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. 6^th ed. pp.2122-2124, 2127, 2368. New York: McGraw-Hill, 2003.

Plantar Warts Can Cause Foot Pain — Fit Feet For Life

Of the many places a wart can appear on your skin, the heel of the foot has to be one of the most potentially painful locations. However, this is where a wart-causing virus (HPV) chooses to make its home, after getting in through cracks and nicks on the edges and soles of your feet. Human papilloma virus is found wherever there are people, so it can be easily acquired from the gym while using the showers, pool area, and locker rooms. Wearing foot protection in these areas can help minimize your contact with this virus and other pathogens such as the fungi that cause toenail infections.

Plantar warts will sometimes get better with good home care, but when a wart grows underneath the skin, on the heels or balls of the feet, the pressure causes the wart to grow inward beneath the thick skin, causing pain and discomfort when walked on. This condition can be particularly painful and difficult to treat, and may require the services of a foot doctor for safe and complete removal.

Signs and Symptoms of Plantar Warts

• Pain and discomfort—a painful bump, located under thick skin, usually on the ball or heel.
• Warty, rough bumps— that have little black center points that are actually clotted blood vessels.
• Clusters—warts multiply and spread and appear in groups. These clusters of warts are known as “mosaic warts”.

Home Treatment for Plantar Warts

• Padding—Moleskin pads isolate the wart and can make it easier to walk on an embedded wart.
• Foot soaks—Soaking in a warm foot bath and applying salicylic acid is often effective.
• Sanding and filing—with a pumice stone or file to remove dead tissue.

If you do not see the desired improvement in one to two weeks with home care treatments, it may be necessary to see a foot care professional and try a more aggressive treatment such as liquid nitrogen, cauterization, or laser surgery. At Fit Feet for Life, our team of board-certified podiatrists has access to advanced technologies and years of experience to help diagnose and treat a variety of foot and ankle problems, including heel pain, sports injuries, toe deformities, nail fungus, and plantar warts.  Bonnie Sanchez, DPM, and Gregory Cook, DPM, provide high quality foot and ankle care to patients in the Tampa/St. Petersburg area at our five offices conveniently located in Sun City Center, Clearwater, St. Petersburg, and our two Tampa locations. Please contact us for more information or to schedule an appointment.

Plantar Warts | Foot Warts

Plantar Warts are noncancerous skin growths caused by the Human papillomavirus, HPV. Even though plantar warts are relatively harmless, they can be quite painful.

The HPV that causes plantar warts enters your body through tiny cuts, breaks or other vulnerable sites on the skin of your feet and thrives in damp, dark communal areas like locker rooms. The warts most often develop beneath pressure points, such as the heels or balls of your feet.

Plantar warts can appear anywhere on the foot or toes and tend to be hard and flat, with a rough surface and well-defined boundaries. They are most often are gray or brown, sometimes described as looking like a cauliflower with one or more pinpoints of black in the center.

When the plantar wart is growing inward, it can appear as a callus-like growth over a well defined spot on the skin, and is sometimes misdiagnosed as a corn or callus. This inward growth occurs on the parts of the foot under pressure from standing or walking, preventing the wart from rising above the skin surface.

Occasionally, plantar warts will spontaneously disappear after a short time, and then reoccur in the same location. If left untreated, plantar warts may grow to an inch or more in circumference and spread into clusters of warts, called a “mosaic wart”.  Children, especially teenagers, tend to be more susceptible to plantar warts than adults.

Symptoms of Plantar warts

• Feeling of having a stone in your shoe
• Most often appear on the ball or heel of the foot
• Pain or tenderness when walking or standing
• Raised or flat, hard growth with rough surface, often described as looking like a cauliflower
• Occasional bleeding may occur
• In severe cases, plantar warts may cause a change in gait or posture that results in leg or back pain

How to avoid Plantar Warts

• Avoid direct contact with warts, both from other persons or from other parts of your own body
• Wear flip flops or sandals and avoid walking barefoot in damp, communal areas
• Let your feet dry completely before putting on socks
• Never share towels, socks, or footwear
• Walk barefoot where appropriate to thicken skin on foot and to wear off the virus
• Change your shoes and socks daily
• Keep your feet clean and dry

Most plantar warts aren’t a serious health concern and may only last a month or two. In this case, they don’t require treatment. However, if plantar warts become painful, make an appointment with a podiatrist at PA Foot and Ankle Associates for a thorough diagnosis and treatment plan.

