assistance then you can go to the A & E Department and inform them that you had a Partial Nail Ablation with Phenol applied to the matrix for 3 minutes. The local anaesthetic would usually be mepivicaine plain and a maximum of 66mg would have been used per toe.

Normal advice is to change the dressing after 2 days with those provided. Bathe the toe in salt water for 3 minutes, dab dry with kitchen towel and apply a clean dressing. After a week then you can wipe the toe with cotton wool whilst in the salt water. A yellow discharge is normal for about 3-5 weeks. We usually advise returning for check up after 2 weeks and then again at 4 weeks to check on progress.

Take time to cut your nails carefully and file sharp edges smooth