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Wart under foot treatment: Plantar warts – Symptoms and causes

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Plantar Wart in Adults: Condition, Treatments, and Pictures – Overview

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Images of Wart, Plantar (HPV)

Overview

Warts are growths of the skin and mucous membranes (the mouth or genitals) that are caused by over 100 types of the human papillomavirus (HPV). The virus causes thickening of the top skin layer. A plantar wart occurs on the sole of the foot. It can look and feel like a callus. Plantar warts can be small, or they can grow to cover most of the sole of the foot. They are usually painless and go away on their own, sometimes taking a few months to resolve (but can take up to 2 years).

Warts are usually acquired from person-to-person contact. The virus is not highly contagious but can cause an infection by entering through a small break in the skin. In the same way, warts can be spread to other places on your own body. The virus is rarely transferred by touching an object used by an infected person.

Who’s at risk?

Warts can affect people of any age, but they are most common in those 12-16 years old. It is estimated that 20% of schoolchildren and about 10% of the general population have warts. Those with HIV or organ transplants or on chemotherapy have a higher incidence of warts due to their weakened immune system.

Signs and Symptoms

The most common locations for plantar warts include:

  • Soles of the feet, especially the weight-bearing areas (eg, the heels and balls of the feet)
  • Undersides of the toes

Plantar warts may occur singly or in clusters. They appear as thick, rough, callus-like thickenings on the soles of the feet. In addition, plantar warts often have multiple small black “dots” at the surface, which are actually tiny blood vessels.

Plantar warts are usually tender.

Infection with plantar warts can be described as:

  • Small plantar warts – one or few small, painless lesions
  • Moderate plantar warts – multiple lesions, which may be uncomfortable
  • Giant plantar warts – the warts cover a large part of the sole and may cause significant discomfort and pain

Self-Care Guidelines

Because warts can resolve on their own, it is not necessary to treat all warts. Additionally, treating warts may not always destroy them, nor will it necessarily keep other warts from appearing. Treatment can be painful and cause scars and might need to be repeated, so it should only be done in cases where the warts are highly bothersome or interfere with daily life.

  • Duct tape applied daily to the affected area seems to work for unknown reasons. The tape should be very sticky and kept on for a few days. Between changes of duct tape, the wart should be soaked in warm water, and any loose skin should be removed every few days with a mild abrasive, like a pumice stone or emery board.
  • Over-the-counter wart removers have a high percentage of salicylic acid and work by dissolving away the layer of skin infected with the virus. This treatment needs to be used daily and can sometimes be irritating if it touches unaffected skin around it; 40% salicylic acid self-stick pads appear to be one of the most effective types. Cut out a pad that covers the wart, and then apply duct tape over the pad to secure it. Keep on for 2–3 days. Remove the pad and tape and scrub away the top layer of dead skin, now white-colored, with an emery board or pumice stone. Reapply a new 40% salicylic acid pad and duct tape. Keep removing dead skin and reapplying every few days until the wart is gone. Many plantar warts will respond in 1–2 months.
  • Over-the-counter freezing medications are available but have not been found to be very effective.
  • Family members should avoid sharing personal items such as towels.

When to Seek Medical Care

Make an appointment with a dermatologist or another physician if you have:

  • Painful or bleeding warts.
  • Rapidly spreading or multiplying warts.
  • Warts that interfere with daily life and are not responsive to self-care.

People with diabetes or a circulatory disorder should have their warts treated by a physician.

Treatments Your Physician May Prescribe

Once you have been diagnosed with a plantar wart, your physician may try one or more of the following treatments:

  • Freezing with liquid nitrogen (cryosurgery)
  • Burning with an electric needle (electrocautery)
  • Using a laser to disrupt the blood supply of the warts
  • Application of cantharidin, podophyllin, tretinoin, or salicylic acid
  • Injection with Candida antigen, an allergy-causing protein, or with bleomycin, a chemotherapy drug, directly into the warts

Plantar warts can be very stubborn, and effective treatment may take many months.

Trusted Links

MedlinePlus: WartsClinical Information and Differential Diagnosis of Wart, Plantar (HPV)

References

Bolognia, Jean L., ed. Dermatology, pp.1222, 1226. New York: Mosby, 2003.

Freedberg, Irwin M., ed. Fitzpatrick’s Dermatology in General Medicine. 6th ed. pp.2122-2124, 2127, 2368. New York: McGraw-Hill, 2003.

Plantar warts: Symptoms, causes, and treatment

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Plantar warts are small, noncancerous growths on the sole of the foot that occur due to a particular strain of human papillomavirus (HPV).

While anyone can get plantar warts, they are most common in children and teenagers.

Some athletes, including dancers, gymnasts, and swimmers, may be more likely to get plantar warts due to being barefoot in communal areas. People with a weakened immune system are also at higher risk.

In this article, learn more about the causes and symptoms of plantar warts, as well as the treatment options.

A skin growth on the foot may be a plantar wart if it:

  • is raised or flat
  • feels hard
  • has a rough surface
  • has small black dots in it

A plantar wart may sometimes be painful when a person walks or presses on it.

This type of wart can either be solitary, meaning that just one appears, or mosaic. Mosaic warts are collections of warts that cluster together in the same area of skin.

When skin cells become infected with HPV, the virus tends to make them grow quicker than the cells in surrounding areas, causing a wart to form.

The HPV virus that causes plantar warts is contagious, which means that it can spread between people, particularly in warm, wet environments.

People may be more likely to get plantar warts if they:

  • have a weakened immune system, which makes it harder for the body to fight off the HPV virus
  • walk barefoot in a swimming pool, locker room, or communal shower area
  • have skin-to-skin contact with someone who has a plantar wart
  • share shoes or unwashed socks that come into contact with both people’s bare feet

Plantar warts can look similar to corns and calluses on the feet, which are layers of skin that develop to protect areas of the skin from friction and pressure. A doctor can do a physical examination to see whether the growth is a plantar wart.

In some cases, the doctor may take a skin sample of the wart and send it to a laboratory for testing. This procedure is called a biopsy.

Warts often go away without treatment. About 65–78% of warts shrink or disappear within 2 years.

If they do not go away after this time, or a person wants to remove them more quickly, there are several treatment options, including:

Prescription creams

A doctor may prescribe salicylic acid for plantar warts. This compound is usually the first treatment option for removing warts.

People can apply salicylic acid topically to the wart each day over a few months.

Cryotherapy

Cryotherapy uses liquid nitrogen to freeze off the wart. Researchers have found this method to be less effective than salicylic acid in some situations. Most dermatologists will use both treatments in combination to maximize the likelihood of removing the wart.

To get the best results from cryotherapy, people may need to return every 3 weeks for repeat treatment. Some people require several treatments with cryotherapy to resolve the wart. Cryotherapy tends to be painful and, therefore, may not be suitable for young children.

Immunotherapy

If warts do not respond to other treatments, immunotherapy can stimulate the immune system to fight off the HPV virus that is responsible for their development.

Fluorouracil (5-FU) is a chemotherapy drug that people can use off label and apply as a cream to the wart. The medical community does not recommend it for use in women who are pregnant or planning to become pregnant.

People can also take oral medication, such as cimetidine, off label in an attempt to boost the immune response, although there is a lack of evidence to recommend its use in all populations. Some researchers have suggested that oral zinc supplementation may be beneficial, but the evidence is similarly inconclusive.

Intralesional candida injection is another type of treatment that studies have proven to be quite successful as an off label treatment for warts. It essentially involves the injection of the antigen from the yeast Candida into one or two warts in the affected area.

This antigen ramps up the immune system, which helps resolve the injected wart, as well as other warts in the area. In people who respond to this treatment, multiple injections are sometimes necessary to make a noticeable difference.

Laser treatment

Laser treatment involves the use of a beam of high intensity light to destroy the wart. This treatment can be effective, but it can sometimes cause scarring.

According to the American Osteopathic College of Dermatology, the pulsed dye laser method is 60–75% effective in removing warts that are difficult to treat. However, multiple treatments may be necessary.

Only a doctor or certified dermatologist should deliver this treatment.

People should avoid having surgical removal of the wart because residual wart can remain, and the whole wart may grow back.

People with the following conditions should check with their doctor before treating the wart themselves:

  • diabetes
  • circulatory problems
  • any cardiovascular condition
  • vascular disease

Home remedies for plantar warts include:

  • Salicylic acid: People can apply an over-the-counter (OTC) salicylic acid medicine, such as those available for purchase here, to the plantar wart. This method can take up to 12 weeks or even longer to remove the wart.
  • Pumice stone: People can first soak the foot in warm water for 10–15 minutes to soften the wart, then rub it with a pumice stone or emery board. Pumice stones are available to purchase in drug stores and online.
  • Duct tape: An anecdotal but unproven method for treating plantar warts is to cover the wart with duct tape. Experts believe that this decreases the oxygen supply to the virus that is causing the wart. There is mixed evidence on whether this method is effective, but it is safe to try.
  • Freezing creams: People can use OTC creams that will freeze the plantar wart off. These may include dimethyl ether and propane creams, which may be less effective than salicylic acid. As these treatments are unlikely to work well, doctors generally discourage their use. Anyone interested in this type of therapy should make an appointment with a dermatologist to have cryotherapy using liquid nitrogen instead.