Family Foot and Ankle Center of South Jersey: Podiatry

Warts are very common and come in many different forms. Plantar warts, also known as verrucae warts, differ from most other warts for various reasons. They only form on the sole of the foot and are a result of the human papillomavirus (HPV). They can easily be caught in places where there is moisture such as, locker rooms, pool areas, or saunas. Unlike most warts, plantar warts grow inward instead of outward. They plant themselves in the thick skin on the bottom of the foot, which can result in discomfort or pain. Discomfort and pain will increase when pressure is applied to the foot. Visually, they are flat, circular and have a small dent in the middle. Usually, they are dry with a black spot in the middle. If you think you might have plantar warts on the sole of your foot, then it is suggested you speak with a podiatrist in order to learn about treatment options.

Plantar warts can be very uncomfortable. If you need your feet checked, contact one of our podiatristsfrom Family Foot and Ankle Center of South Jersey. Our doctors will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

If you have any questions please feel free to contact our office located in Cherry Hill, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot Wart Cincinnati, OH | Family Foot & Ankle

Warts: they aren’t just for witches and frogs anymore. Actually, they never were—it’s estimated that three quarters (or more!) of us will deal with these potentially embarrassing bumps at least once in our lives, usually in childhood or adolescence. Among the myriad dermatological conditions one could develop, only acne is more frequent.

For all their ugliness, warts are typically harmless and painless. Kids get them quite frequently, but adults can pick them up too. However, when warts appear on weight-bearing portions of your sole—say, the heel or the ball of your feet—the excess pressure can be quite uncomfortable. Called plantar warts, these grainy growths can even start to grow inward, buried under a tough callus.

Plantar warts are caused by certain strains of the human papillomavirus, or HPV. These infectious agents that thrive in dark, warm environments latch onto feet through cracks or breaks in the skin. Walk barefoot in a locker room or put on a sweaty pair of shoes and you might find a bump on your foot starting to form.

Depending on your level of discomfort, an in-office visit may not be necessary right away—you might try some at-home treatment methods first. If the bump isn’t causing any pain, you can even just ignore it—it may take a couple of years, but many times the virus that causes warts will ultimately succumb to your immune system, and the bump will fade over time.

Although reports of its effectiveness are mixed, some people say they’ve had success using duct tape. Try leaving the tape on the wart for six days, then remove the tape, soak your feet, and gently use a pumice stone or emery board to file off layers of dead skin. It may take several cycles to fully remove the growth.

Over-the-counter wart treatments are also available, and may be more effective than the duct tape method (although by no means a guaranteed success). These will come with instructions and generally involve using a peeling medicine like salicylic acid, in liquid form or as a patch. Apply the medication and use a pumice stone or emery board to debride dead skin as directed. This may also require several cycles.

If at-home methods have failed, the discomfort is more severe, or if the bump is causing you to alter your standing and walking posture (which itself can lead to muscle and joint pain), call the doctors at Family Foot and Ankle Center, Inc. Don’t attempt to cut off the wart! We can evaluate your condition and determine the best course of action to help you eliminate stubborn plantar warts.

In addition to being able to provide prescription-strength salicylic acid, we can also perform cryotherapy using liquid nitrogen. In this process, a small amount of the liquid is applied to the wart, freezing it. The frozen skin then can be filed or picked off. You may require a couple of office visits to completely remove a particularly pesky bump but, generally speaking, at-home use of the peeling medicine plus occasional visits to the doctor for cryotherapy is often an effective combination. Other potentially successful methods include laser removal, immune therapy, HPV vaccination, and surgery via electric needle.

Plantar warts can be a frustrating foe—they often take time, patience, and vigilance to remove completely. As always, the best policy is prevention. Make sure you (or your kids) keep your feet clean and dry, change socks and shoes as necessary (at a minimum, daily), and avoid going barefoot in public. Don’t touch warts (even your own) with your hands and, if you do, wash your hands thoroughly and carefully afterward.

If you’re struggling with these unsightly bumps, especially if they’re causing pain or discomfort, call Family Foot and Ankle Center, Inc. We are Greater Cincinnati’s wart removal experts, with the tools and experience you need to alleviate your discomfort. Give us a call at (513) 728-4800 in Ohio or (859) 282-1572 in Kentucky and schedule an appointment at one of our six area offices. We look forward to seeing you!

