Swift Wart/Verruca Treatment

What is Swift?

Swift is the pioneering new microwave therapy device for skin. Plantar warts have long been a frustrating condition, and finally, there is an answer! Unlike other destructive treatment methods, Swift targets the root cause of the wart/verruca, the human papillomavirus (HPV). Microwave energy is introduced into the skin, heating cells to between 36 and 43 degrees Celsius. This heat initiates an immune cascade which allows the body to detect and attack the HPV virus, ridding the patient of this painful condition.

How does the treatment work?

Treatment protocol includes an average of 3-4 visits with each treatment lasting only 5-10 minutes. During each treatment, you will receive multiple 2 second doses of microwave energy; total dosage will vary based on the size and age of the lesion. Visits are spaced 4 weeks apart to coincide with the body’s immune cycle, with follow up scheduled for 12 weeks following the final treatment. Complete resolution is aligned with the strength of you body’s immune response.

What should I expect?

Swift is the quick and clean new treatment for skin. Unlike cryotherapy, salicylic acid and laser, Swift does not break the surface of the skin and eliminates the need for bandages or dressings – leaving you to carry on your day as normal.

Does it hurt?

Like many treatments for skin lesions, some minor discomfort may be experienced. Pain levels vary from person to person but most people undergoing Swift feel a minor burning sensation lasting 2 – 3 seconds then quickly subsiding. There is no anesthesia/injection needed!

Who can benefit from Swift verruca treatment?

Almost anyone who has stubborn warts and verrucas can benefit from Swift. There are contra-indications to Swift but outside these anyone who has warts/verrucas on their hands or feet can benefit.


If any of the following apply to you, speak to your Podiatrist before treatment –

  • Metal pins, plates or replacement joints in the foot or ankle
  • Pacemaker
  • Neuropathy or poor peripheral circulation
  • Poor or limited healing capacity
  • Immune suppression
  • Pregnancy or breast feeding. It is known that verrucas and warts can increase in size during this period
  • Low pain threshold
  • Young children – treatment on children under ten years old may not be appropriate for a number of reasons which one of our Podiatrists will discuss with you during your consultation.

Can anyone have Swift verruca treatment?

With a few exceptions, (see above) most people with verrucas and warts should be able to have this treatment. Your Podiatrist will carry out assessment prior to treatment and advise you accordingly. Swift is suitable for most people with few exceptions, although the purpose and reason for a consultation prior to treatment is to identify anyone for who it may not be appropriate. One of our Podiatrists will discuss any concerns with you.

What will the wart/verruca look like after it has been treated and how quickly will it work?

Immediately after the treatment there will be no change to the appearance of the wart/verruca. A change should start to show after a few days. Swift works by prompting an immune response and time is needed for the process to gather pace. That is why there is a gap of at least two weeks between treatments.

As regression is established the verruca will shrink in from the edges at the same time as reducing in thickness – or ‘debulking’. The dermal ridges or ‘fingerprint’ of the underlying tissue will gradually re-establish itself as the verruca resolves.

A follow up visit will allow one of our Podiatrists to evaluate any changes and make a decision on whether or not you require another Swift application. 

How many Swift verruca treatments will I need?

This depends on how you respond to treatment. Some resolve within three treatments but more may be needed particularly with large or multiple lesions. These can be from 14 days to over a month apart depending on progress. Your Podiatrist will discuss this with you.

When the virus enters the skin, some people’s immune systems immediately respond by producing antibodies and killing it dead. Others don’t and a verruca forms. However, the necessary immune response can still happen at any time, and, days, weeks, months or years later, the verruca can suddenly disappear.

This is why your GP will tell you to leave it alone and it will go away in time. Having a verruca does not mean there is anything wrong with your immune system. Swift is designed to prompt that local immune response for the body to heal itself. Swift treatment results in a degree of localised tissue damage prompting a healing response part of which is antibody recruitment.

It is also thought to stimulate heat stress protein production which is known to prompt a strong healing response. Patients who are immune-suppressed are at risk of developing multiple, resistant lesions, which are difficult to treat. 

What can I do after Swift verruca treatment?

Normally any pain or discomfort ends as soon as the treatment is finished but it is possible there may be some minor discomfort. However one of the great things about Swift is there is no broken skin, also no dressings and no need to keep it dry. Therefore you can do anything you wish. Swim, shower, run, jump and play.

Does using swift verruca treatment mean that the verruca won’t come back?

Once the wart/verruca has gone, it is usually gone for good. However, even though Swift works by prompting an immune response and production of the appropriate antibodies communicating a degree of immunity, there can never be a guarantee that you won’t catch another at some point in the future.

If you would like more information on Swift in particular or verruca treatment options in general, to speak to one of our Podiatrists or to make an appointment please call (513) 729-4455.

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Having Foot or Ankle Problems?

Dr. Titko has more than 20 years of medical and surgical experience treating foot and ankle conditions. Feel free to contact us at: (513) 729-4455 and speak to our trained staff. Contact us today!