People who use a pumice stone or emery board on their wart should take care not to use it on any other part of their body or share it with others, as this can spread the infection. They should also replace it every so often to avoid reinfecting their foot.

People may also find that wearing flat, comfortable shoes helps them walk without irritation or pain.

Share on PinterestWearing shoes or sandals in communal locker rooms may reduce the likelihood of getting plantar warts.

People may be able to avoid getting plantar warts by:

  • wearing shoes or sandals in locker rooms, swimming pool areas, and communal showers
  • keeping the feet clean and dry
  • avoiding contact with warts on other people
  • avoiding using a pumice stone or emery board that has been in contact with a wart
  • wearing clean, dry socks when wearing shoes
  • avoiding going barefoot in communal areas

Plantar warts often go away without treatment within 2 years. However, if a person wants to remove the plantar wart, they can see their doctor for prescription medicine or have a medical procedure to reduce its appearance.

People may also be able to treat the wart at home with OTC products, such as salicylic acid.

Some warts can look similar to other skin growths, so people should also see a doctor if they are unsure what the growth is or notice any unusual symptoms, such as:

  • bleeding or oozing
  • shape or color changes
  • changes in size

People with diabetes, a weakened immune system, or a circulatory health issue that affects the feet should seek the advice of a doctor before trying any treatment that may damage the skin.

Methods to try at home

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Warts are a noncancerous lesion that can grow on the skin of both children and adults. Warts spread through skin to skin contact. Plantar warts are a type of wart that grows on the bottom of the feet.

Plantar warts may disappear without treatment, but some safe and effective home remedies may speed up healing.

In this article, we review different home remedies for plantar warts.

Plantar warts are benign growths that appear on the top layer of the skin at the bottom of the feet.

According to the American Academy of Dermatology Association (AAD), they are typically skin-colored and feel rough, but some may have brown or gray-black, flat, and smooth lesions.

People may mistake plantar warts for callouses, but warts might be painful when a person presses on them.

Although warts may disappear on their own, treatments are available to help speed up the healing of plantar warts.

Many over-the-counter (OTC) products for treating warts contain salicylic acid as the main ingredient. People can find salicylic acid for wart treatment in gel, liquid, or pad format.

According to the AAD, people should soak the wart in warm water before applying salicylic acid once a day. Sometimes, the healthy skin surrounding the wart can become painful or sore.

If this occurs, the AAD recommend stopping treatment temporarily and restarting after a few days. Warts take weeks to disappear, even with effective therapy, so briefly stopping treatment will not significantly affect the time it takes for the wart to disappear.

Applying duct tape to warts is a convenient and inexpensive treatment.

The AAD suggest changing the tape every few days, which may encourage the top layer of the skin of the wart to come off. After repeated application, the wart may eventually peel off.

However, studies have not confirmed the effectiveness of this home remedy. A 2020 study published in Dermatologic Therapy showed that traditional cryotherapy, or freezing, in a dermatologist’s office is more effective than duct tape therapy. However, the study suggested that duct tape therapy seems safe and may be effective in some circumstances.

A person can learn more about using duct tape for wart removal here.

Another product available over-the-counter (OTC) is freeze spray for warts.

Manufacturers suggest that freeze spray freezes the wart in a similar way to cryotherapy. However, cryotherapy employs much colder temperatures to destroy the wart.

According to older 2006 research, doctors use liquid nitrogen with a temperature of -196°C.

Pharmacy freeze sprays may only freeze the skin to -70°C and do not work as quickly as liquid nitrogen.

People may require longer treatment times with home freeze sprays. Even after having cryotherapy, people can expect to wait several months before seeing any improvement.

According to a 2012 study in American Family Physician, cryotherapy works better on common warts than plantar warts.

Some people use tea tree oil on warts and other skin infections.

An older 2008 study published in the journal, Complementary Therapies in Clinical Practice, reported one case of successful treatment of warts on a child’s finger using tea tree oil.

In this study, the lesions were treated with tea tree oil once a day for 12 days. The wart disappeared, and the researchers reported that the affected area had completely healed after 12 days.

It is uncertain whether this treatment is effective for plantar warts. There is not enough research to prove the efficacy of tea tree oil for plantar wart removal.

Be aware that tea tree oil is available in a variety of strengths. People can apply some of these directly on the skin, but they must dilute others in a carrier oil. Follow the instructions from the manufacturer.

A 2015 study published in the journal Dermatology and Therapy reported the effectiveness of a topical 2% povidone-iodine solution for treating common warts.

Doctors and other healthcare professionals may use iodine preparations to clean a person’s skin before surgery or other interventions that break the skin barrier.

The preparation the researchers used in this study contained iodine, but they added other ingredients that are not available in pharmacies.

Although the results were promising, there is not enough research to confirm the efficacy of OTC iodine for treating plantar warts.

Zijinding is a Chinese herbal remedy for plantar warts. One study published in the Journal of Cosmetic Dermatology identified three case reports of successful treatment of plantar warts with Zijinding paste prepared with white vinegar.

The three participants applied the Zijinding preparation over their plantar warts for 1.5–5 months. The researchers reported significant clinical response and no relapse for at least 10 months after stopping treatment.

There is not enough research to confirm the results of these three case reports.

The human papillomavirus (HPV) virus causes plantar warts.

Warts are contagious. To develop a wart, a person needs to be in direct contact with a source of the virus. This typically through skin-to-skin contact with a person that has warts.

People can get plantar warts from walking barefoot on surfaces where other people walk barefoot, such as at swimming pools and locker rooms.

Depending on the subtype of HPV, one plantar wart may look different from another one. Researchers have identified over 100 different subtypes of HPV.

Doctors have identified certain risk factors for developing plantar warts.

These risks include:

  • immunocompromised state
  • trauma to the skin
  • contact with people who have warts
  • certain activities, such as sports, manual labor, walking barefoot

Plantar warts are preventable. The AAD strongly recommend that people wear flip flops or pool shoes in public showers, locker rooms, and pool areas.

Plantar warts are contagious, and people should not touch another person’s warts.

Dermatologists recommend covering the wart and handwashing immediately after touching the wart. Dermatologists do not recommend shaving over a wart, as this can expose the virus to other parts of the body.

Other tips that dermatologists recommend for preventing warts include:

  • avoid sharing towels, washcloths, razors, nail clippers, socks and other personal items of a person who has warts
  • clean and cover cuts and scrapes
  • prevent dry and cracked skin

People should see a doctor if they are not sure if the lesion on their foot is a wart.

According to the AAD, people with many warts on their feet require medical attention and treatment from a dermatologist.

Plantar warts typically do not cause symptoms, but if they hurt, itch, bleed, or burn, medical attention is necessary.

People with weakened immune systems should not try to self-treat plantar warts. It is dangerous to try removing a wart at home, especially for people living with diabetes.

People living with diabetes are at risk of permanent damage to the nerves of the feet, so they should see a doctor for plantar warts.

Plantar warts are a common medical condition. A person can contract the HPV infection via skin to skin contact. To prevent plantar warts, people should avoid walking barefoot in public, especially in pools, gyms, and locker rooms.

Although some plantar warts may disappear without treatment, some home remedies can help heal warts, such as salicylic acid. Other at-home remedies may be effective, but there is not enough research to confirm the efficacy of the other remedies.

Products for plantar wart removal

A person can buy products for plantar wart removal in a drugstore or online.

How to Get Rid of and Avoid Painful Foot Warts

That thick, raised patch of hardened skin on the ball of your foot or your heel may look a lot like a callus, but if it’s tender or painful when you touch it or put pressure on it, it’s probably a wart.

Similar to warts that appear elsewhere on your body, warts that grow on your feet are caused by the human papillomavirus virus (HPV), a highly contagious infection that spreads easily. While they tend to grow slowly, foot warts can become quite painful, particularly if the pressure of standing or walking causes them to sink inward.

Find out how you can get rid of painful foot warts — also known as plantar warts — and give yourself future protection from the virus that causes them.

Plantar wart basics

You may cringe at the thought of having a wart on your foot, but these small, benign growths aren’t as repulsive as they’re made out to be — they’re simply contagious and bothersome.

Although they can grow anywhere on your feet, plantar warts usually emerge along the base of your toes or on the weight-bearing ball or heel of your sole. Because they’re under constant pressure, foot warts tend to be much flatter than the common warts that appear on fingers and hands.

When a plantar wart grows inward or sinks deep into your skin, a thick, callused layer may form over it and hide the growth itself; instead of seeing an obvious wart, you may only see a callus over a well-defined spot that feels tender under your body weight.

Unobscured plantar warts look like hard, thick patches of skin with obvious dark specks. Known as “wart seeds,” these black pinpoints are actually the clotted ends of small capillaries, and they’re one of the distinguishing traits between warts and calluses, which don’t contain blood vessels.

Plantar wart removal

If your immune system is fairly adept at fighting off the strain of HPV that caused your plantar wart, it may simply disappear on its own over time. If you’re like most people, however, your foot wart will probably persist and continue to grow.

