Stubborn plantar warts. Plantar Warts: Causes, Symptoms, and Effective Treatment Options

02.09.202326.06.2023 by alexxlab

What are plantar warts. How do they develop on the feet. What are the symptoms of plantar warts. How can plantar warts be treated effectively. What are the best prevention methods for plantar warts. How long does it take to treat plantar warts. Are plantar warts contagious.

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Understanding Plantar Warts: A Comprehensive Guide

Plantar warts, medically known as verruca pedis or papillomas, are benign lesions that grow on the feet. These stubborn growths primarily occur on the sole of the foot, between toes, and can even develop around and underneath toenails. Given their highly contagious nature, it’s crucial to consult a podiatrist if you suspect you have a wart to prevent its spread.

What Are Plantar Warts?

Plantar warts are caused by the human papillomavirus (HPV), a common skin condition that enters the body through tiny breaks in the skin. These warts are not just a cosmetic concern; they can cause discomfort and pain, especially when walking or standing for extended periods.

Identifying Plantar Warts: Key Characteristics

Recognizing plantar warts is the first step towards effective treatment. Here are some distinguishing features:

Cauliflower-like appearance or mosaic pattern
Firm and potentially raised texture
Possible cluster formation
Visible small black dots (blood vessels) within the lesion
Pain when squeezed rather than under direct pressure
Disruption of skin striations
Variable pain or discomfort depending on location

It’s important to note that warts can be easily misdiagnosed, as they may resemble other conditions such as hyperkeratosis (calluses), heloma durums (hard corns), eccrine poromas, or even certain skin cancers. Therefore, professional assessment is crucial for accurate diagnosis and appropriate treatment.

The Transmission and Risk Factors of Plantar Warts

Understanding how plantar warts spread can help in prevention. The virus typically enters the body through small cuts or weak spots in the skin. Common transmission routes include:

Direct contact with an infected person
Touching objects that have come into contact with warts
Walking barefoot in communal areas (e.g., swimming pools, gyms)
Having warts on hands or fingers
Participating in activities like swimming
Having sweaty feet or poor foot ventilation
Genetic predisposition (family members with warts)
Compromised immune system

Effective Treatment Options for Plantar Warts

Treating plantar warts can be challenging due to their viral nature. However, various treatment options are available, and a podiatrist can recommend the most suitable approach based on the wart’s size, location, and type.

Preparation for Treatment

Before applying any treatment, excess tissue must be removed to expose the wart. This process, known as sharp debridement, is typically performed by a podiatrist using a scalpel. While usually painless, some patients may experience mild sensitivity. The goal is to debride until slight pin-prick bleeding occurs, indicating that the wart is adequately exposed for treatment.

Treatment Modalities

Silver Nitrate (AGn03) Sticks: A caustic agent that dries out the wart. It’s painless and suitable for children, leaving a harmless black stain that can be washed off or debrided.
Salicylic Acid 60% Paste: A keratolytic that breaks down warty tissue, allowing it to peel away. Multiple applications are usually necessary, and the area must be kept dry for optimal results.
Phenol 80% with 60% Salicylic Acid: A potent combination effective against warts. However, it’s contraindicated during pregnancy and breastfeeding.
Cryotherapy: Uses liquid nitrogen to freeze warts, causing cell death and triggering an inflammatory response. While effective, it can be painful and is not recommended for children or immunocompromised individuals.
Faulkner’s Needling: A technique involving multiple needle penetrations of the wart to stimulate an immune response and destroy keratinocytes. Local anesthesia is required for this procedure.

