Dear colleagues,
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12 year old male presented with verruca left 1st plantar metatarsal area.
2 cm diameter. 10 weeks duration. Very painful.
Patient in excellent health.
Patients doctor has previously cryo'd the lesion which has had little effect. Other than to make it even more painful.
The problem: Usually I would offer to 'needle' the lesion. However, this young man is a key player for a football teams academy league.
He is shortly due (end of week) to play another academy team in Milan.
I initially debrided the lesion to reduce pressure over the lesion & advised deflective padding.
Still very painful.
Would value your opinions RE: Best advice/ treatment to offer this patient.
Would needling a week prior to an important match be likely to impede this player?
Many thanks,
Mandy.
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