Left untreated, the average plantar wart tends to grow bigger, grow further inward, or give rise to a mosaic of warts across the surface of your foot. Plantar warts feel most tender or painful under pressure when they’re growing inward.

If your wart has been around for a while, causes pain or discomfort, or has increased in size or spread, we can help. Here at Jersey Foot & Ankle Institute, we offer a full scope of treatment solutions for stubborn or painful plantar warts, including:

Salicylic acid

Prescription-strength salicylic acid removes plantar warts over time, layer by layer. Before you apply salicylic acid to your wart, you must soak the area for 10-15 minutes and gently file away the dead, warty skin with a clean emery board (which you should discard after one use).

Although your treatment plan depends on the nature of your wart, most people apply salicylic acid once or twice a day for three months; continuing the treatment for a week after the wart disappears can help prevent recurrence.

Cryotherapy

This in-office wart removal treatment uses liquid nitrogen to effectively freeze the growth right off the surface of your skin. After numbing the area with a local anesthetic, Dr. Dharia paints or sprays your wart with the extremely cold chemical agent, causing the area to blister and peel.

When the dead tissue sloughs off about a week later, it takes the wart with it. Because plantar warts can be stubborn, however, you may need multiple cryotherapy treatments to make the wart disappear completely.

Minor surgery

If your wart is especially deep, persistent, or painful, Dr. Dharia may use electrosurgery to destroy your wart with an electric needle, curettage to scrape it away, or a combination of both techniques. Surgical wart removal is a simple in-office procedure done with a local anesthetic.

Plantar wart prevention

The strain of HPV that causes plantar warts isn’t actually as contagious as the strains that cause common warts or genital warts, but it does tend to thrive in warm, moist environments.

To avoid contracting the virus that causes plantar warts when you’re at the pool, the gym, or any other place where you may take off your shoes, make sure you wear flip-flops or sandals around the pool deck or in the shower or locker room.

Besides avoiding direct contact with another person’s warts, you should also refrain from sharing nail clippers, pumice stones, and other personal hygiene items that you use on your feet. If you have a wart, you can prevent its spread by keeping it clean and covered. Don’t scratch or pick at it, and any time you do happen to touch it, wash your hands carefully.

If you’re ready to make your wart disappear, we can help. Call our Hillsborough Township, New Jersey, office today at(908) 874-7592, or request an appointment with Dr. Dharia using our online scheduling feature. You can also send Dr. Dharia and the team a message here on our website.

Plantar Warts | FootCareMD

What Are Plantar Warts?

Plantar warts are a common viral skin infection on the bottom (plantar) side of your foot. About 10 percent of teenagers have plantar warts. Using a public shower or walking around a locker room in bare feet increase your risk for developing plantar warts.

Symptoms

Contrary to the old folk tale, you can’t get warts from touching a toad. Warts are caused by a virus that enters the body through a break in the skin. The virus grows in warm, moist environments, such as those created in a locker room or in your shoes when your feet sweat and moisture is trapped. Plantar warts often spread to other areas of the foot, increase in size, and have “babies,” resulting in a cluster that resembles a mosaic. 

Plantar warts can erupt anywhere on the sole of the foot. They may be difficult to distinguish from calluses. However, you may be able to see tiny black dots on the surface layer of a plantar wart. These are the ends of capillary blood vessels. Calluses have no blood vessels, usually resemble yellow candle wax, and are located only over weightbearing areas. 

Plantar warts can be very painful and tender. Standing and walking push the warts flat. They grow up into the skin, making it feel like there’s a stone in your shoe.

Prevention

To reduce your risk of getting plantar warts, be sure to wear flip flops or sandals when you use a public locker room or shower. Use foot powders and change your socks frequently to keep your feet dry.

Treatment

Although plantar warts may eventually disappear by themselves, you should seek treatment if they are painful. Your foot and ankle orthopaedic surgeon may carefully trim the wart and apply a chemically treated dressing. The physician also may give you instructions for self-care. Salicylic acid patches, applied on a daily basis, and good foot hygiene, including regular use of a pumice stone, usually are effective. However, it may take several weeks for the wart to disappear completely.

If the wart is resistant to treatment, your physician may recommend an office procedure to remove it. After a local anesthetic is applied, the physician uses liquid nitrogen to freeze the wart and dissolve it. To avoid scarring or damaging other tissues, this method removes only the top portion of the wart. The treatment must be repeated regularly until the entire wart is dissolved. Alternatively, the physician can cut out (excise) the wart. 

The American Orthopaedic Foot & Ankle Society (AOFAS) offers information on this site as an educational service. The content of FootCareMD, including text, images, and graphics, is for informational purposes only. The content is not intended to substitute
for professional medical advice, diagnoses or treatments. If you need medical advice, use the “Find a Surgeon” search to locate a foot and ankle orthopaedic surgeon in your area.

Symptoms, Causes, and Treatment for Plantar Warts

Plantar warts are those that develop on the bottom of the foot (known as the plantar surface). Caused by the human papillomavirus (HPV), these abnormal but benign growths of skin affect the uppermost layer of skin, known as the epidermis.

A plantar wart can spread if you touch, scratch, or pick at it. Some can develop into widespread clusters on one or both feet, only to spontaneously resolve after months or years.

Marionette / Wikimedia Commons / CC BY-SA 3.0

Depending on its location, a wart can sometimes press against sensitive tissues and nerve endings, causing pain and discomfort. While anyone can get a plantar wart, they most typically affect children, teens, and young adults.

Some smaller growths can disappear on their own without treatment, and others can often be treated at home with an over-the-counter wart remover. Those that are larger or especially painful may require medical treatment, including cryotherapy or surgical excision.

Verywell / Gary Ferster

Plantar Wart Symptoms

Plantar warts are similar in appearance to corns but are differentiated by their location and structure. While corns are commonly found on the top surfaces of the smaller toes (particularly over a joint), plantar warts tend to develop on the heel or weight-bearing parts of soles.

When trimmed back, a plantar wart will have characteristic black dots where enlarged capillaries have hardened. With time, or sometimes even initially, several plantar warts can appear in a grouping.

Plantar warts can often grow inward due to the pressure placed on them when you walk or stand. These warts have grainy, finger-like fibers surrounded by a hardened callus. Inward-growing warts and those located in the skin folds of the toes tend to be the most painful.

Larger plantar warts sometimes split, exposing sensitive tissue and triggering pain and bleeding.

Causes

All warts are caused by HPV, the same virus associated with genital warts, of which there are more than 100 strains. The type primarily associated with plantar warts is HPV-1. Less common culprits include HPV types 2, 4, 60, and 63, among others.

When infected with HPV, the epidermal cells will begin to multiply rapidly, leading to the formation of a verruca (wart). Those found are the soles of the feet are commonly referred to as verruca.

The virus thrives on moist surfaces and can be easily transmitted through tiny breaks in the outermost shell of the epidermis, known as the stratum corneum.

After infection, a wart may not develop for several weeks or months. However, once the wart is established, the virus can move from the initial overgrowth to adjacent breaks in the skin.

Not everyone exposed to HPV will develop a wart. People with compromised immune systems, such as those with HIV, are especially vulnerable. Feet that sweat heavily or are regularly exposed to moist surfaces, such as a locker room floor, are also more likely to get warts.

Diagnosis

Plantar warts are typically diagnosed by the appearance of the skin growth. If in doubt, your doctor may trim the growth to see if there are any of the black dots among the fibrous tissues.

If the growth is extensive or atypical, a skin scraping (shave biopsy) may be performed and sent to the lab to check for other similar conditions, such as molluscum contagiosum, squamous cell carcinoma, or a tuberculosis-related complication known as verrucosa cutis.

Treatment

Most plantar warts can be treated at home if they are small and non-intrusive. However, you should always see a doctor if a wart is bleeding, affecting how you walk, is changing in texture or appearance, or is worsening despite treatment.

This is especially true if you have diabetes since even a small wart can trigger extreme neuropathic pain or lead to a diabetic foot infection.

Home Remedies

There are numerous over-the-counter (OTC) wart treatments, most of which contain salicylic acid. Some are applied topically with a dropper or swab, while others are applied over the wart with an adhesive bandage. There are even aerosol sprays that can gradually freeze and kill the affected tissue.

Other people rely on the duct tape method, a harmless yet questionable practice in which duct tape is repeatedly applied to a wart to gradually “strip away” the abnormal tissue.

The success of OTC treatments depends largely on the size of the wart and how consistently the treatment is applied. Larger warts tend to be less responsive to OTC treatments.

If using a salicylic acid-based product, it always helps to debride the dead skin cells between treatments with a callus file or pumice stone. Try not to be too aggressive, as this can lead to bleeding, pain, and the formation of a boil or abscess. Be sure to clean the skin thoroughly after debridement, as well as your hands and debridement tools.

Prescriptions

Recalcitrant (treatment-resistant) plantar warts may benefit from a topical 5% 5-fluorouracil (5-FU) cream. Available by prescription, 5-FU cream proved effective in a small 2006 clinical trial when used with the duct tape method. Of the 20 people included in the study, 19 experienced complete eradication after 12 weeks.