Preventing the Spread of Plantar Warts

While treating existing warts is crucial, preventing their spread is equally important. Here are some effective prevention strategies:

Avoid walking barefoot in public areas, especially those with moist surfaces
Wear flip-flops or sandals in communal showers and locker rooms
Keep feet clean and dry
Change socks daily, especially if feet tend to sweat
Avoid direct contact with warts, including your own
Don’t share towels, socks, or shoes with others
Strengthen your immune system through a healthy diet and lifestyle

The Importance of Professional Care for Plantar Warts

While over-the-counter treatments are available, seeking professional care from a podiatrist is often the most effective approach to treating plantar warts. Podiatrists can provide a comprehensive treatment plan tailored to your specific case, ensuring the best possible outcome.

Benefits of Professional Treatment

Accurate diagnosis to rule out other conditions
Access to stronger, prescription-strength treatments
Proper application techniques for optimal results
Ongoing monitoring and adjustment of treatment as needed
Reduced risk of scarring or complications
Advice on prevention and aftercare

Living with Plantar Warts: Coping Strategies

While undergoing treatment for plantar warts, there are several strategies to manage discomfort and prevent spread:

Use cushioned insoles to reduce pressure on the affected area
Keep the wart covered with a waterproof bandage, especially in public areas
Avoid picking or scratching the wart to prevent spread
Maintain good foot hygiene, washing and drying feet thoroughly daily
Use separate nail clippers and files for affected areas
Be patient with treatment, as warts can take time to resolve completely

Debunking Myths About Plantar Warts

There are many misconceptions surrounding plantar warts. Let’s address some common myths:

Myth 1: Plantar warts have roots that grow deep into the foot

Fact: Warts do not have roots. The black dots often visible in warts are actually tiny blood vessels that supply the wart with blood.

Myth 2: Plantar warts will always go away on their own

Fact: While some warts may resolve spontaneously, many require treatment, especially in adults with mature immune systems.

Myth 3: Duct tape is an effective treatment for plantar warts

Fact: While some people claim success with duct tape, scientific evidence supporting its effectiveness is limited. Professional treatment methods are generally more reliable.

Myth 4: Once you’ve had a plantar wart, you can’t get another one

Fact: Having a plantar wart doesn’t confer immunity. You can develop new warts from exposure to the HPV virus at any time.

When to Seek Immediate Medical Attention

While plantar warts are generally benign, certain situations warrant immediate medical attention:

Rapid growth or change in appearance of the wart
Severe pain or bleeding from the wart
Signs of infection, such as increased redness, warmth, or pus
Warts that interfere significantly with daily activities
Warts in individuals with diabetes or circulation problems
Persistent warts that don’t respond to treatment

In these cases, a podiatrist or dermatologist should be consulted promptly to ensure appropriate care and rule out any serious conditions.

The Future of Plantar Wart Treatment

Research into plantar wart treatment is ongoing, with several promising developments on the horizon:

Immunotherapy

Researchers are exploring ways to stimulate the body’s immune system to fight off the HPV virus more effectively. This could lead to treatments that not only eliminate existing warts but also prevent future occurrences.

Advanced Laser Treatments

New laser technologies are being developed that may offer more precise and less painful treatment options for plantar warts. These lasers could target the blood vessels supplying the wart, effectively cutting off its blood supply.

Topical Medications

Novel topical treatments are under investigation, including those that may disrupt the virus’s ability to replicate or enhance the skin’s natural defenses against HPV.

Combination Therapies

Future treatments may involve a combination of different modalities, tailored to each patient’s specific case, potentially improving efficacy and reducing treatment time.

Frequently Asked Questions About Plantar Warts

To address common concerns about plantar warts, here are answers to some frequently asked questions:

How long does it take for a plantar wart to go away with treatment?

The duration of treatment can vary significantly depending on the size and location of the wart, as well as the chosen treatment method. Generally, it can take anywhere from a few weeks to several months for a plantar wart to resolve completely with consistent treatment.

Can plantar warts spread to other parts of the body?

Yes, plantar warts can spread to other parts of the body through autoinoculation (self-infection). It’s important to avoid touching or scratching the wart and to wash hands thoroughly after any contact with the affected area.

Are plantar warts always painful?

