Verruca Treatment

If you have a verruca that you would like advice on a possible treatment, make an appointment with a clinic that offers a range of treatment options and has high levels of success


What is a verruca?

Foot warts (verrucae) are caused by the human papilloma virus (HPV) of which there are more than 150 different types. However there are generally only 4 main types that affect the feet and each one differs in size, pain, and appearance.

They are non-cancerous and can occur on either weightbearing (where they are often “pushed” into the skin) or non-weightbearing (where they often protrude out from the skin) parts of the foot. Despite popular belief, they do not have “roots” nor do they necessarily have “black dots” which are just dried spots of blood that can appear in verruca tissue. Frequently they are associated with hardening of the skin which can be a cause of discomfort.

Public understanding of viruses has come a long way due to Covid-19, including the acceptance that there is no quick fix for viral infections and that different people experience different severity of symptoms and different treatment effectiveness. This is the same for verrucae and their treatments.

Verruca Treatment Results

Verruca Treatment In Southam, Warwickshire

There is a wide variety of treatments available for verrucae, but nothing is 100% effective in all cases. At our clinic we take our time to understand our patient’s wants, needs, and expectations so that they have all the appropriate information required to make an informed decision about any treatment option. This includes for parents of any children who present with verrucae. Note that not all treatment options will be suitable for all patients, and that certain corns & skin cancers can look like verrucas and vica versa. So getting a professional diagnosis and suitable treatment plan from all of the options below is very important:

*Tincture of time

*Occlusive taping

Weak acids typically sold over the counter

*Stronger acids




Liquid nitrogen

*Falknor’s needling

SWIFT microwave therapy

*Laser therapy

Electrosurgery / Hyfrecation

Surgical excision

*The starred options are the ones that we currently have available for patients. Very few (if any) are available on the NHS.

How do we contract and prevent verrucas?

It used to be thought that moisture played an important role in the spread of verrucae eg at swimming pools. However we now know that infection occurs when there has been microtrauma to the skin barrier that allows entry of the human papillomavirus (HPV) either from direct contact with viral particles (from another verruca) or indirectly from surfaces such as footwear, flooring, towels etc.

The HPV can survive several months or even years on such surfaces, and there can be an incubation period of 1-20 months before the virus becomes established in skin cells. As such it makes it quite difficult to prevent the spread of verrucae as microtrauma of our skin occurs all the time, especially when we are barefoot.

Whilst there is no real evidence that good foot hygiene can help prevent the spread of verrucae, it makes sense to keep our feet in as good condition as possible through regular washing and drying (including between the toes). Wearing footwear appropriate to the demands placed on our feet is also good advice.

So if you have a verruca that you would like advice on a possible treatment, make an appointment with a clinic that offers a range of treatment options and has high levels of success.

  • positive review  hi everyone I've been battling with planter fasciitis in my heel for 15 months, Jonathan small was highly recommended. I got no such luck from my doctor. I give these a ring and got me in straight away. Met Jonathan had a brief chat the knowledge and information given was very helpful put me on a 6 week course and my foot is the best its been in a long time. From start to finish my experience was great. highly recommend Jonathan and his staff all very friendly.

    Cheryl Higgins Avatar Cheryl Higgins
    June 24, 2021

    positive review  Last night I attended a talk by Jonathan on diabetes. What an amazing resource of knowledge the local NHS has lost by no longer employing him. But thankfully we still have his private practice in Warwickshire and I will be referring all my diabetic patients to find out their level of risk. Thanks Jonathan for a very interesting evening you should do more talks to spread the word about diabetes to other FHPs.

    Chris Nock Avatar Chris Nock
    September 5, 2019
  • positive review  I’ve known Jonathan for quite some time as we share the same passion for feet. Experienced, knowledgeable and motivated. I have no hesitation in recommending his services to anyone in his local area.

    Faye At Medipod Clinics Avatar Faye At Medipod Clinics
    January 13, 2020

    positive review  Specialist podiatry advice from a highly skilled professional - bridging the gap between podiatry and physio.

    Jo Webb Avatar Jo Webb
    January 23, 2019
  • positive review  Friendly efficient service. Jonathan is very professional and ensured treatments were booked conveniently and were conducted brilliantly. Solved my verucca after many years of unsuccessful home remedies.

    Sarah Wilson Avatar Sarah Wilson
    August 28, 2020

    5 star review  Couldn't be more thankful for the quick and friendly service. I needed help fast (I couldn't wait 2-3 months for nail surgery on the NHS) and Jonathan sorted me out just three days after I phoned to enquire. I felt very confident and relaxed in Health First. Thank you all!

