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Hole in foot after plantar wart: Frequently Asked Questions About Plantar Warts: Leonard Greenwald, DPM: Podiatrist

Frequently Asked Questions About Plantar Warts: Leonard Greenwald, DPM: Podiatrist

Plantar warts are incredibly common. More than 3 million people suffer from them every year in the United States. Since they spread easily, it is a condition that many people will face at some point in their lifetime and once warts first pop up, they can spread on the body, making it far more difficult to eliminate them. This makes it important to seek professional help instead of waiting and hoping that they would go away.



Plantar warts are typically a result of the human papillomavirus, also known as HPV. Since they are highly contagious, many people will suffer from warts after walking barefoot in places like a public restroom, locker room or at the swimming pool.


These warts are typically round in shape, hard, can be a variety of colors and are grainy. They can range from being small in size to rather large.


These warts are typically going to be found on a person’s heels or the balls of their feet, though some people will also get them on their hands.


Virtually anyone can get a wart. However, warts are most common in people between the ages of 6 and 40.


Below the surface of the skin, the virus will infect the skin cells, leading to the creation of a wart at the surface. This is why when one removes or pulls a wart out, it typically leaves a large hole in the skin. They can be rather deep depending on how severe the skin infection is.



There are several treatments that patients can try. At home, many people will try to cut them away but this can be dangerous and lead to the infection spreading. Also, trying to cut warts away without help can cause a lot of bleeding, which can also be dangerous. We advise against this method.

Anyone looking to treat a wart at home should try over-the-counter medication instead. These may include placing a medicated bandage on top of the wart. Sometimes, this can cause the wart to go away, though it is not effective for everyone.

One of the best methods for removing a wart is to visit our office so that we can use dry ice to freeze it. Typically, this will lead to the elimination of the wart and it will not grow back. However, in some cases, surgery may be necessary for removing the wart completely. Typically, this is only the case if the wart has spread and grown incredibly large.


Immediately. It is critical that anyone who is suffering from warts get help right away. These are highly infectious and will spread. The best way to prevent this is to visit our office immediately so that we can eliminate the wart before it leads to severe discomfort. The treatment is affordable and fast so there is truly no reason to delay seeking help.


We encourage you to call and schedule an appointment for help today.

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Treatment and Removal of Plantar Warts

School-age kids can come home with some pretty gross stuff like body odor and head lice, but in my book none of these make my stomach twist and turn as much as plantar warts. They are ugly, persistent and hurtful little buggers. If you haven’t dealt with them before then this article will attempt to arm you with what lies ahead from a parent’s perspective. After 2 of my 3 kids had them—one of them twice—we picked up some good tips for plantar wart home remedies and prevention.

What are Plantar Warts?

Children with plantar warts will tell you that every step feels like they are walking on a small stone. I feel bad remembering the first time my daughter developed one of these. I didn’t know about plantar warts at the time and assumed it was just like any other wart. I initially didn’t even worry too much when she complained—she has a very low pain tolerance and I assumed it was more of a nuisance than anything else. It wasn’t until the complaints persisted that I realized something else was going on and I began sleuthing. I quickly learned that plantar warts are MUCH more painful that regular warts.

Plantar warts are flat pea-sized warts that show up on the bottom of your kid’s feet. They have a surface appearance of cauliflower and can sprout black thread-like veins in the middle. To make things worse, they are both contagious and painful. Plantar warts are fairly common and affect 10-20% of school-age kids.


How Do You Get Plantar Warts?

Plantar Warts are caused by a virus that can be transferred by surface connection. The virus needs a way to get into the skin, which can be cuts, scrapes, dry cracks or skin that is wet and softened after a long swim or bath. Kids who spend a lot of time barefoot (which we encourage for healthy foot development) can contract them from playground surfaces that were used by other children carrying the virus on their feet. I believe my kids picked them up at the local pool swim deck or locker room since theirs both appeared a few weeks after swim lessons started. Adults can get them, too, although kids are more susceptible as they have less built-up immunities. Also, anyone with weakened immune systems are more susceptible.


How Do You Get Rid of Plantar Warts?

According to medical experts, plantar warts can go away on their own after 1-2 years, but I have yet to meet a parent who made it that long without seeking a faster remedy. Fortunately, there are many plantar wart home remedies you can try. Of course, you should always consult with your doctor first to make sure it isn’t something other than a wart and to rule out other concerns about your child’s health that could be causing the growth.  Also, many of the following solutions should NOT be used by anyone with weakened immune systems, diabetes or other serious health conditions without seeking a doctors advice.

