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Needling: how long to allow?

Discussion in 'General Issues and Discussion Forum' started by Simon Ross, May 26, 2014.

  1. Simon Ross

    Simon Ross Active Member


    Members do not see these Ads. Sign Up.
    I was speaking to a lady at one of the trade stands at the NEC. She thought that 8 weeks was too short a time period to see if the VPs have gone. She said it may take several months!

    What do others think?
     
  2. Here's what I've been thinking for some time, ever since you started posting here...
     

    Attached Files:

  3. Catfoot

    Catfoot Well-Known Member

    SS,
    If Mr Ross wants to use a "nomme de plume" why is it an issue ??

    Catfoot
     
  4. Never trust anyone hiding behind a mask to be able to sit the right way around on a toilet seat. End of. My choice. Personally I'd like no anonymous postings here, but I'm not Craig, it's been discussed to death and isn't worth discussing any further. Suffice to say, I don't trust anything that "Simon Ross" writes here; anymore than I trust anything you write here; again, my choice. Ta Tar.
     
  5. J.R. Dobbs

    J.R. Dobbs Active Member

    "The new freedom of expression brought by the Internet goes far beyond politics. People relate to each other in new ways, posing questions about how we should respond to people when all that we know about them is what we have learned through a medium that permits all kinds of anonymity and deception."-
    Peter Singer

    Cock 'em all. Deceive 'em all. A new sale dawns.

    In ultra high-definition, I would look even cooler than I look now, and right now I'm looking cooler than a bag of cool things. Lets stick needles into warts and dance around our couldrons while we do it. Who's up for a dip in the infinity pool? That'll cleanse the soul of warty thoughts and make the "needled" pop to the top.
     
  6. Catfoot

    Catfoot Well-Known Member

    SS,

    so why bring it up again ? Duuuuuh ?

    TTFN.
     
  7. dyfoot

    dyfoot Active Member

    In my limited experience of needling, it does tend to take months, 1 case took a year!
     
  8. Anne Stephens

    Anne Stephens Member

    If it took a year, how come it wasn't just spontaneous regression?
     
  9. dyfoot

    dyfoot Active Member

    I have no idea, but after that year it was spontaneous with all veruccae disappearing without a trace and no sign of them over 2 years later.
     
  10. Whilst the idea of an immune generated response following this mode of Rx may have some merit, I doubt whether the concept of one needling session followed by a wait and see approach for months or years afterwards would necessarily count towards a satisfactory outcome - especially for the patient. "Well Mrs Jones, that'll be £285 quid please and I'll see you back in a year to see if its gone, thank you very much." "No, no thank you, I'm so relieved it might just disappear sometime...."
     
  11. dyfoot

    dyfoot Active Member

    I certainly don't know if the resolution was a result of the needling or not, for which I charged no more than a normal consultation plus LA administration. The patient believes that it was and is happy with the outcome though.
     
  12. David Smith

    David Smith Well-Known Member

    Mark wrote "Well Mrs Jones, that'll be £285 quid please and I'll see you back in a year to see if its gone, thank you very much."

    £285 quid!! GLARK :eek:!! I thought £80 was reasonable for 45mins work, but well done if you can get it.
     
  13. From my experience with the procedure, if there are no signs of resolution of the verrucae plantaris lesion with 8-12 weeks, then I consider it a treatment failure.
     
  14. Bennepod

    Bennepod Active Member

    Kevin.
    Lets say that there is some response, not a full immune response that leads to complete resolution, and you are left with a residual lesion or two. What then? A second needling?

    Brendan
     
  15. Brendan:

    I haven't ever seen a partial immune response yet from the verrucae needling procedure. It's either all gone within12 weeks, or not at all, from my experience. If there is no response within 12 weeks then I would probably just currette the lesion, rather than needling it again.

    Hope this helps.:drinks
     
  16. I have needled verrucae again after a couple of months and sometimes the second treatment has cleared the lesions. I tell the patient this at first treatment.
     
  17. alanpackwood

    alanpackwood Member

    HI,

    Regarding response to treatment time; from my experience this has varied from 3-12 weeks. If there has been no response after 12 weeks then I would discuss trying again.

    Rgds

    Alan
     
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