A 2009 study investigating the use of 5-FU in treating pediatric warts demonstrated an efficacy of 41%.

The 5% 5-FU cream is currently approved for the treatment of solar keratosis and a type of skin cancer known as basal cell carcinoma. At present, the drug is used off-label for the treatment of warts and should only be used under the direction of the dermatologist.

The cream is typically applied twice daily for a duration determined by your doctor and may cause mild redness, peeling, and a burning sensation.

Medical Procedures

Based on the appearance of your wart, your doctor may recommend a prescription-strength salicylic formulation to apply at home. If this doesn’t help, there are several in-office procedures that may deliver faster and safer results.

Among them:

  • Cryotherapy involves the use of liquid nitrogen to freeze and kill the affected tissue. While generally safe when performed by a doctor, it may require several treatments.
  • Trichloroacetic acid is a stronger acid that needs to be applied by your doctor. As with cryotherapy, it may take several visits to completely remove the wart.
  • Pulsed-dye laser therapy is sometimes used to cauterize (burn) the wart. There is usually significant pain following the procedure. It may also require several treatments performed every three to four weeks.
  • Electrosurgery and curettage involve the use of an electrocautery device and a tool called a curette to scrape off the dead cells. The procedure requires a local anesthetic and tends to cause significant post-operative pain.
  • Bleomycin is a chemotherapy drug occasionally used off-label with electrosurgery to treat recalcitrant plantar warts. A small study conducted in 2017 reported that a local injection of bleomycin combined with electrosurgery resulted in a 78% eradication rate compared to 16% with bleomycin alone.
  • Surgery is the most direct means of treatment, requiring a local anesthetic and a scalpel to excise the wart. Sutures are usually needed. To avoid infection and the reopening of the wound, you may need to stay off your feet for several days.
  • Cantharidin is a blistering agent not approved for use in the United States that is known to cause a blister beneath a wart when injected. This effectively separates the wart from the rest of the skin, causing it to dry up and die.
  • Immunotherapy involves the use of a drug, such as diphencyprone (DCP), that spurs the immune system to eradicate the HPV infection. It is generally reserved for severe cases. It may cause an allergic response, including anaphylaxis.

Prevention

Gardasil, Gardasil 9, and Cervarix, the three vaccines used to prevent genital warts, are unable to prevent plantar warts as they target different HPV strains (specifically, types 6, 11, 13, 16, 18, 31, 33, 45, 52, and 58).

To this end, you need to reduce your risk by maintaining good foot hygiene and covering your feet in places where people walk barefoot. If you get professional pedicures, be sure to visit a salon that maintains good cleaning habits (such as sanitizing basins after each use or using tub liners) and consider bringing your own tools.

If you have a plantar wart, change your shoes and socks regularly to avoid the spread of the virus. Always wash and dry your feet thoroughly and use a little talcum powder to help absorb excess moisture and perspiration.

Removal, Treatment, Causes & Symptoms

Plantar warts are small, ‘fleshy’ growths on the sole of the foot—the plantar surface. Plantar warts are not cancerous, but they are contagious. They are caused by HPV (human papillomavirus), which can spread through tiny cuts or breaks in the skin. The virus infects the outer layers of the skin causing rough or grainy lesions. Verruca plantaris is the medical name for plantar warts.

Plantar warts usually appear on the heel, forefoot, or base of the toes. Because these areas are weight-bearing, the pressure can cause plantar warts to grow inward. They can also develop a hardened layer of skin—or callus—over them. Plantar warts grow slowly and may or may not be painful or bothersome.

There are two types of plantar warts:

  • Solitary plantar warts are exactly as the name implies—a single wart. As the wart grows, it may form smaller ‘satellite’ warts.

  • Mosaic plantar warts occur in clusters and can be more difficult to treat.

Children and older people are more likely to get plantar warts. They also tend to strike those with weakened immune systems and people who have had them before. Like other contagious foot conditions, you can protect yourself by not going barefoot in public spaces, such as locker rooms.

Plantar warts often go away on their own without any treatment. This is especially true for children. In adults, they may remain for long periods of time. If they become bothersome, you can try over-the-counter plantar wart treatments. Warts that persist despite treatment or that recur may require more aggressive treatment from your doctor. This includes plantar wart removal.

Plantar warts are usually not serious. If they are painful, shoes can be uncomfortable and you may subconsciously alter your stance or gait (how you walk). This can cause joint and muscle problems over time. If you have certain medical conditions, you should see a doctor promptly for a plantar wart. This includes:

  • Diabetes

  • HIV, other immune disorders, or conditions requiring immunosuppressive drugs 

  • Neuropathy such as diabetic neuropathy

Plantar warts treatment

Plantar warts are benign infectious lesions on the soles and toes that protrude 1-2 cm above the skin. They can be round or oval in shape, and gray or pinkish in color. Warts on the legs are viral in nature. The so-called papillomavirus grows in the epidermal tissue and covers the skin area with a layer of keratinized epithelium, which makes the wart hard and dense.

Warts in the feet can grow and cause pain. This happens due to close contact with shoes and with significant loads on the feet. If pain occurs, you should immediately consult a doctor. Removing warts at home is possible, but fraught with consequences. For example, if the affected area is not completely cleaned, new warts appear in the same place, and if adjacent tissues are damaged, warts can develop on other parts of the body.

Causes of the formation of warts on the feet

The occurrence of plantar warts is due to the presence of the human papillomavirus (HPV) in the patient. It affects the basal layer of the epidermis and, multiplying there, rises to the stratum corneum of the epithelium, forming in the form of a thickened and rough skin area.

According to statistics, the papilloma virus is present in 70-90% of the world’s population. In people with strong immunity, this virus may not manifest itself in any way. The risk of plantar warts increases when the body begins to be affected by adverse factors that reduce immunity: stress, overwork, poor sleep, and others.

Another risk factor for infection is contact with a person with warts. The papilloma virus is transmitted by shaking hands, sharing a towel, shoes, and other personal items.

The development of HPV infection and the growth of warts can be influenced by:

  • excessive sweating or, conversely, dry skin of the legs
  • humid environment of public baths, saunas, swimming pools
  • presence of microtraumas on the legs (cracks, scratches, etc.)
  • wearing uncomfortable and tight shoes
  • contact with aggressive chemicals that irritate the skin
  • various types of foot deformities (deforming osteoarthritis, arthritis of small joints, flat feet)
  • diseases that disrupt trophic processes in the tissues of the feet (diabetes mellitus, atherosclerosis, varicose veins, etc.)

Treatment of warts at the Ego Estetic® clinic is carried out using a medical pedicure. The podiatrist gently removes the affected tissue with special cutters and tools, then applies antiviral agents to treat the surface. This procedure allows you to effectively cleanse the feet from all foci of infection.

For the best result, the podiatrist prescribes a course of home therapy, including immunostimulating drugs and foot care products.

Foot care after wart removal

After removal of plantar warts, a rehabilitation period is required.Recommended for several days:

  • to minimize the load on the legs, try to walk less
  • do not wet the damaged area with water
  • wash the wound from the wart with 2% salicylic alcohol solution twice a day
  • to bandage the wound with a sterile bandage, avoiding tightening
  • do not cover the damaged area with plaster
  • use wound healing ointments (if necessary)

Removal of plantar warts in the Ego Estetic® clinic is a 100% guarantee of the result!

Removal of plantar warts in St. Petersburg

Plantar warts are callus-like growths of coarse skin, flesh or white.Localization sites are areas of the foot that are subject to friction.

Only a dermatologist can accurately diagnose.

Causes of plantar warts

The main culprit of the plantar wart on the toe and in other places is the human papillomavirus (HPV) in the blood. It is transmitted sexually and through microdamage to the skin.

The virus is initially present in the body in a latent form.It is activated by:

  • hormonal disorders;
  • long-term use of antibiotics;
  • serious illness;
  • reduced immunity.

Main symptoms of the disease

The plantar wart on the foot hurts and sometimes bleeds on palpation. In the process of walking, unpleasant sensations arise. The growth is covered with coarse skin, so it is difficult to independently diagnose yourself.

How to distinguish a plantar wart from a callus

Core callus occurs when there is strong friction or when the skin is injured. The main reason for the formation is uncomfortable shoes. Externally, a corn is a yellowish or white keratinized area of ​​the skin. In the center of the growth there is a small funnel with a black dot. When pressed, as well as walking, it causes pain.

A wart is indicated by the presence of small pink papillae under the growth, redness and slight bleeding, which can be detected by steaming the skin.Such manipulations should be performed only by a dermatovenerologist.

If a sharp pain occurs near the formation with strong pressure, it is a plantar wart. If not – a corn.

The wart has nearby daughter processes – small dots. Corn does not.

These signs do not allow one to independently determine the reliability of the type of neoplasm. It is important to see a specialist who accurately diagnoses and prescribes treatment for the plantar wart.

It is dangerous to remove warts using folk methods: there is a risk of infection and complications, including its transformation into a malignant tumor.

Diagnosis of the disease

During the examination, a dermatologist may prescribe:

  • biochemical blood and urine tests for health assessment;
  • cytological examination;
  • polymerase chain reaction (PCR), detecting the presence of HPV;
  • Ultrasound to determine the depth of germination of the roots of the wart.