Great Lakes Foot and Ankle Institute: Podiatrists

Anyone can get plantar warts, but children and teens have a higher chance of getting them than adults. Plantar warts are caused by a virus and affect the soles of the feet.

Prevention is your best bet when it comes to plantar warts. However, once you notice a plantar wart, it’s important to get to the podiatrist for treatment. In this blog, the providers at Great Lakes Foot and Ankle Institute explain how to prevent and treat plantar warts in children and teenagers.

Plantar warts 101

Plantar warts typically occur on the weight-bearing parts of the foot, such as the heels or balls of the feet. Plantar warts are most often caused by a form of the human papilloma virus (HPV), although the virus is not sexually transmitted like other forms of HPV. The virus enters the foot through tiny cuts or cracks in the skin. 

While children and teens are at the greatest risk of developing plantar warts, others can be at risk as well, including people with diabetes and those with compromised immune systems.

How to identify plantar warts

Early signs of a plantar wart appear when the weight-bearing parts of the foot begin to form a hard callus. Your child may complain of pain, especially when standing or wearing tight shoes.

As the roots of the plantar wart grow inward, you may notice what looks like black specks in the center of the wart. These are actually tiny blood vessels.

How to prevent plantar warts

The virus that causes plantar warts is spread easily in dark, moist environments. This includes locker rooms and areas around pools, especially indoor pools. Your child will have a better chance of not coming in contact with the virus in these environments by wearing shoes, such as flip-flops, and keeping their feet dry.

In addition, plantar warts can spread to other parts of the feet. Therefore, they shouldn’t use certain tools, such as emery boards, on both their plantar wart and on the healthy parts of their feet.

Treating plantar warts

When you bring your child to Great Lakes Foot and Ankle Institute, we’ll give their condition a thorough examination and recommend a treatment based on the severity. One option is cryotherapy with liquid nitrogen. With this treatment, we use liquid nitrogen — which is extremely cold — to destroy the wart. Another option is pulsed-dye laser treatments. With this treatment, concentrated beams of light destroy targeted blood vessels without harming the surrounding skin.

If your child has plantar warts, we can treat their condition and give them the relief they need. To learn more, book an appointment over the phone with Great Lakes Foot and Ankle Institute today.

Patient Education – Warren, MI Foot Doctor

Our team of specialists and staff believe that informed patients are better equipped to make decisions regarding their health and well being. For your personal use, we have created an extensive patient library covering an array of educational topics. Browse through these diagnoses and treatments to learn more about topics of interest to you. Or, for a more comprehensive search of our entire Web site, enter your term(s) in the search bar provided.

As always, you can contact our office to answer any questions or concerns.

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Achilles Tendon
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Crush Injuries
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Flat Feet
Fungus Toenails
Geriatric Foot Care
Hammertoes
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Ankle Sprains
Ankle sprains are caused by an unnatural twisting or force on the ankle bones of the foot, often resulting in one or more ligaments on the outside of the ankle to be stretched or torn. ..

What is a Podiatrist?

A podiatrist, also called a doctor of podiatric medicine, is a specialist who provides medical diagnosis and treatment of foot and ankle problems, such as bunions, heel pain, spurs, hammertoes, neuromas, ingrown toenails, warts, corns and calluses…

Skin Problems


Allergies Athlete’s Foot (tenia pedis) Blisters Burning Feet Calluses Corns Cysts Frostbite Fungus Gangrene Lesions Psoriasis Smelly Feet and Foot Odor Swelling Ulcers Warts

Cancer


…Unlike plantar warts, which grow on the skin, these grow deep inside on a thick fibrous band called the plantar fascia…

General Information and Tips


…Foot pain is caused by a wide variety of injuries, health problems or disorders, including (but not limited to):

Arthritis
Bone spurs
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Flat Feet
Gout
Ingrown toenails
Plantar fasciitis
Sprains
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Warts
Wearing improper shoes or extensive use of the feet. ..