Not necessarily. The level of discomfort can vary greatly. Some people may experience significant pain, especially when walking or standing, while others may have no symptoms at all. Pain is often more pronounced when the wart is on a weight-bearing area of the foot.

Can I swim if I have a plantar wart?

While swimming itself doesn’t pose a risk, walking barefoot around pools can spread the virus. It’s advisable to wear waterproof sandals in public pool areas and to cover the wart with a waterproof bandage when swimming.

Is it safe to use over-the-counter wart treatments during pregnancy?

It’s best to consult with a healthcare provider before using any wart treatments during pregnancy. Some treatments, particularly those containing salicylic acid, may not be recommended during pregnancy or breastfeeding.

Lifestyle Adjustments for Managing Plantar Warts

While undergoing treatment for plantar warts, certain lifestyle adjustments can help manage symptoms and prevent spread:

Footwear Choices

Opt for comfortable, well-fitting shoes that don’t put excessive pressure on the affected area. Consider using orthotic inserts to redistribute pressure away from the wart.

Exercise Modifications

If the wart is causing discomfort during physical activities, consider low-impact exercises like swimming or cycling until the wart resolves. Always wear appropriate footwear during workouts.

Stress Management

Stress can weaken the immune system, potentially making it harder for your body to fight off the HPV virus. Incorporate stress-reduction techniques like meditation, yoga, or deep breathing exercises into your daily routine.

Dietary Considerations

A balanced diet rich in vitamins and minerals can support your immune system. Foods high in vitamin C, zinc, and beta-carotene may be particularly beneficial.

The Psychological Impact of Plantar Warts

While often considered a purely physical condition, plantar warts can have significant psychological effects:

Body Image Concerns

Some individuals may feel self-conscious about the appearance of their feet, leading to reduced confidence in social situations, especially those involving barefoot activities.

Anxiety About Spread

The contagious nature of plantar warts can cause anxiety about spreading the condition to others or to other parts of one’s own body.

Frustration with Treatment

The potentially long and sometimes uncomfortable treatment process can lead to frustration, especially if initial treatments are not immediately effective.

It’s important to address these psychological aspects alongside physical treatment. Open communication with healthcare providers about these concerns can lead to a more holistic approach to managing plantar warts.

The Role of Podiatry in Plantar Wart Management

Podiatrists play a crucial role in the diagnosis, treatment, and management of plantar warts. Their specialized knowledge of foot conditions makes them uniquely qualified to provide comprehensive care:

Diagnostic Expertise

Podiatrists can accurately differentiate plantar warts from other foot conditions that may present similarly, ensuring appropriate treatment.

Customized Treatment Plans

Based on the specific characteristics of each wart and the patient’s overall health, podiatrists can develop tailored treatment strategies for optimal results.

Advanced Treatment Techniques

Podiatrists have access to and expertise in a range of treatment modalities, from topical medications to surgical interventions when necessary.

Preventive Care

Beyond treating existing warts, podiatrists can provide valuable advice on preventing future occurrences and maintaining overall foot health.

Follow-up Care

Regular check-ups with a podiatrist ensure that treatment is progressing as expected and allow for timely adjustments to the treatment plan if needed.

By offering comprehensive care, podiatrists not only address the immediate issue of plantar warts but also contribute to long-term foot health and overall well-being.

Stubborn warts on the feet that won’t go away?

Warts: Verruca pedis

Plantar warts, also referred to as verruca pedis or papilloma’s are considered to be benign lesions that can grow on the feet. Plantar warts most commonly occur on the sole of the foot, on or in between the toes and can even develop underneath and surrounding the toenails. It is important to consult a podiatrist if you think you have a wart to prevent the spread as they are highly contagious.

How do I know if I have a wart?