 1. Freeze it off (Cryotherapy)

This is the method my family found to be the best and most effective. While doctors may offer to do it professionally, you can also purchase over-the-counter products to do it yourself at home like we did. Check out Compound W Freeze Off or Dr. Scholl’s Freeze Away, which come with topical applicators and simple instructions (we found it best to apply after a scrubbing bath, as described below). This freeze method will take anywhere from 1–5 applications over 1–2 weeks to completely kill the wart. This is a relatively fast process compared to other treatments, although your child may find the cold sensation to be a little painful.

2. Chemical Peel

Again, you can have this done by a doctor or you can do it at home with over-the-counter products like Compound W, which sells a variety of salicylic acid peeling products for treating the warts. This is almost the same as the freeze method above, but has the advantage of being less traumatizing to apply to your child’s foot since it is not cold. The downside is that it takes longer to fully remove the wart—between 3-6 weeks.

3. Other Chemical Cauterization

Other topical wart treatments include the use of zinc, silver nitrate or cantharidin (derived from Blister Beetles) applied as an ointment.  One suggested natural remedy uses a “smoke box” with smoke from burnt medicinal leaves like populus euphratica. These treatments are sometimes offered in your practitioner’s office or can be done at home. They are generally acknowledged as being less successful as cryotherapy or salicylic acid, but may be considered a less invasive and more natural first approach to treatment.

4. Duct Tape

I felt I should include this home remedy for plantar warts since it is all over the internet and purportedly works for some, but it had zero, zilch, nada effect at our house despite valiant attempts by my 4th grader. Basically, you cover the wart with silver duct tape for 5-6 days, then do the soak/scrape method described below. Let the foot rest for 12 hours, reapply the duct tape and repeat the process. Personally, I don’t understand why creating a non-breathable, sweaty environment for the wart would work and it seemed more like wishing it to go away. Other people seem to think it works, though.

5. Surgical Procedures

More intense options include electrical cauterizing or laser treatment by a doctor. Your pediatrician may refer you to a podiatrist with better access to specialized equipment for the process. Local anesthesia is usually employed. For obvious reasons, this is usually considered a more extreme last resort.


Except for surgical removal, most of the above approaches will require a little time and patience for the virus to die and for the skin to slough off. A few days after starting the treatment, I found giving my children long, hot baths would speed the removal process by softening the dying skin on the wart. While in the tub, gently rub the wart with a pumice stone or emery board, but be warned that this may be painful for the child. I found it better to let my kids scrub it themselves. I purchased a pack of small disposable pumice-like scrubbers and a box of disposable gloves to use when treating the wart so I would not spread the virus further. Kids will naturally start picking at the wart in the tub with their fingernails, but this is strongly discouraged as it may cause more contamination. Make sure they wash their hand and fingernails carefully if they touch it, or try to get them to wear sanitary gloves! Reapplication of the cyrotherapy or salicylic acid method is generally most effective on a completely dry foot after a bath/scrub session.


What a plantar wart looks like when it comes out:

After a few weeks of therapy, the wart will be dead – dry and calloused looking-  and the whole thing will come out in the bath with some gentle rubbing like a button. Be prepared: there will be a deep hole in the bottom of your child’s foot where the wart comes out and it looks really freaky! It might even make you gag (a lot). Stay calm, though, even though the hole looks painful, it usually is not as what you are seeing is clean, new skin that has grown around the dead virus.  Within a few days the foot should completely heal and the hole will have faded to a distant, unsettling memory.


How to Prevent Plantar Warts

Follow these tips to reduce the risk of plantar warts for your child:

  • Make sure your kids understand that touching the warts with their hands can spread them.
  • If they do touch a planter wart, immediately wash their hands carefully with soap and water.
  • Use disposable emery boards or other scrubbers when sloughing off the wart so you can throw it away when done and reduce the risk of further contamination.
  • Keep your kids’ feet clean and dry with fresh socks and alternating pairs of shoes. Breathable shoes, which are always important for foot health and to reduce foot odor, are especially effective in this case.
  • Get your child shoes or sandals that can be worn in public showers or around swimming pools.
  • Beware of potentially infectious environments. In our case, I talked to the local pool director when I realized the plantar warts returned the next year at the same time swimming season started. It turned out my family wasn’t the only one! Pool deck and locker room cleaning processes were improved at our pool and she recently informed me that reported incidences have evaporated.

With these easy precautions and a little luck, you may never encounter plantar warts in your family. If they do appear, however, then I hope these tips will save you a little time and detective work for finding a solution.