Lesions


…Others are acquired over time, such as acne, warts, allergies, sunburn, or abrasions…

Warts


Most foot warts are harmless, even though they may be painful…

General Information


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Calluses and warts…

Cryotherapy


Cryotherapy is a standard treatment for warts that uses a very cold substance (usually liquid nitrogen) to freeze and deaden the tissue…

Plantar Fibromas


…Unlike plantar warts, which grow on the skin, these grow deep inside on a thick fibrous band of ligaments called the plantar fascia…

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Plantar warts | Symptoms | Diagnostics | Treatment

What a plantar wart looks like

A plantar wart , or a spine, looks like a hard, flat mass on the skin of the foot that rises slightly above the skin level.This type of warts belongs to tumors of the epithelium, which are benign, and diagnosis, as a rule, does not cause difficulties – the main method is dermatoscopy. The doctor, using a special device, visually determines the nature of the new formation. Warts can appear anywhere on the foot, but they usually form on the pads of the toes, heels, that is, in the places of greatest pressure. The photo clearly shows what a plantar wart looks like, its appearance is quite specific and usually leaves no doubt about the diagnosis. The lesion has a dirty brown or unpleasant yellow color, characteristic rough papules are visible, which destroy the papillary patterns.

Since the formation is located on the foot, this can lead to painful sensations and injury to the wart itself. For these reasons, the spine must be treated, although there is a small chance that the plantar wart will go away on its own without serious treatment.

Unfortunately, it is still not easy to get rid of a wart, therefore it is recommended to consult a dermatologist to reduce the risk of infection to other people, as well as to shorten the treatment time for the disease.The use of exclusively folk remedies and independent attempts to get rid of the tumor are undesirable. The plantar wart has a deep root, which is almost impossible to remove on its own, so relapses occur. Folk remedies often severely injure the surrounding tissue, which can lead to an increase in the area of ​​the lesion and unpleasant consequences in the form of burns and scars.

Symptoms

If you suspect a neoplasm, you should not only know what a plantar wart looks like in the photo, but also remember that the disease has characteristic symptoms:

If you experience similar symptoms, see a doctor immediately.It is easier to prevent a disease than to deal with the consequences.

Causes of the plantar wart

The plantar wart is caused by the defeat of the foot by the human papillomavirus (HPV). The main route of transmission is contact, infection occurs through common objects or directly from person to person. The favorable environment is warm and humid, so it is important to take precautions when visiting the bathhouse, pool, sauna and gym.

The cause of the occurrence may also be a weakened immune system, since in a normal state the human papillomavirus does not give visible manifestations.

This type of wart can also occur with microtraumas of the epidermis, dry skin, when wearing tight uncomfortable shoes, hyperhidrosis. Also, the causes of warts on the leg can be diseases that lead to deformation of the feet – arthritis of the joints, osteoarthritis, flat feet, as well as diseases that lead to a violation of the integrity of the skin of the foot: diabetes mellitus, varicose veins.It must be remembered that frequent stress can indirectly affect the onset of this disease.

HPV can be acquired by accident during normal walking barefoot on an infected surface, the virus can live up to several months without a direct carrier. After entering the body, it may not manifest itself for several days or even weeks, which is why it is not always possible to know the exact time of infection.

Diagnostics

To determine how to treat plantar warts, a dermatologist conducts a number of studies:

• general inspection;
• dermatoscopy;
• PCR diagnostics;
• histological examination.

How to cure plantar warts

When a plantar wart appears, the question arises of how to cure this neoplasm. When the growths are uncomfortable and spread quickly, the best solution is to see a dermatologist as soon as possible, he will select the most appropriate treatment option. There are several ways to solve this problem.

The most radical of them is operative: the wart and its roots are surgically removed.This method is not the most effective, since the roots of the neoplasm are located in the deep layers of the skin. In some cases, it is not possible to completely remove them.

Removal of warts can be performed using laser and electrocoagulation, as well as using cryotherapy.

In addition to removal in medical institutions, plantar warts can be removed by less radical methods, such as ointments, solutions, special plasters, as well as folk remedies.These remedies for removing plantar warts have a number of their advantages and disadvantages, the main of which is the long treatment time.

Removal of plantar warts

One of the most common ways to remove plantar warts is to remove them in specialized medical institutions. The dermatologist at the appointment should tell you in detail how to get rid of plantar warts, and, based on the results of the examination, choose the most appropriate method.Despite the fact that the thorns are difficult to cure, there is no special specific means of removing them; all methods are used that are appropriate in the treatment of other types of warts. Plantar warts can be treated on an outpatient basis, but your doctor may prescribe remedies to help remove the growths at home.