Lesion will commonly have a cauliflower appearance or mosaic pattern.
The lesion will typically feel quite firm and can be raised.
There may be multiple growths which form a cluster.
You may be able to visualise small black dots within the lesion which are small blood vessels.
The lesion is painful to squeeze rather than if direct pressure is applied.
There is a disruption to skin striations so the lines of the skin cannot be seen through the lesion.
Warts may or may not cause pain or discomfort pending on the location of the lesion.

It is important to get any lesion on your foot assessed as warts are commonly misdiagnosed as they can appear similar to other conditions. Differential diagnosis for warts include hyperkeratosis (callous), heloma durums (hard corns), eccrine poroma’s and certain skin cancers.

How did I get a wart?

Warts are an extremely common skin condition caused by the human papilloma virus (HPV). There are many strains of the virus which can cause warts in different parts of the body. As these warts are caused by a viral infection they typically enter the body through tiny breaks in the skin. The most common way warts spread are through direct contact. This may come in the form of directly touching someone who has a wart whether it be through shaking hands or coming into contact with an object that someone else has touched.

Factors that increase the likelihood of developing a wart on the feet may include:

Direct exposure to a wart.
Having warts on the fingers or hands.
Activities such as swimming.
Having sweaty feet or being in an environment where feet cannot air out.
Walking barefoot in communal areas such as swimming pools, sporting clubs, change rooms and gyms.
Having family members with warts.
Having any medical conditions that compromise the immune system.

How do I get rid of my wart?

Here at Be Podiatry we offer many different options to help resolve warts. Our experienced podiatrists will assess the size, location and type of wart and formulate an appropriate treatment plan.

Warts can be tricky to treat as they are caused by a viral infection. The first step when treating any wart is to remove excess tissue and expose the wart to allow treatment to have the best chance of success. This is done by sharps debridement with a scalpel by a podiatrist and is often painless although sometimes the area may feel a bit sensitive. It is best to debride the wart tissue until some pin pricking bleeding occurs at the site. After the wart is adequately exposed treatment can be administered

Treatments that your podiatrist may choose to use include:

Silver nitrate (AGn03) sticks – Silver nitrate is a caustic agent which aims to dry out the wart once it has been adequately exposed. This is often a good option for children as it is painless when used. When silver nitrate is applied it will cover the wart and leave a black stain in the area. This is completely normal and can be washed off and/or debrided away. Silver nitrate is less effective than other treatment options.

Salicylic acid 60% paste – This paste is a keratolytic which is applied directly to the skin and then absorbed by the body. It aims to macerate the warty tissue to make the skin break down and allow it to peel away. Multiple applications are usually necessary with this option. This is suitable for both children and adults as it is a painless treatment. This treatment needs to be kept dry for it to work best.

Phenol 80% with 60% Salicylic – Phenol is a caustic agent and when combined with salicylic acid works well against warts. It is important to note that phenol cannot be used during pregnancy or when breast feeding as it is a very potent chemical so it is not suitable for everyone.

Cryotherapy – This method uses liquid nitrogen to freeze the warts off. It is applied directly to the lesion and works by creating cell death and causing an inflammatory response in the body. This process can be quite painful and is not recommended for children or those with a compromised immune system. This modality is most commonly used by general practitioners.

Faulkner’s needling – This is a technique whereby a thin needle is used to penetrate the wart a number of times. It is thought that this triggers a controlled immune response in the body and causes keratinocyte destruction. For this procedure local anaesthetic is required to numb the area prior to treatment. The use of this technique may depend on the size, location and depth of the wart.

K-Laser – Laser technology is quite new when it comes to treating warts. The laser aims to cause cell death and heat up the cells to a level where they can’t survive. Typically warts require one or two sessions of laser therapy although results may vary depending on other factors. To read more about K-laser click here.

Over the counter products – Products such as Duofilm Solution or Wart-Off may be advised to be used in conjunction with above treatment methods. These products contain a small amount of salicylic acid in them which makes them beneficial to use in between some treatments as recommended by your podiatrist. These products can be found at a pharmacy such as chemist warehouse.