Methods for removing plantar warts

Removal of plantar warts can be performed on an outpatient basis or at home using medications.

Common methods:

  • cryotherapy – removal with nitrogen, which quickly freezes tissues, and also prevents pathological processes from developing;
  • electrocoagulation, radio wave treatment;
  • laser removal of suspended warts – the most effective way;
  • surgical excision.Applied with suspicion of oncological degeneration.

After removing the wart, a specialist will prescribe therapy to restore the patient’s body defenses.

At Altermed we use the method of laser removal of plantar warts.

How is the removal of plantar warts with a laser

The laser removes abnormal wart cells, regardless of their depth. At the end of the manipulation, the doctor will apply a bandage, which can be removed on the same day.The method does not harm healthy skin.

For the wound to heal quickly without complications, it is important:

  • do not wet or steam feet;
  • Do not peel off the crust;
  • wear comfortable shoes made from natural materials;
  • lead a healthy lifestyle.

If the plantar wart is blackened

A blackened growth may indicate the development of a virus: skin cells continue to divide, sometimes forming daughter growths.

Modification of the build-up can be characterized by the addition of a bacterial infection.

In this case, the doctor will select an individual treatment.

Duration of treatment of the disease

The duration of laser treatment for a viral suspended wart is up to 20 minutes. With medications, the process can take about a week or two.

Prevention

For the prevention of warts, it is recommended:

  • strengthen the immune system;
  • take vitamins recommended by your doctor;
  • observe foot hygiene;
  • Do not wear synthetic shoes, tight shoes;
  • Do not walk barefoot in public places.

If you suspect a plantar wart on the heel or other areas of the foot, do not self-medicate. If you suspect a disease, it is important to immediately contact a dermatologist who will accurately diagnose and prescribe an effective treatment.

How can we help?

Warts – MedInfo

Warts are a benign neoplasm of the skin of a viral nature caused by human papillomaviruses (HPV).The disease with the most frequent localization on the skin of the hands, face, feet and genitals. Equally common in both sexes, children are more likely to get sick. Both single and multiple warts can occur. When warts are localized in visually accessible places, the aesthetic appearance of the skin suffers, the patient experiences psycho-emotional experiences, an indomitable desire constantly arises to get rid of such a defect, which forces the patient to self-medicate. Also, warts can cause physical suffering, so when localized on the skin of the plantar surface of the feet, they cause discomfort and sharp pain when walking, when localized in the genital area, intimate relationships become impossible.

REASONS FOR THE DEVELOPMENT OF WARTS

The most common cause of the development of warts is an injury, perhaps even not clearly visible (microtrauma) after a manicure, pedicure. Also, increased skin moisture and maceration of the epidermis contribute to the development of warts. As a rule, warts develop in an immune-compensated organism. The virus, penetrating through damaged skin barriers, including immune ones, contributes to its inoculation in the epidermis and often spreads to neighboring skin areas (autoinoculation).

TYPES OF WARTS

Depending on the appearance and localization, several types of warts are distinguished.

Common (vulgar warts) – caused by 1, 2, 4, 27, 29 types of HPV, manifest as non-inflammatory nodules 0.1-1.0 cm in size.Greyish-yellowish-pinkish color on a broad base with a rough surface can be localized on any part of the skin.

Flat warts are caused by HPV types 3, 10, 28 and 49, manifest as flat non-inflammatory nodules with a smooth surface, yellowish-brownish, pink, gray or red, more often localized on the skin of the face, back of the hands and along scratches, children get sick more often, difficult to treat

Palmar warts and plantar warts – caused by HPV type 1, 3, 27, 29, 57, manifested by the appearance of non-inflammatory palms and soles on the skin , flattened, painful neoplasms towering above the skin level of a yellowish-grayish color, with a hyperkeratotic surface.

Periungual warts – caused by HPV types 1, 2, 4 and 7, appear on the lateral and posterior nail ridges, in the form of grayish-pink neoplasms towering above the skin with growths and cracks on the surface. A fairly common type of warts, often found in people who have a habit of biting nails and periungual ridges or with often traumatic manicures.

Mosaic warts – caused by HPV type 2, 4 appear as plaques formed by the fusion of many small closely spaced plantar warts.

Cystic warts are caused by type 60 HPV, appear on the pressing surface of the sole in the form of soft nodules with hyperkeratosis and cracks on the surface, when opened, a white-yellow curdled content is released.

Butcher’s warts (warts of meat deboners) – caused by type 7 HPV, manifested as a non-inflammatory nodule with a verrucous, cracked surface on the skin of the hands in persons working with meat.

Filiform warts – is a benign neoplasm of the skin and manifests itself in the form of grayish bundle-like filamentous growths with the most frequent localization on the skin of the face, eyelids, lips, neck.

Anogenital warts – caused by 6, 11, HPV type appear as villous or velvety neoplasms of a whitish-pinkish color. With anogenital warts caused by HPV types 16 and 18, the risk of developing cervical cancer increases dramatically.

DIAGNOSTICS

Differential diagnosis of warts should be carried out both with HPV-associated skin diseases and with other dermatoses.

Cutaneous horn – has a more conical shape. The apex of the horn is represented by continuous hyperkeratotic masses, there are no punctate hemorrhages.

Lichen planus – symmetrical lesions, papules are devoid of hyperkeratosis, mesh eruptions on the cheek mucosa are often noted.

Seborrheic keratomas – at different stages of development and different clinical variants have characteristic pseudo milia and pseudocamedones and a surface resembling the structure of the brain, these signs are best seen with dermatoscopy.

Soft fibroids – (senile fibroma, acrochordon) – always has a thin stem, soft texture and smooth surface.

Squamous cell carcinoma – usually located on a slightly inflamed base, can ulcerate.

HPV-ASSOCIATED DISEASES

Bowenoid papulosis – caused by type 16,18,33,39 HPV appears as flat brownish nodules on the mucous membrane of the vulva and penis.

Photo 16

Buschke-Levenshtein tumor – caused by HPV types 6 and 11, manifests itself as a large tumor resembling cauliflower, on the surface of the anogenital region.

Warty epidermodysplasia – caused by 1-5, 7-9, 10.12, 14.15, 17-20, 23-25, 36.47.50 HPV type, a rare disease with a hereditary predisposition to common HPV infection and skin cancer.

Photo 18

Keratoacanthoma – caused by type 77 HPV, manifests itself as a conical papule with a crater-shaped center and curdled discharge, is a highly differentiated squamous cell skin cancer.

Oral focal epithelial hyperplasia (Heck’s disease) – caused by HPV types 13 and 32, manifests itself as multiple pale papules of the “cobblestone” type on the oral mucosa.

Photo 20

Warts in patients after kidney transplantation – caused by HPV types 75 and 77, manifest as multiple warts that are difficult to treat.

FORECAST

The ability to spontaneous regression is noted in a small number of cases, more often it is noted with ordinary (vulgar) warts, but a long recurrent course is explained by the constant persistence of the virus in the human body, which is why failures in the treatment of warts are so common …Anogenital warts with prolonged recurrent course can become malignant (become glorified), especially in patients with a compromised immune status.

TREATMENT

One of the few diseases that has a huge list of treatment methods, especially in the form of all kinds of casuistic folk protocols and deadlines, with the effectiveness of which practitioners are more likely to encounter in the form of a wide variety of complications of such treatment. Consider effective methods of treating warts from the standpoint of evidence-based medicine

SPECIFIC ANTIVIRAL DRUGS FOR TREATMENT OF HPV INFECTION DO NOT EXIST!

Conventionally, the treatment of warts can be divided into invasive – associated with a violation of the integrity of the skin and non-invasive – respectively, without violating the integrity of the skin.Non-invasive methods of treatment include immune response modifiers (Imiquimod), cytostatic drugs (Bleomycin, Podophyllin, 5-fluorouracil), photodynamic therapy with a topical photosensitizer. Invasive methods of treating warts include topical keratolytics – salicylic acid and patented compounds of various acids (Kolomak, Mardil Zinc Max, Solkoderm), in view of the over-the-counter dispensing of drugs in this group, the method of treatment is the most common. Also, invasive methods of treatment include cryodestruction of warts with liquid nitrogen, surgical removal (excision and curettage), laser and radio wave removal of warts, intralesional administration of immunotropic drugs (recombinant interferons).

Depending on the type of warts, their localization, the duration of the disease, the prevalence of the process, the doctor determines the optimal, in each case, method of treating warts. In difficult clinical cases, resistance to therapy and to increase the likelihood of success in treatment, it is possible to combine the methods of treating warts, which in turn shortens the treatment time and reduces the risk of relapse.

All methods of treating warts become ineffective in case of impaired function of the immune system.