Surgical removal of warts

Along with other methods of treatment, surgical intervention is used to remove warts. The wart is scraped out with a special scalpel under local anesthesia.After this procedure, if the plantar wart was significant, sutures are applied under the skin, which are removed within one to two weeks. The wound site is treated with a disinfectant solution and an aseptic bandage is applied. There is usually a small scar at the site of removal.

The difficulty of this method is that during the operation the doctor must remove all the roots, otherwise the plantar wart will appear again. Therefore, this method is used today only if all other methods of treatment turned out to be ineffective.

Liquid nitrogen removal

Removal with liquid nitrogen implies exposure of the neoplasm to extremely low temperatures, this is the most common modern and fastest way to treat a plantar wart.

The method is based on freezing the tissue of the formation itself. In fact, inside the cells of the wart, under the influence of an extremely low temperature of –196 degrees Celsius, ruptures occur, leading to the death of the wart.

Cryodestruction is carried out manually or by hardware. If the wart is large or the procedure is performed on a child, then it becomes necessary to use local anesthesia, usually novocaine.

Direct exposure time to liquid nitrogen is up to 30 seconds. After the first cauterization, the doctor should pause to assess the effectiveness of the effect and the need for repeated cauterization.

After freezing, a blister with a colorless or reddish liquid forms at the site of the wart, which indicates the onset of the inflammatory process.This is a normal reaction to the moxibustion procedure.

Cryodestruction is considered painless, but when treating plantar warts, it must be repeated several times to achieve the final effect. After the wart falls off, no scars remain.

The advantages of liquid nitrogen removal are:

• freezing excludes further spread of the disease to the nearest skin;
• lack of special training;
• short duration of the procedure;

90,050 the risks of developing scars or scars are minimal.

The disadvantages of cryodestruction of plantar warts are:

• The need to repeat the course with a large area of ​​the lesion or because of the size of the wart;
• human factor – the professionalism of the doctor performing this procedure is a guarantee of success. The doctor must correctly assess the time and degree of exposure to nitrogen on the tissues, otherwise a burn may form;
• the discomfort caused by a swollen bladder and the need to treat it are also considered disadvantages of the method.

In general, reviews on the treatment of plantar warts by the method of moxibustion with liquid nitrogen are positive, since this is the simplest, most effective and affordable way.

Laser Removal

Laser removal is considered one of the most effective and safe methods. After laser treatment, the wart ceases to be infectious. The procedure itself is painless; a special nozzle is built into the laser, which cools the site of exposure.Additionally, one or more pain-relieving injections are given before the operation. The patient usually feels a slight tingling sensation during the procedure. After removal of the neoplasm, no traces remain, since the laser burns directly the diseased tissue. The laser method allows maximum control of the depth of exposure, which is individual in each case. Therefore, even with deep tissue lesions, it is possible to completely remove the roots, which means that the re-growth of the wart can be prevented.

The operation takes place under sterile conditions, there is no direct contact with the skin or wart, and the duration of the operation is only a few minutes.The positive results of laser-assisted plantar wart removal also make this method the most attractive.

The main disadvantage of laser removal of plantar wart remains the high cost, which usually includes a doctor’s consultation, anesthesia and the operation itself. In addition, after removal, the wound heals for a long time and requires hygiene.

Plantar wart treatment

Before treating a plantar wart, you need to make sure that the diagnosis is accurate and then proceed directly to the procedures.In addition to surgery, your doctor may prescribe immunotherapy and topical medications.

The need for immunotherapy, as a rule, is justified, since the disease is caused by a virus that actively develops in a weakened state of the body. Local immunotherapeutic agents directly target the virus in two ways. In the first case, the drug stimulates the immune system, and in the second, an antigen is injected into the body of the wart, which also activates the immune system, so that the wart can disappear faster.

Treatment of a plantar wart takes quite a long amount of time, it is important not to forget to strengthen the immune system and observe hygiene. If you do not apply removal and treatment, then the wart can go away on its own for more than a year, while a person is a source of infection for everyone around. You should carefully consider this unpleasant disease and be sure to consult a dermatologist, who will definitely tell you how and how to treat a plantar wart.

Treatment of a plantar wart directly depends on compliance with all hygiene standards and doctor’s prescriptions, daily treatment of education is a guarantee of a successful recovery.

Home treatment

Any new formations on the skin must not be ignored, as cancer tension is growing all over the world. Do not ignore the appointment with a specialist, he can prescribe a plantar wart treatment at home. In this case, special solutions, ointments, and a plaster for warts are usually prescribed.