Lastly, prevention is a much better treatment strategy than cure when it comes to warts. Tips to avoid being exposed to warts include:

Good hand hygiene habits.
Avoid being barefoot in communal areas such as pools, gyms, sporting clubs and public bathrooms. Ensure you use thongs or sandals when using these facilities.
Use a separate towel for the feet when showering and do not share personal belongings.
Avoid coming into direct contact with warts.
If you have a wart avoid picking or scratching it which may cause the infection to spread.
If barefoot, ensure warts are covered to prevent spread.

If you suspect you have a wart or would like more information please contact the clinic to make an appointment.

Plantar Warts; Get Rid of Them Once And For All!

If you’ve never had a wart chances are you’ll have one or more in your lifetime. Studies show that we all have a 7-10 % chance of contracting a wart(s). What causes these nasty little bumps to appear when we least expect them? Well, it depends on the type of wart or more precisely where the wart is located. At Cambridge Physiotherapy & Rehab Center we provide the treatment and the knowledge necessary to keep your feet healthy.

Common warts are the ones you get on your hands. Plantar warts are the ones you get on your feet. Then there are Peritoneal warts, otherwise known as Pubic warts. Common or Plantar warts are caused by only one strain of over 120 different strains of HPV (Human Pappiloma Virus). Peritoneal/Pubic warts are caused by a completely different strain. That being said, the HPV vaccine doesn’t work to help cure or prevent Common or Plantar warts. The HPV vaccine is only designed to protect us from warts that are sexually transmitted. Common and Plantar warts can be treated by a Foot Specialist (Foot Care Nurse/Chiropodist/Podiatrist) or Dermatologist. Peritoneal/Pubic warts require immediate medical attention and are best treated by your G.P. or Nurse Practitioner. Today we will be taking a closer look at Common and Plantar warts.

Causes
Let’s first look at how warts are contracted.
The HPV virus enters the bloodstream via broken or thin skin. Once the virus enters the bloodstream it is there for life. It remains dormant and comes out at random times. Those of us with weakened immune systems are at greater risk but a wart can develop at times of good health too. Common or Plantar warts are transmitted through moisture or blood contact ie: wet gym/pool shower floors, concrete poolside or direct contact with a bleeding wart. Gross! That is why every good Foot Specialist will advise you to wear flip flops in gym or pool showers and poolside.

Treatments

Common and Plantar warts can be treated at home if they are very small, shallow and not clustered. If they are large, deep, stubborn or clustered you will need to see a Foot Specialist or perhaps a Dermatologist.
In the case of Plantar warts it is advisable to have a Foot Specialist (Foot Care Nurse/Chiropodist/Podiatrist) or Dermatologist remove the dead callused skin that tends to build up over top of the wart. This is most effectively and efficiently done using a scalpel in the hands of the trained professional. The Foot Specialist and the Dermatologist are trained to remove only the dead tissue and not cause bleeding. Removal of the dead callused tissue prior to treatment will allow the treatment of choice to penetrate deeper and thereby make it much more effective. Removal of the dead tissue can sometimes decrease the number of repeat treatments required–which is super great news when you just want to get rid of the wart asap!
There are 5 commonly used treatment options for Common and Plantar warts. Some are OTC (over the counter) which you can use at home and some have to be administered by a Foot Specialist or Dermatologist. The 3 treatment options foot care specialists use are as follows:

1) Acids, like Salicylic Acid 40% (Compound W) can be used either at home or by your Foot Specialist. It is often not enough to cure stubborn warts on it’s own, but combining this with other methods is highly effective.
2) Cryogenics, these freeze the wart to below 70 degrees C to kill off the blood supply. Two examples of cryogenic treatments are: 1) Liquid Nitrogen (must be administered by a Foot Specialist, Dermatologist or Health Practitioner) or 2) Dimethyl Ether (Dr. Scholl’s Freeze Off) which can be used either at home or by a Foot Specialist. Dimethyl Ether works best when used in conjunction with Salicylic Acid 40%.
5) Deep tissue surgery, which can only be done by a Surgeon or specially trained Chiropodist or Podiatrist. This is reserved for very deep warts or when all other treatments have failed. The wart is surgically removed along with a small amount of healthy tissue to make sure the entire wart is gone.