    Amy Duffin Avatar Amy Duffin
    July 12, 2018
  • 5 star review  Excellent!!! Very professional service, great treatment and aftercare. Definitely recommend. Thanks for fitting me in at short notice too!!

    Clare Everest Avatar Clare Everest
    December 2, 2015

    5 star review  Mr Small and team provided a really excellent service for my elderly mother and kept her on her feet, mobile and active for the two years she lived near Southam, thank you very much!

    Charlotte Gath Avatar Charlotte Gath
    February 10, 2018
  • positive review  I was suffering with quite a complicated situation, both plantar fasciitis and Achilles tendon insertion and they required different treatment. Johnathon expertly explained how he was going to deal with the problem and glad to say that after an intensive course of treatment things have improved.

    Di Griffin-Bloxham Avatar Di Griffin-Bloxham
    July 8, 2019

    positive review  100% recommendation. I walked in with significant foot pain and walked out strapped up and reasonably pain free. The initial consultation was delivered with expert knowledge, professionalism and clearly explained diagnosis and treatment plan. I had attended another foot clinic for a diagnosis but my instinct told me to walk away and consider their treatment proposal and seek another opinion. I felt disappointed that I had no immediate temporary solution to reduce constant foot pain.. I was then recommended to contact Jonathan and the rest is history. His manner and professionalism exceeds, not only am I working towards pain free walking I know I have the confidence in approaching a clear expert. Thank you Jonathan and your team. I have already recommended.

    Helen Keast Avatar Helen Keast
    November 14, 2019
  • positive review  I have received first class treatment and my foot is feeling less painful especially after the laser treatment I had on it.

    Mary Richardson Avatar Mary Richardson
    March 11, 2021

    5 star review  I wouldn't trust anyone else with my foot-care. With severe circulation issues, my feet are comprised - Health First have treated me for 15 years and I highly recommend them.

    Angela Navarro Avatar Angela Navarro
    September 13, 2017
  • 5 star review  I've been going to Health First for 10+ years. Both Jonathan and Judy are excellent Foot Doctors with specialisms to help with quirky problems. The reception staff have always been lovely. I have the wax treatment which is both relaxing and really helps my feet

    Maria Lucas Avatar Maria Lucas
    September 24, 2017

    positive review  Excellent well informed professional service. Treatment options discussed, and every effort made to deliver appropriate care promptly. Thank you to Jonathan and the team.

    Carol Brewer Avatar Carol Brewer
    February 8, 2020
  • 5 star review  I was recommended to go and see Jonathan from an excellent local pilates instructor who I trust implicitly, so I knew that the recommendation didn't come lightly. I was not disappointed. Jonathan has been attentive, professional, knowledgeable and provided a very considered solution to my plantar fasciitis. His team are always friendly and helpful - even when I got stuck in traffic and missed my appointment! Highly recommend!

    Clare Price Avatar Clare Price
    September 29, 2017

    positive review  They have been caring for my feet for 13 years. I have been very happy with the care I received and looked forwards to the walking on air feeling when treatment was completed. The only reason I will not be visiting them again is because I am shortly moving north to Yorkshire to be nearer my family. Thanks Jonathon for the years of excellent care!

    Doreen Johnson Avatar Doreen Johnson
    September 23, 2019
  • 5 star review  A great practice. Have been using for the past 5 years and always have excellent service. Very friendly and helpful staff. My feet are in great shape

    Emily Harris Avatar Emily Harris
    September 13, 2017

    positive review  My 15 year old son had an ingrown toenail which was very painful. We were able to see Jonathan very quickly who explained everything really clearly, he advised minor surgery to remove part of the nail and said he could do the procedure there and then. The procedure was carried out professionally and with every care for my son. I would highly recommend Jonathan and his clinic. Excellent aftercare also. Thanks so much.

    Karen Grant Avatar Karen Grant
    April 14, 2020
  • positive review  After knee surgery I experienced ankle problems, a couple of visits to Jonathan has sorted the problem out. Thank you.

    Judith Mary Piper Avatar Judith Mary Piper
    October 24, 2019

    positive review  It was nice to be greeted by pleasant and friendly reception/admin staff. Johnathan (the podiatrist) was very professional and he was very willing to share his knowledge. The pain in my foot was laser treated and on the last treatment it was manipulated which was amazing. I would highly recommend Johnathan. Ann

    Ann Maria Forster Avatar Ann Maria Forster
    December 4, 2020