Ointments are one of the mildest methods of treatment, they act on the wart itself, as a result of which it gradually dies off and disappears.The following types of ointments are used in the treatment:

• antiviral ointment;
• acid-based ointment;
• various herbal ointments.

Most often, salicylic acid ointments and oxolinic ointment are prescribed. Any type of ointment is dotted on the wart several times a day in accordance with the instructions. When treating a plantar wart, before applying the drug, it must be steamed in warm water beforehand.It is advisable to apply any ointment at night so that you do not have to step on the formation and wash the ointment.

To get rid of plantar warts at home, you can use a special salicylic acid patch. This product has a low cost and proven effectiveness. The plaster is sold in pharmacies without a prescription, the principle of its use is very simple – a wart is glued with a piece of plaster, and an ordinary medical plaster is fixed on top. You need to change the patch at regular intervals.It may take about two weeks to remove a small wart, but you cannot leave the wart for a long time without a patch. As the treatment progresses, the area of ​​the wart decreases, after 12 hours it becomes covered with a crust, which then disappears. After a successful cure, a small pinkish speck remains on the skin, which should completely disappear over time.

When applying the patch, care must be taken – when applying, avoid healthy areas of the skin, otherwise severe irritation may occur.There are contraindications for using this method of removing the wart, so the doctor should make the decision on the appointment of the patch.

Another way to treat plantar warts at home is hyperthermia. Feet affected by warts are immersed in the hottest water possible. Such procedures are repeated several times. In some cases, hyperthermia shows a positive effect. The mechanism of the procedure is based on the stimulation of small blood vessels in the legs and the activation of local immunity.

Low temperature treatment can be used at home, similar to the removal of warts with liquid nitrogen. For this, you can use special applicator pens or sprays. As with cryodestruction, several applications may be required.

Treatment with folk remedies

Despite the fact that modern medicines are much more effective and with their help the process of removing plantar warts is faster, one cannot deny the effectiveness of treatment with folk remedies.Traditional medicine has accumulated vast experience in combating warts, and some methods remain effective.

• Celandine juice is one of the most popular ways to remove thorns. You can use the juice of a fresh plant or purchase in the pharmacy “Mountain celandine”, which contains, in addition to celandine juice, and other herbal extracts. The juice is applied once or twice a day to the affected area.
• Acetic acid, together with various additional products, is also used to remove warts.In addition to the acid, onions and flour are used. You can drip the acid itself directly onto the affected area, but this method is quite dangerous due to the high risk of severe burns.
• Apple cider vinegar: a tampon soaked in a solution (it is important not to use undiluted vinegar) is applied to the affected area of ​​the skin, the area of ​​the skin is previously processed with an abrasive file.
• Garlic is another folk remedy for treating warts. The formation should be rubbed with raw garlic until it disappears completely, but this method can be used for no more than three weeks.
• The banana peel is applied internally to the affected area of ​​the skin, it is believed that it can pull out the wart.

In order to pinpoint the affected area and not touch the adjacent tissue, you can use a piece of adhesive tape. A hole is made in it to the size of the neoplasm, and the adjacent healthy skin remains intact. This avoids burns and other injuries.

Plantar wart in a child

With age, a person develops immunity to HPV, so children and young people are more susceptible to this infection.Most often, the disease affects children over the age of five. A doctor will help you recognize a plantar wart in a child, as in some cases it may resemble an old callus.

Although plantar warts in a child go away on their own, you should not ignore their treatment, it is also worth remembering the possibility of infecting the whole family and people around them. A plantar wart in a child almost always causes severe painful discomfort when walking, therefore, requires prompt treatment and a visit to a doctor.Our service contains proven pediatric dermatologists and reviews about them, according to which you can choose a good specialist for your child.

Because children are sensitive to pain, it is difficult to find therapy. To begin with, you should use various ointments – they are affordable, easy to use and effective. Folk remedies are also widely used, in the safety of which there is no doubt.

Liquid nitrogen and laser removal are effective methods for removing plantar warts in children.Removing warts using these methods is one of the most radical methods. They are resorted to when solutions and ointments do not have the desired effect.