Common (vulgar warts) – with this type of warts, the spectrum of treatment methods can be very diverse. Treatment should begin with less complicated, more affordable methods of treating warts. It is advisable to use salicylic acid preparations. Salicylic acid, a cheap and affordable treatment for warts, has moderate benefits. It is effective for all areas of the body with warts and has few undesirable side effects, but the result may only be noticeable after several weeks of daily use.Salicylic acid for the treatment of warts can be used in various concentrations and in various dosage forms (solution, gel, ointment, spray, patch). The frequency and duration of exposure to salicylic acid will depend on the chosen form and concentration. The healthy skin around the warts is best protected with a zinc ointment or plaster against possible acid damage. You can also use proprietary combined acid preparations (Solkoderm, Kolomak). If treatment is not effective or if warts recur after treatment with salicylic acid preparations or patented combined acid preparations, cryodestruction of warts with liquid nitrogen should be performed.Cryodestruction is best done for single warts; with conglomerates (confluent warts), cryoprocessing can be quite large, which can be accompanied by the formation of a massive bladder and severe pain. Cryodestruction is best performed with an aerosol cryodestruction apparatus with a plastic stopper that protects the freezing of the surrounding healthy skin. At the Medinfo Medical Center, CryoPro devices from Cortex (Denmark) are used to carry out cryodestruction of warts.

The cryodestruction procedure consists of several cycles of “freezing” and “thawing” the wart. After the procedure, a tense bladder with a transparent or hemorrhagic content is formed at the site of the procedure in 5-8 hours.

The content of the bladder over time (7-10 days) shrinks into a crust, the crust is rejected. With a successful procedure, the wart is completely removed, in its place for some time there will be a bluish-reddish spot that will pass without a trace.In the case when the crust has been torn off after cryodestruction, and a wart is retained in its place, it is necessary to repeat the cryodestruction procedure with an increase in the “freezing” time. With a high cold sensitivity at the site of cryodestruction, a large bubble can form, several times larger than the freezing zone, this condition is regarded as a hyperergic reaction.

In anatomical places with very thin skin (upper and lower eyelids, area of ​​the nipple areola), cryodestruction is not advisable because of the high risk of a deep defect followed by the formation of a rough scar.

If the therapeutic effect of the previously used methods of treating vulgar warts is not achieved, one of the surgical methods of removal can be used. The most widespread method has recently been received by the method of radio wave removal

Any type of radio wave removal (incision, excision, ablation) is carried out under local infiltration anesthesia in various modes, depending on the radio wave surgery apparatus. In the medical center of Medinfo, the radio wave method of removal has been used for more than fifteen years, the best results have been obtained on the device for radio wave surgery “SURGITRON” from the American company “ELLMAN INTERNATIONAL” INC

The modes of this device provide a wide range of adjustment of force and power, which allows you to choose the optimal removal mode for different areas of the skin.In some clinics, a device for diathermocoagulation of the EHHF type is still used, which, in general, also leads to positive results in the treatment of warts, but the healing time after removal and the risk of scarring during diathermocoagulation of warts is much higher than with radio wave removal.

In cases of multiple vulgar warts, when invasive removal is impossible due to the unwanted formation of a large wound surface, cytostatic therapy or immunotherapy can be used.For the treatment of warts, more often multiple, difficult to treat, the cytostatic drug Bleomycin is used. The contents of the vial are dissolved with saline at a working concentration of 0.1% solution. A freshly prepared solution is used, the drug must be injected very slowly at a dose of 0.1-0.5 ml per wart, no more than 15 mg per injection. For the course of treatment, 1-2 injections are sufficient with an interval between injections of 7-8 days.

Also from drugs with a cytostatic effect, podophyllin is used in the form of a solution for external use.The drug is applied to the wart 1-2 times a day for 7-8 days. In the case of a pronounced inflammatory reaction after using a solution of podophyllin, warts can be lubricated once every 2-3 days.

A pronounced cytostatic effect is possessed by 5-fluorouracil in the form of a 5% cream, which is also used to treat warts. Lubrication of warts is done once a day at night for a week. When using 5-fluorouracil, local reactions are possible up to the formation of weeping erosion.

Flat warts – Given the initial torpidity of flat warts to many proposed treatments, it is better to start therapy immediately with proven effective treatments.One of the effective methods of treating flat warts is considered to be radio wave removal of flat warts in ablation mode. Application anesthesia is preliminarily carried out with any of the local anesthetic creams, gels or sprays (Lidocaine cream, Emla cream, Acriol Pro cream, etc.), after the onset of persistent anesthesia, the surface of flat warts is ablated, followed by sponge curettage with a cotton pad moistened with saline. After ablation of all warts, their surface must be treated with an antiseptic solution (chlorhexidine).The patient is given recommendations for the postoperative care of the sites of removal, after the crust has been rejected, the effectiveness is assessed, and if necessary, the procedure is repeated.

In case of a small number of flat warts, cryodestruction of warts with liquid nitrogen can be carried out. Also, a fairly good clinical effect can be obtained using salicylic acid preparations for the treatment of flat warts.

In pediatric and adolescent practice, with localization of flat warts on the face, the optimal method of treating flat warts is the daily use of tretinoin (0.05% retinoic acid cream) until the warts are completely regressed.

Other methods of treating flat warts are ineffective, but can also be used.

Palmar warts and plantar warts – A rather complex type of warts for treatment due to their deep occurrence in the thickness of the skin. In our deep conviction, based on many years of experience, the method of choice in the treatment of palmar warts is cryodestruction with liquid nitrogen, and in case of plantar localization, the most effective method of treatment is curettage of plantar warts

After local infiltration anesthesia with the capture of healthy skin, a sharp Volkrethman spoon is performed intradermal mass of the wart until a clean surgical wound is obtained.Hemostasis of the operating wound (Caprofer solution) is performed, the postoperative wound is treated with an antiseptic solution (chlorhexidine) and a tight wet-drying bandage with furacilin solution is applied for 8-12 hours. From the second day, a bandage with any reparative gel (Solcoseryl) is applied to the postoperative wound, from the 3-4th day a dry bandage is applied.

Periungual warts – The complexity of treating periungual and subungual warts lies in the very close location of the nail matrix, when damaged, the deformation of the nail is irreversible.Fairly good results in the treatment of periungual warts have been obtained with the use of non-invasive treatment methods. The safest from the point of view of damage to the nail matrix is ​​considered to be the use of an immune response modifier (Imiquimod cream). The cream is applied to the surface of the warts 3 times a week until complete regression of the warts, on average 4-8 weeks. The introduction of immunotropic drugs into the array of wart (Realderon, Reaferon), in view of the pronounced pain in the introduction of immunotropic drugs, the method is not widely used, especially in pediatric practice.

Mosaic warts – so it is considered a difficult curable disease. According to the experience of our medical center, a rather effective method of treating mosaic warts is intralesional administration of immunotropic drugs or laser ablation of mosaic warts. It is allowed to use local destructive drugs in the form of proprietary combined acid preparations (Solkoderm, Kolomak). Carrying out invasive manipulations is considered inappropriate due to large areas of skin lesions with mosaic warts.

Cystic warts – An effective and with a quick clinical effect method of treating cystic warts is their curettage, it is also allowed to remove them by radio wave.

Butcher’s warts (warts of meat bunders) – the best method for treating this type of warts is cryodestruction of the wart with liquid nitrogen. Good results have been obtained with salicylic acid patch.

Filiform warts – are usually always located on the pedicle, therefore, radio wave incision with subsequent ablation of the wart growth zone is considered optimal.

Anogenital warts – This type of warts has a lot of treatment methods, but it is not always possible to call them highly effective. Patience is a condition that is necessary not only for the patient, but also for the doctor in the treatment of anogenital warts. As a rule, this is a lengthy process, accompanied by various complications and a special torpidity to the therapy. In the treatment of this pathology, a combination of the above methods is most often used, depending on the results obtained in the course of treatment.20 years of experience in the treatment of anogenital warts at the Medinfo Medical Center suggests that the method of the first echelon in this pathology is to consider radio wave ablation followed by the use of drying agents – 5% powder with xeroform. As a rule, correctly performed ablation of the entire array of anogenital warts followed by immunotherapy with recombinant interferons (Realderon, Reaferon) gives a high percentage of cure up to 65-70% of cases. In the case of intraurethral and vaginal localization of warts, after radio wave ablation, 5% 5-fluorouracil cream is injected into the urethra or vagina once a day at night for 7-10 days.The drug is contraindicated in pregnancy.

One of the modern and effective methods of treating anogenital warts, absolutely painless and well tolerated by patients, is the method of photodynamic therapy with a topical photosensitizer (5-aminolevulinic acid or photoditazine ) A very important condition is the coincidence of the wavelength of the generating device with the wavelength of the photosensitizer, when which triggers a photochemical reaction in tissues. The drug is applied in a sufficient layer to the affected skin areas, covered with polyethylene on top and shielded with foil on top to prevent light from entering, the patient is in a darkened room for 40-60 minutes with a photosensitizer applied and shielded with foil, then the affected skin areas are irradiated with a laser with an appropriate length waves.The procedure is performed once a day with an interval of 5-7 days for a course of 2-3 procedures. The period for achieving a therapeutic effect is 2-3 weeks, in some cases it can be about 4 weeks.