Whatever treatment you choose, remember consistency is key to effective treatment and eradication of warts.

For a list of available treatment options from our Advanced Foot Care Nurse and pricing visit our clinic or contact us at 519-219-5428.

Regularity of LPG massage – Indications for the procedure

Description

LPG massage frequency

Session duration

When choosing sessions with the LPG method, it is customary to take into account “protocols” – these are the so-called standard, accepted by all specialists, options for all modes of this type of massage, which are aimed at solving the problems of the human body. Each of these “protocols”, as a rule, contains detailed instructions and information about the mode in which it is necessary to influence a certain area on the body and how much time must be spent on this process.

Usually the procedure takes 35 minutes, but no more than 45 minutes. Beyond this time, the impact of this apparatus will be absolutely meaningless, since after the specified period, the process of “outrageous inhibition” begins. This is the stage when all the cells of the body seem to “get tired” and completely stop responding in some way to this stimulation, because the effect on the cells was quite active.

It is very important to choose the right number of all sessions in order to achieve the optimal result. With the right choice of the number of procedures, the anti-cellulite result will be very noticeable. Usually less than eight sessions are impractical to pass, but their number can reach up to 20.

The procedure of non-surgical hardware correction for the figure has a high effect, which is why it is recommended to carry out such a procedure twice a week, and take a break for at least two days. The smallest number of procedures accepted is six, and the maximum number of procedures prescribed for one course is no more than 28 procedures. Then one procedure is carried out once a month. Quite often, the result of the procedures performed can last up to six months without such single procedures.

Indications for procedure

First of all, it is the need to reduce stubborn local fat deposits. Such deposits, as a rule, are very resistant to any diets, heavy physical exertion, as well as other similar methods. In addition, the procedure is shown, if necessary:

treatment of various stages of cellulite;
modeling of the correct contours of the figure;
strengthening and further tightening of loose skin;
increase in skin turgor and improve its texture;
elimination of edema, removal of the syndrome of “tired legs”;
subsequent rehabilitation after the liposuction process;
recovery process after a difficult birth.

Contraindications for this procedure are cancer at the stage of treatment, as well as pregnancy, except for the special program “venous insufficiency”, which is not contraindicated. You can not carry out procedures for infectious diseases, skin rashes, phlebitis, anticoagulation therapy, as well as after liposuction during the first six months.

Specialists of the New Skin Clinic from St. Petersburg note that it is the LPG massage they conduct in St. Petersburg that has only positive reviews. The main direction of this procedure is a high anti-cellulite effect and the process of figure correction. The demand for this type of massage is caused by its high efficiency, a high degree of comfort.

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Plantar Warts: Treatment, Home Remedies and Personal Care

Warts Plantar warts, commonly known as plantar warts, are an infection that occurs due to infection with a virus. human papillomavirus (HPV). Plantar warts affect about 10% of the population and are common in 10-20% of school-age children.

Plantar warts can occur in people of all ages and genders, especially people with weakened immune systems, children, and those who have previously had plantar warts.

Plantar warts are very difficult to treat because the infection under the skin can get worse even after the wart is removed, causing the wart to reappear after a few weeks or months. In most cases, warts go away on their own and do not require removal, especially if they are painless.

This article talks about various medical and home remedies for plantar wart removal, as well as conditions that require medical attention.

Symptoms of plantar warts

HPV infection is easily transmitted in warm and humid places, such as swimming pools, as the virus grows easily in such places. If you have a crack, sore, or hole in your foot, the virus can easily enter the skin, resulting in plantar warts.