We hope your kids’ feet stay happy all year long!


Related Posts:

  • A Minimalist Miracle? Correct Toes May Treat and Cure Foot Pain Without Surgery
  • Do You Have Pain in the Ball of Your Foot? How to Diagnose and Treat Capsulitis
  • Should You Worry If Your Child is a Toe Walker?

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C. Elf.O Tricia

Trish has been an entrepreneur, marketer and maker ever since she crushed her first lemonade stand at age five. Growing up in rural Wisconsin, she spent many summers running barefoot with her sisters. These early memories later inspired her to build a brand which embraced the joy and freedom of childhood with the health and science of minimal footwear.

Trish relishes evolving the company to grow stronger and more competitive with each passing year. She is a frequent expert panelist for both e-commerce and entrepreneurship conferences. Trish enjoys spending time with her family, dogs and ducks on their property in Oregon and loves the proximity to both surf and snow. She has a background in Engineering Physics and an MBA from the University of Chicago.

Removal of plantar warts

Removal of plantar warts is carried out using 3 modern methods:

  • Laser removal
  • Radio wave removal (Surgitron device)
  • Cryodestruction (removal with liquid nitrogen)

The definitive method of removal is determined in conjunction with the physician at appointment .

Consultation with a dermatologist on the day of tumor removal using a dermatoscope up to 2 units. 1200 rub
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Laser removal of viral plantar warts up to 10 mm, for 1 unit. 1800 rub
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Laser removal of viral plantar warts over 10 mm, for 1 unit. 2300 rub
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Cryodestruction of viral plantar warts up to 10 mm, for 1 unit 1600 rub
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Cryodestruction of viral plantar warts over 10 mm, for 1 unit. 2100 rub
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Features of procedure

Removal of plantar warts by laser or radio wave method is performed under local anesthesia. Taking into account the average area of ​​the wart, a fairly decent amount of anesthetic is injected.

Usually the doctor manages to remove all plantar warts in one session. However, if there are a lot of them and they are large, then you can reach the limit on the introduction of painkillers. Then the completion of the removal is carried out in the next session.

On the soles of the feet, the healing time is always long. From a month or more. The soles are too far from the heart, so relatively little blood comes here. When there are chronic diseases of the vessels of the legs, such as atherosclerosis of the arteries or varicose veins, the healing time is even longer.

Plantar warts are growths in the deep layers of the epidermis caused by the human papillomavirus.

They may have a shaft – a darker colored area in the center of the wart with dots in it. The rod consists of a detached epidermis and thrombosed vessels. However, the shaft is not always present in plantar warts. In this case, often people consider them calluses and treat them accordingly, without much sense.

Preparation and process

How to prepare for the procedure

In the sole area, the anesthetic injection itself is painful until the anesthetic takes effect. It is advisable to drink an anesthetic capsule or tablet in half an hour – an hour (after consulting with your doctor) in order to reduce the sensations from the first injection. An hour before the procedure, it is also better to drink 40 drops of motherwort tincture. Loose shoes should be chosen so that after the removal of plantar warts, they do not press on fresh wounds. The foot may slightly increase in size due to swelling caused by the administration of painkillers.

Process description

During the removal of plantar warts, the doctor uses a laser or radio wave knife to destroy those layers of the epidermis that are affected. And it also captures some healthy skin around to destroy the viruses that live there hidden. It is important to clearly define the boundaries and depth of the plantar wart so that there are no parts of it left that give recurrence.

What to do after removal

After the removal of a plantar wart, the wound should be treated with solutions or ointments prescribed by the doctor. Antiseptics, antibiotics are usually prescribed so that there are no infectious complications. It is possible to use antiviral ointments and creams to combat human papillomaviruses. As well as ointments that accelerate healing. You should be patient, the healing process in the sole area is long. The wound can be quite painful when walking, and after a week or two after removal, it can begin to bleed (the newly formed granulation tissue is easily injured during the healing process). For pain, you can take painkillers from the NSAID class inside (analgin, diclofenac, ketonal, and others) or use it in the form of creams and ointments.

Why are plantar warts dangerous?

Plantar warts often grow large, are multiple, disturb when walking. Sometimes they turn into skin cancer. Pigmentless acral melanoma may initially resemble a plantar wart, delaying treatment in this case can lead to death from metastases. Through house shoes, baths and showers, papillomaviruses pass to other people and they also develop plantar warts.