The Medinfo Medical Center uses many years of clinical experience, modern diagnostic and therapeutic equipment for reliable diagnosis and highly effective treatment of viral warts of any localization, both in adults and children. Turning to us for medical help, you can always count on the professionalism of our specialists, comfortable conditions of stay and further support of our specialists in solving the arisen health problems.Do not self-medicate, respect yourself and protect your health.

warts on the foot treatment with folk remedies

warts on the foot treatment with folk remedies

foot warts treatment with folk remedies

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What are foot warts treatment with folk remedies?

I bought Papiderm when I was struggling with warts, they didn’t come off in any way, that I just didn’t try.I tested a bunch of pharmaceutical preparations, used folk remedies – there was no sense. Sometimes the warts seemed to start to decrease, but did not go away. But with Papiderm, the situation is completely different, almost immediately the growths began to dry out, and after three weeks not a single one remained, absolutely everything disappeared. Now I decided to share a story.

The effect of using a wart on the foot folk remedies

Formula Papiderm does not contain hazardous chemical, synthetic components.All components of the complex are natural, which means they are relatively safe. A contraindication to the use of the complex is pregnancy, lactation, severe liver and kidney diseases, which slow down the elimination of the drug from the body.

Expert opinion

Since adolescence I have suffered from warts of various sizes on my arms and legs. Having tried a lot, from folk remedies to pharmaceuticals, I came across the drug Papiderm, which had significant changes.It took me less than five months to get rid of absolutely all warts; the results can be seen already from the second week! And for two years now I have not been tormented by any papillomas. I was really lucky to meet this product.

How to order

In order to place an order for warts on the foot, treatment with folk remedies, you must leave your contact information on the site. The operator will contact you within 15 minutes. Will clarify all the details with you and we will send your order.In 3-10 days you will receive the parcel and pay for it upon receipt.

Customer Reviews:

Nika

I had a terrible wart on my chin and ruined the whole look of my face. Friends recommended trying Papiderm, bought it, used it and really the wart fell off by itself after several uses. I can safely recommend it!

Elena

Scientific studies have proved that the virus is present in the body of almost all people, one contact with the carrier is enough to enter the body, it is transmitted through sexual intercourse, at birth from mother to child.The main threat from papillomas, moles and warts is the development of malignant tumors, and the reason for this is in some small neoplasm. To avoid sad consequences – buy Papiderm and forget about the problem.

Papiderm drops have a number of advantages over other drugs: natural composition that does not cause side effects; effective removal of papillomas, regardless of their location; complete destruction of the human papillomavirus; minimizing the risk of developing cervical cancer; high efficiency, proven in practice and clinically.Where to buy foot warts treatment with folk remedies? Since adolescence, I have suffered from warts of various sizes on my arms and legs. Having tried a lot, from folk remedies to pharmaceuticals, I came across the drug Papiderm, which had significant changes. It took me less than five months to get rid of absolutely all warts; the results can be seen already from the second week! And for two years now I have not been tormented by any papillomas. I was really lucky to meet this product.

3 Traditional medicine against plantar warts. 4 Drug treatment. 5 Removal of warts on the foot. … 10 Using vinegar. 11 Propolis and cornflower seeds. 12 Other means. 13 Why do warts appear on the legs? 14 Appearance. Treatment methods. Plantar warts: treatment with folk remedies will get rid of them forever. … Medication. Removal of warts on the foot. Dangerous consequences and preventive measures. The surface of warts located on the foot or on the pads of the toes.The salicylic group of remedies for growths on the legs is presented as follows. In addition to traditional methods of treatment, you can remove a wart on the leg with folk remedies. Many recipes are passed down from generation to generation. Folk remedies for treating warts are suitable for any person, but for a more tender age, it is better to choose gentle means of removing warts. For children, it is better to use less painful folk remedies for wart removal, although they are less effective. The surface of the warts located on the foot or on the pads of the fingers becomes keratinized and begins to peel off…. In addition to traditional methods of treatment, you can remove a wart on the leg with folk remedies. Treatment of a wart with aloe juice has long been very popular. For the treatment of warts on the big toe, it is convenient to use propolis. … To get rid of a wart on the foot, an aerosol is sprayed onto the neoplasm. After exposure, it should either fall off on its own, or easily. Surgical excision of the wart. Treatment of plantar wart with folk methods. … Initially, a small, relatively dense nodule appears on the foot, which then expands, but is at the same level with healthy skin.The neoplasm becomes denser, becomes. Features of the treatment of warts on the foot with folk remedies. … More often than not, warts on the foot cause some anxiety when walking. Sometimes they can give the impression that a small stone has got into the shoes. They can also provoke acute pain. Treatment. In 90% of people, a wart on the foot or palm goes away without treatment at an early stage, at the same time. Most of these products contain acids or alkalis. … Here is a video of cryodestruction of a wart on the foot with liquid nitrogen: And here are the reviews of readers: review 1 and review 2.c) Radio wave.

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The Papiderm formula does not contain hazardous chemical, synthetic components. All components of the complex are natural, which means they are relatively safe.A contraindication to the use of the complex is pregnancy, lactation, severe liver and kidney diseases, which slow down the elimination of the drug from the body.

warts on the foot treatment with folk remedies

I bought Papiderm when I was struggling with warts, they didn’t come off in any way, that I just didn’t try. I tested a bunch of pharmaceutical preparations, used folk remedies – there was no sense. Sometimes the warts seemed to start to decrease, but did not go away. But with Papiderm, the situation is completely different, almost immediately the growths began to dry out, and after three weeks not a single one remained, absolutely everything disappeared.Now I decided to share a story.

Causes of warts. 13 effective folk remedies for how to treat and remove a wart at home. … Home Health and beauty How to remove a wart at home. 13 folk remedies. Therefore, we have collected the most effective and effective folk recipes, folk remedies for treating warts at home, without resorting to. Put the remaining piece of dry ice into a bag and send it to the freezer. Comparison of the most popular ways to remove warts.Folk remedies (celandine). … Marianna, 35 years old I learned how to remove a common wart at home quickly. I have been suffering from this ailment for more than 3 years: small growths on my hands do not cause concern, but look at them. Folk remedies for warts are effective and accessible to everyone ways to combat the manifestations of HPV infection. Knowing the right methods, you can get rid of unwanted growths covering the body at home. Application efficiency Folk remedies for warts.1. The most common way is celandine. It is necessary to lubricate 2 times. 8. Vinegar for warts. Quite often, when treating warts at home, acetic acid is used. It is necessary to gently drip 1 drop every night before going to bed. How best to remove a wart at home depends on where it is. The usual one will help to remove warty growths at home. Previously, people got rid of warts not only with folk remedies, but also with the help of magic. The ritual to get rid of papillomas can be performed today.How to remove a wart at home. Simple pharmaceutical products, etc. Before applying the product, you must thoroughly steam the wart in soda water. Now you know how you can remove this attack, if it appears. The most convenient, safe, effective, and most cost-effective. Wood ash is used to remove warts at home. It is recommended to take the one that turns out. There are many ways to remove a wart with folk remedies. But they will become effective only when they directly affect the cause of the disease – the virus.But it is possible, even at home. … 2.1 Treatment with folk remedies. 2.2 Use of aromatic oils against warts. … Warts are not dangerous, but rather unpleasant and stable in their development. A good article on how to remove a wart at home. … Practically all home remedies for wart removal are based on application. I hear for the first time that oxaline ointment removes warts, I usually lubricate my nose with it in the flu and cold season so that.

Elimination of warts | Dermatology Clinic Prof. J. Kisis

Elimination of warts can be carried out for aesthetic reasons, because they cause discomfort when in public. Another reason is the discomfort caused by warts when walking, if they are on the feet.

Treatment of warts

It is patience and regularity that lie at the heart of a successful warts treatment process. if the course of treatment is not followed, the wart usually grows back and treatment must be started over again.A single visit to a dermatologist is rarely possible, especially in the case of large warts.

When using folk remedies to remove warts at home, you can get an even thicker or denser skin neoplasm as a result, in severe cases, ulcers are possible. In most cases, self-elimination of warts does not differ in duration or regularity, and is often aggressive.

Only a qualified dermatologist has sufficient knowledge to make an individual assessment, to prescribe the methods most suitable for the patient and the necessary course of treatment for the wart.Since the formation of a wart is based on viral infections and a weakened immune system, there are times when additional studies and tests are needed to control and treat exactly the causes of the formation of warts. The doctor also determines whether the neoplasm is malignant.

Frozen wart

Cryosurgery of a wart or freezing with liquid oxygen. Research has proven that cryotherapy is one of the most effective methods of eliminating warts, as well as the method that provides the lowest rate of warts recurrence (recurrence).It not only ensures the death of the wart or necrosis, but also activates local immunity. Cryosurgery does not require special anesthesia.

Laser therapy for warts

Laser treatments require an anesthetic injection, which is painful in itself, especially on the hands and feet.

Imiquimod Anti-Warts Cream

Special cream prescribed by a dermatologist, activating the immune system, followed by the elimination of warts. A painless, but long (and more expensive) course.A good solution in some cases, for example, for children.

Salicylic acid against warts

Salicylic acid is used to treat warts, either alone or in combination with other treatments. At low concentrations, it removes the outer stratum corneum of the skin and facilitates subsequent freezing of the wart. In turn, at high concentrations, it cauterizes the wart. Usually, long-term treatment is required, and during the course of treatment, it is required to strictly follow the instructions of a dermatologist so as not to injure healthy skin.