These warts usually appear on the toes or soles of the feet and appear as flat yellow spots on the skin with an indentation, crust or black spot in the middle. Warts can appear singly or in groups, so-called mosaic warts.

Most warts are painless, but they can be very uncomfortable when in high stress areas. Also, the pressure on the feet while walking can cause the warts to grow inwards under the thick, hard skin, making them more painful.

Plantar Wart Treatment

In most cases, warts can be left untreated as warts usually go away on their own without any spots or scars. However, treatment of persistent warts, known as refractory warts, is necessary.

The treatment of plantar warts is a complex and time-consuming process. In fact, some wart removal methods can be painful, such as those that contain liquid nitrogen. Moreover, treating plantar warts does not prevent their recurrence.

The various treatments for warts have their own advantages and disadvantages, which should be discussed with your doctor. Be aware that if you have a weak immune system or are taking immunosuppressants, you may not respond to treatment in the same way as others.

You can talk to your doctor about the following treatments if you have painful or bothersome plantar warts:

1. Cantharidin

Applying a layer of cantharidin to the wart can help blister formation under the wart. This causes the wart to die off within a week, which the doctor can then cut out.

2. Electrosurgery.

Electrosurgery, also known as electrodesiccation, is the burning of plantar warts with an electric needle after the area has been anesthetized with anesthesia.

3. Scraping

Use a sharp knife or spoon to cut or scrape a wart. However, with this treatment, there is a high risk of scarring and recurrence.

4. Cryotherapy

Blisters are frozen with liquid nitrogen and then removed. However, if you have a thickened wart, you may need to shave it off first. This treatment may need to be repeated monthly. Your doctor may also use salicylic acid in between freezing periods to increase the effectiveness of treatment that would otherwise be low.

5. Phototherapy

Warts that are difficult to remove can be treated with a pulsed dye or a long-pulsed Nd:YAG laser.

6. Immunotherapy

Your doctor may inject a Candida antigen, interferon, or PCB to trigger an immune response that boosts your immune system to work against HPV. This method simultaneously removes several warts from the skin.

7. Chemical peeling.

Beta-hydroxy acids such as salicylic acid are used to remove warts layer by layer. To do this, the feet are soaked in warm water and the smooth, now thickened skin is exfoliated with a pumice stone or an emery board.

The wart is then covered with a gel or coating based on salicylic acid. Treatment can last up to 12 weeks.

8. Treatment of hyperthermia.

The affected foot is soaked in hot water (45°C to 48°C) to kill plantar wart cells with heat.

9. Other treatments

Other oral and topical treatments can be used to remove plantar warts, some of which can be used together as a combination treatment. These treatments include:

Zinc sulfate ointment
imiquimod
formaldehyde gel
Podophyllotoxin
5-fluorouracil
bleomycin for injection
glutaraldehyde
topical retinoids
Dithranol
acetic acid
Vitamin D intralesional injection
Caustic Silver Nitrate Pencils

NB:

Silver nitrate pens are moistened and applied to the wart for a few minutes. It can discolour the skin or surrounding clothing, and carries the risk of minor chemical burns.
Fluorouracil cream is an off label treatment for plantar warts but has been found to be safe in some studies. It should be used with caution because it can cause blistering, local irritation, and even nail detachment if used next to the nail.

Plantar Wart Home Remedies

Up to 65% of plantar warts resolve within two years without any treatment. Therefore, warts that do not cause pain or other symptoms may not be treated.

If you are seeking treatment, it is best to get a proper diagnosis from a doctor and listen to his or her advice on home remedies, as there is a risk of damage to the surrounding skin and bacterial infections.

With your doctor’s approval, you can try the following home remedies:

1. Use duct tape.

Although there is limited evidence for the effectiveness of duct tape for plantar warts, it is generally safe and well tolerated.