What happens after Falknor’s needling?

Short answer: Falknor’s needling is generally performed as a same-day procedure under local anaesthetic. Most patients can walk afterwards, with a dressing and short-term adjustment of pressure or activity according to the wart’s location.

A small amount of bleeding, bruising or crusting is expected. The dressing and wound-care plan should be followed exactly. Review allows comfortable removal of excess eschar or callus and assessment for infection and response.

Compared with cutting out a broad area of skin, needling preserves the overall structure of the sole and usually creates a relatively contained treatment site. Expected soreness, bleeding and crusting are normally managed with dressings and pressure modification. Less common problems include infection, delayed healing, scar sensitivity, incomplete clearance or recurrence.

Urgent review is appropriate for increasing redness, warmth, swelling, discharge, fever, worsening pain or unexpected numbness. Medical advice about analgesia should be personalised; patients should not stop prescribed medication without speaking to the relevant clinician.

When should I seek an assessment?

Consider assessment when the diagnosis is uncertain, the lesion is painful or changing, warts are spreading, self-care is unsafe, or reasonable treatment has failed. Chronic lesions should be re-examined before another destructive course is started.