In the case of laser removal of plantar warts, a special medical laser device is used, which emits beams that are absorbed by water or blood in the tissues. Due to this specific absorption, water quickly evaporates from the tissues, they dry out with minimal blood loss. In the case of removal of plantar warts by the radio wave method, appropriate devices (surgitron or other brands) are used. In them, electromagnetic radiation with a very high frequency evenly and bloodlessly separates the tissues without burning them.

Consultation with a dermatologist on the day of tumor removal using a dermatoscope up to 2 units. 1200 rub
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Laser removal of viral plantar warts up to 10 mm, for 1 unit. 1800 rub
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Laser removal of viral plantar warts over 10 mm, for 1 unit. 2300 rub
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Cryodestruction of viral plantar warts up to 10 mm, for 1 unit. 1600 rub
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Cryodestruction of viral plantar warts over 10 mm, for 1 unit. 2100 rub
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Show all prices

Popular questions:

How are plantar warts different from calluses?

Since the presence of the rod does not necessarily have to be based on the location in the first place. Plantar warts are usually located asymmetrically. In places where there was no friction before. They usually don’t go away on their own. For the appearance of corns, constant friction is necessary, with the elimination of friction, corns usually disappear.

Should I be worried that the wound on the foot does not heal for a long time?

On the one hand, prolonged healing for a plantar wart is normal. Even when the wound is completely healed and all the crusts fall off, for a long time the skin above it may be reddish and flaky. On the other hand, plantar warts themselves often recur. See a doctor if in doubt.

What is the best way to remove a plantar wart, laser, radio wave or cryosurgery?

It is best to remove it using the method suggested by the doctor you consulted. All methods are quite modern and effective. Only in the case of constant relapses is it sometimes advisable to change the method of removal to another.

How long does it take for a wart to heal after laser removal?

If a deep neoplasm is removed, especially such as a plantar wart, healing takes up to 2 weeks

How to care for a wart after laser removal

The warts are finally gone.

Only a small wound remained in their place.

She will heal soon.

Unfortunately, not all wart removal operations are successful. Sometimes there are scars. In other cases, inflammation begins. The consequences of removing a wart can be very unpleasant, so you need to take care of the proper healing of the wound.

We will discuss this issue later. For now, let’s briefly talk about the operation to remove warts, and in what cases it is performed.

People remove tumors for various reasons.

Some people don’t like the look and feel of warts.

Others are troubled by discomfort. Sometimes neoplasms grow in uncomfortable places – on the fingers or feet. Here they interfere with comfortable wearing shoes, and are often damaged and inflamed.

Of course, not everyone has such problems.

But there are still a lot of people who want to get rid of warts.

Usually there are no serious obstacles to the operation, and any person can easily remove even a lot of neoplasms.

Few contraindications:

  • Pregnancy
  • Herpes exacerbation
  • Suspicion of melanoma
  • Inflammation of the skin adjacent to the wart
  • Predisposition to scarring

Doctors use several methods to deal with neoplasms. Most popular:

  • Laser therapy
  • Cryodestruction
  • Surgical removal
  • Electrocoagulation

In principle, all methods are effective. But in recent years, patients often prefer laser surgery due to its high efficiency and lack of pain.

Regardless of the method of wart removal, negative consequences are possible.

Yes, they occur less frequently with laser therapy. However, the risk is still there.

It is important to take care of the wound from the removed wart all the time until it heals completely.

This period depends on several factors:

  • Neoplasm size

Wounds smaller than a centimeter heal in two weeks. In larger areas, the skin recovers longer – up to a month.

  • State of immunity

Strong immune system accelerates healing.

  • Follow doctor’s advice

Due to improper care, tissue repair can take several months, and sometimes the wound does not heal at all and a doctor’s help is needed.

As you can see, any patient can speed up rehabilitation after surgery. You just need to be patient and follow the doctor’s instructions – take care of the wound and use the right medicines.

Wound medicines for removed warts

In the early days, protect the wound from infection with antiseptic preparations. There are also substances that dry out the skin.

How to treat the wound after removing the wart?

It is recommended to lubricate the wound with Chlorhexidine at least 2-3 times a day, until a crust appears..

But alcohol solutions and various chemicals are strictly prohibited, as they damage the wound and slow down its healing.

Together with antiseptics, it is useful to use vitamins and tinctures to strengthen the immune system. With them, you will speed up the recovery of the skin and reduce the risk of new warts.

There are cases when the skin around the wound swells – this is normal and usually the swelling disappears in about a week. If it does not disappear, then consult a doctor.

The crust on the wound will fall off by itself. You can not scratch or pick it – this way you can deprive the wound of protection and infect the infection. After the crust disappears, use repair gels and ointments that will speed up the healing of lesions.