Curettage of warts

Often referred to as scraping the wart with a sharp spoon. During the procedure, the dermatologist anesthetizes the wart and mechanically scrapes the wart with a special instrument, a curette. After the procedure, a small abrasion is formed, which is sometimes slightly cauterized.

Curettage allows you to quickly get rid of a large amount of tissue, but without the use of additional methods of treatment, warts can regrow, since cells infected with HPV remain at the base.When combined with other methods such as freezing, curettage is very effective.

Electrosurgery for warts

Also referred to as electrocautery for warts. During the procedure, the dermatologist uses a special medical device that cauterizes the wart with alternating current. Cauterization of a wart with an electric current is painless if anesthesia is performed. Sometimes it is recommended to combine with other treatments.

Wart excision

Dermatologist anesthetizes the wart and cuts it out with a scalpel.If the wound is small, it may heal on its own, and if the wart is large, stitches may be needed. Surgical wart removal can be applied to large warts that are difficult to treat. There is a risk that the wart can grow back if not cut out enough. A scar may form after the operation.

Isoprinosine tablets for warts

Prescribed medicine. The tablets stimulate the immune system against viral infections, incl.hours and against the manifestations of HPV infection – warts and genital warts. The medication helps to destroy warts. Isoprinosine tablets are usually combined with other treatments.

Traditional medicine methods for warts

Most often, celandine, sometimes lemon, aloe or apple cider vinegar, is used to eliminate warts. Traditional methods can be effective, but it is difficult to judge their real effectiveness, because there are no clinical studies.

Medicines for warts available in pharmacies

The most common means available in pharmacies are various acids – formic acid, salicylic acid, lactic acid.There are also warts freezers available, but they do not contain liquid oxygen and are not cold enough to effectively treat warts.

Self-treatment of warts often ends in failure, because it is either too aggressive (causing damage to the skin) or not regular or long enough. This treatment can lead to ulcers or scars, the warts can become thicker and thicker, and their subsequent treatment can be difficult.

Homeopathic treatment for warts

At the moment, the effectiveness of homeopathic medicine in the treatment of warts has not been proven by medical research.It should be borne in mind that warts can go away on their own as a result of the activity of our immune system.

Warts removal – Irkutsk – NovoMed Laser clinic

More about warts

Warts (Shipitsa, Shipichki) – is a disease caused by the human papillomavirus.

Among the skin diseases caused by the human papillomavirus are especially widespread:

simple warts (vulgar warts),

– plantar warts,

– flat warts.

Warts are a localized benign neoplasm and are manifested by papules or plaques, which can merge with each other, forming a mosaic pattern. The severity of the lesion depends on the state of the person’s immune system. Wart color: Light brown, pink or normal skin color. Without treatment, warts persist for years. The main complaint is cosmetic. For plantar warts, foreign body sensation and pain, especially when walking. Many treatments, in particular cryosurgery, cause more suffering than the warts themselves.

Why do warts occur?

Infection occurs by contact (when the skin comes into contact with the affected skin), the penetration of infection is facilitated by damage to the skin: cracks, scratches, irritations and cuts. Infection is possible at home, at school, in the gym. It is also possible to get infected from infected items such as towels, toys, handrails in public transport.

How to remove warts?

It is very important to understand the need to consult a dermatologist, because other skin diseases, including malignant ones, can be hidden under the guise of warts.A simple physical examination of the skin of the wart is usually sufficient to make a diagnosis.

Methods for removing warts:

Treatment with medicines using medicinal applications on the affected areas.

– Cryodestruction. Conducted with the ineffectiveness of drug treatment. Removal is carried out using liquid nitrogen. Cryodestruction must be repeated several times with an interval of 4 weeks until complete recovery. A significant drawback of the method is pain.

– Electrocoagulation. More effective than cryodestruction, but often accompanied by scarring.

– Laser therapy. It is used when other methods are ineffective. A carbon dioxide laser is used.

Laser removal and treatment of warts.

Do not try to remove the wart yourself, using methods such as burning, cutting with a knife or razor, or in any other way. The goal of wart treatment is to destroy or remove the wart without creating scar tissue that may be more painful than the wart itself.Warts respond well to treatment.

In our medical center, NovoMed , the most modern technologies are used to treat various skin pathologies and remove neoplasms: CO2 (carbon dioxide) laser. Using a laser, the wart is removed in layers under local anesthesia. A small depression remains at the site of the wart, which levels out in 2-3 weeks. If we are talking about a plantar wart, then you need to take into account that these 2-3 weeks will have to take care of the leg – to walk as little as possible.

Laser treatment of warts is by far the most aesthetic remedy for warts among all methods of treating warts known today. Thanks to its painlessness, this method is suitable even for the smallest children . One of the important advantages of the laser is that the removed neoplasm does not reappear. The effectiveness of the method is 60-92.5%.

Prices for wart removal

SUMMARY:

Warts are benign formations, the development of which is provoked by the human papillomavirus. Warts (spines) respond well to treatment, but an integrated approach is needed to increase immunity and remove existing warts. And it is better to entrust the removal of warts to a specialist. In order to avoid the appearance of warts, you must follow the basic rules of personal hygiene.

Treatment and removal of warts in Saratov 👍 “Medical dynasty”

All types of treatment for warts (liquid nitrogen, laser, photodynamic therapy)

“Can a bad person be talented?” – asked Faina Ranevskaya.

“Yes,” the actress answered, “talent does not choose, it grows like a wart on the first body it comes across.”

Indeed, warts can appear in any person at completely different age periods. Sometimes they are only a minor cosmetic defect, and sometimes they become a serious problem.

What causes warts? Infection routes.

Warts are a viral, contagious disease caused by the human papillomavirus. Infection occurs after contact with sick people, but viruses can persist on the surface of objects.The entrance gate for viruses is small abrasions or cracks in the skin. It is easy to get warts in the pool, gym where skin is easily damaged, and in other public places.

Main types of warts

Common or vulgar warts – hard, rough nodules ranging in size from 0.2-1 cm, the color can be either light, flesh, or dark, almost black. As a rule, the hands are affected, but can occur on the forearms, knees, legs, and face. Mostly children of preschool and school age are ill.

Plantar warts – occur on the feet, especially often in places of maximum pressure: on the heels, pads and other areas. They often cause soreness when walking. Close, “non-breathing” shoes, flat feet, vascular diseases of the lower extremities, mycosis of the feet, diabetes mellitus, etc. contribute to the spread of warts. They can be single, but more often there are 3-6 elements or more, there can be “kissing” warts on the contacting surfaces of the fingers …

Flat or juvenile warts are rare, usually in children and adolescents, are more often located on the face and hands. They look like multiple flat nodules of a round shape, flesh-colored with a smooth surface, small in size from 1 to 3 mm and slightly rise above the level of the skin.

Can warts grow?

Yes, especially if they get damaged. The human immune system has a great influence. If the patient has so-called foci of chronic infection, for example, in children – adenoiditis, sinusitis, frequent bronchitis; in adults – primarily tonsillitis, sinusitis, dental caries, then warts can spread or recur.

How can warts be cured?

Today, the removal of warts can be performed in several ways: using a scalpel, liquid nitrogen, radio wave method, laser and high-frequency electric current. Traditional methods, such as cauterizing the wart with celandine or removing it with raw potatoes, have unproven effectiveness.

Many people wonder which wart removal is the least traumatic and most effective. Clinics that focus on laser treatment describe its advantages in all paints and reject the removal of warts with liquid nitrogen.And vice versa – if a beauty salon prefers cryodestruction, it presents this technique in every possible way and no less reasonably describes its superiority over a surgical laser. So which method should you choose?

So how to remove a wart quickly, painlessly and effectively?

First, an individual approach is required. The method of treatment should depend on:

1. Type of warts
Flat warts should be treated conservatively and predisposing factors should be eliminated.It is better to remove common warts on the face with a laser due to visual control of the depth of penetration, faster healing, and the absence of cosmetic defects. The same warts, but on the hands, are perfectly treated with both a laser and liquid nitrogen. On the feet, the most justified method is liquid nitrogen due to less trauma, soreness, and does not require special care after the procedure.

2. Patient’s age
Warts in children and the elderly are best treated with liquid nitrogen, since it does not require anesthesia, is safe, and can be treated at any time of the year.

Recurrent and refractory warts

Periungual warts are the most difficult to remove. The use of a laser, radio wave method, electrocoagulation is often impossible, liquid nitrogen is effective, but painful. At times, people come to the clinic after trying many methods of treatment, from traditional medicine to the most modern ones.

A completely new method of photodynamic therapy, unique in Saratov, has appeared in the Medical Dynasty clinic, which is used specifically for the treatment of the above-described groups of patients.Based on the safe interaction of laser light, photosensitizer and oxygen. As a result, active substances are produced in the skin that increase local immunity and the body itself begins to fight viruses.

Where can a wart be removed?

The Medical Center “Medical Dynasty” successfully applies all available methods of treating warts, including the most modern ones.