The wound should be treated regularly with suitable preparations, but it is important to follow the doctor’s other instructions.

Therapeutic regimen. Rules for care after wart removal

Many unpleasant consequences after wart removal are associated with improper wound care. Including long-term healing of the skin.

Here are a few simple rules that will help restore damaged skin in a short time:

1. Do not dry the wound with a towel. Strong friction can cause infection.

2. Do not take a bath

2 – 3 weeks only shower. Cover the wound with cosmetics, as they can slow down the recovery of the skin.

3. Do not swim in public waters and do not go to the solarium

Refrain from these procedures for two weeks – this way you guarantee normal wound healing.

4. Do not go to the bath and sauna

An unhealed wound is vulnerable to high temperatures, so wash only in the shower for 2-3 weeks.

One of the possible problems after surgery is the appearance of a scar or scar. Naturally, no one wants to change one unattractive external feature for another. Fortunately, this is easy to avoid.

First of all, do not cover the wound with a band-aid. Some people consider the patch to be a protection against bacteria, but at the same time, it prevents the inflow of air. Because of it, the wound heals longer.

Young skin at wart site needs sun protection. To restore the skin, it is important not only to treat the damaged area, but also to strengthen the immune system. A course of vitamins A, E, and C will accelerate skin regeneration and improve its elasticity.

After removing the wart, the wound festered. What to do?

See a doctor. He will examine the skin and determine why the infection began.

Also, a doctor’s help is needed when the wound heals for a long time – if it does not disappear even a month after the treatment.

When the operation is harmful. Consequences of laser wart removal

We have already mentioned the possible complications that are associated with the wound from the operation. There aren’t many of them.

The most dangerous consequences of laser wart removal:

  • Long healing
  • Infection and inflammation of the wound
  • The appearance of scars and scars
  • Burn
  • Allergic reaction
  • Incomplete removal of neoplasm

Some complications are caused by the patients themselves. For example, infections and long healing. We talked about how to properly care for a wound after surgery, so let’s move on to other reasons for the dangerous consequences of laser wart removal.

A small percentage of patients suffer from allergies to anesthesia and a predisposition to scarring. This is a serious problem. Ask your doctor about other treatment options. So you can easily choose a method that will allow you to get rid of warts without complications.

There are also complications during laser surgery that depend only on the doctor – severe tissue burns due to incorrect equipment settings and the reappearance of a neoplasm due to tissues not removed.

In the reviews of many patients, the severe consequences of laser wart removal are described.

Some even required additional treatment. That means extra expenses.

The importance of the qualifications of the doctor who performs the procedure cannot be underestimated.

Therefore, we suggest contacting the Lasersvit clinic.

Our medical center is not a cheap beauty salon. We employ dermatologists of the highest category with more than 17 years of experience who have examined over 100,000 patients. They are well versed in neoplasms and know well how to remove them. Without pain and scars. Our doctors will explain in detail how to properly care for wounds after surgery at home.

Here are the reviews of Lazersvit patients:

  • Svetlana

I was worried about a wart on my finger for a long time. Looks terrible. Always catches the eye and decided to remove it. I was advised laser removal, and I immediately rushed to read reviews about the operation. And there are a lot of positive reviews. As a result, I decided on treatment. It has now been 4 months since the operation, and in general I am satisfied with the result. Doctors from the Lasersvit clinic not only removed the wart painlessly, but also told in detail how to take care of it.

  • Hope

Good afternoon. I want to briefly talk about how I removed a wart on my leg. The operation itself was quick and painless. True, the wound did not heal as quickly as we would like – in a month. But acquaintances told about other cases when the wound lasted much longer. So I have nothing to complain about.

  • Zhenya

Decided to have three tumors removed from her left leg. I was a little worried, but the doctors said that the operation was safe and painless. The warts were removed quickly, and the wounds healed in just three weeks. Walking was uncomfortable at first, but this is due to the location of the neoplasms. Then it got easier. Now, a month later, there are no unpleasant sensations when walking.

  • Nicholas

Good afternoon. I want to tell you how I removed a wart on my arm. The procedure itself is very fast – only five minutes and the neoplasm disappeared. I had to deal with the wound longer – a whole month. But I did everything as the doctors advised, and as a result, young skin grew, and there were almost no traces of the operation. Therefore, I am glad that I applied to LaserSweet.

  • Natalia

I read a lot of positive reviews about laser wart removal. As a result, she herself decided on the operation, when an unsightly neoplasm popped up on her index finger.