After healing, it is important not to forget about the prevention of plantar warts in children. This is strengthening the immune system, careful hygiene and wearing the right comfortable shoes. It should be remembered that the risk of infection is especially high in public places and from another person, so you need to make sure that the child does not walk in someone else’s shoes or barefoot.Any item that has come into direct contact with the formation must be thoroughly washed at a high temperature. All of these actions will help prevent the development of the virus in the future.

Danger

If the procedure for removing plantar warts is not carried out in time, this can lead to serious consequences, such as:

• the appearance of warts on other areas of the skin;

90,050 skin cancer.

Doctors strongly advise not to self-medicate – cutting, piercing or cauterizing warts will worsen the situation and lead to the formation of new warts.

Risk group

Risk group consists of:

• people with hormonal disorders in the body;

90,050 HIV-infected.

Prophylaxis

To prevent plantar warts, patients are advised to:

• strengthen the immune system;

90,050 eat more foods rich in vitamins;

• to properly care for the skin of the feet;
• do not wear tight shoes, shoes made of synthetic materials;
• in public places (changing rooms, showers) do not walk barefoot.

This article is posted for educational purposes only and does not constitute scientific material or professional medical advice.

Warts appear on the skin: what to do?

Most often, warts are found in young people and children. In patients with chronic skin conditions (eg, psoriasis, atopic dermatitis, eczema) and those with a weakened immune system (eg, after organ transplantation or HIV infection), these rashes are much more difficult to treat and are much more common.

Common warts can be found all over the body, but are more common on the fingers, around the nails, and on the elbows, hands and knees.

Warts, called flat warts, form on the back of the forearms and hands, as well as on the feet, legs and face.

The diagnosis is made by a physician upon examination.

The way to remove warts can be different. Sometimes warts go away on their own after 2-3 years. But usually untreated warts increase in number and size, so it is recommended to remove these formations.

Which method of treatment is more suitable – the attending physician decides. Most of these methods give a noticeable effect within a few weeks, and sometimes even after a few months. After removal of the warts, a relapse can always occur.

Warts can be removed surgically, that is, the wart is removed with a scalpel or blade using skin anesthesia.

There are also chemical disposal methods.

Liquid nitrogen is a very cold liquid that freezes the warts and thus destroys them.This method is called cryodestruction or cryotherapy. Such treatment can only be carried out by a doctor, in most cases it is necessary to carry out several sessions in a row. Liquid nitrogen treatment is prescribed for adults or adolescents, but is not recommended for young children because it sometimes causes severe pain. Local anesthesia is used to relieve pain before the procedure.

Another remedy for warts is a cream with 5-fluoroacil, which is used to combat flat warts. The cream is applied for 3-5 days twice a day. Photoprotective agents should be used during treatment, as the sun can irritate the skin.

When should I see a doctor?

See a doctor if wart:

• causes pain
• bleeds easily
• changes the look
• easily spreads to other parts of the body
• recurs after previous removal
• appears in an area where it is often injured, for example, when shaving, playing sports, etc.d.

To reduce the risk of contracting or spreading warts:

• Do not touch the warts.
• Do not use other people’s towels, washcloths and other personal items.
• Do not share shoes or socks with other people.
• Do not brush the warts as this could spread them.
• Wear sandals when entering and exiting public showers and swimming pools.
• Cover warts with waterproof tape when swimming, and use socks or gloves in other public places such as the gym.
• Do not brush, shave or cut hair in areas with warts.
• When using a nail file or nail scissors, do not use the same tool on the affected and healthy nail.
• Do not bite your nails if there are warts around them.
• Keep your hands as dry as possible.
• Wash your hands thoroughly after touching a wart.

Removal of warts (plantar) in Ryazan

Laser wart removal is an effective, modern, almost painless method.

Warts on any part of the body are an annoying cosmetic defect that brings a lot of inconvenience, and warts on the feet are especially unpleasant, as they cause discomfort and even pain when walking. Plantar warts are caused by the human papillomavirus (HPV). Often occurs on pivot points of the foot, such as the heels or toes. As a result of the pressure, plantar warts can grow inward, forming a callus.

Result:

Possibility to have beautiful and healthy legs, to play sports, to work freely. Reducing the risk of spreading the virus through the skin of your own feet, as well as infecting your loved ones.

Description of the process of removing warts:

The procedure is performed in a surgical room equipped with a laser device. Local anesthesia of the wart removal area is performed using a special technique, which makes it possible to perform the procedure completely painlessly and highly efficiently. The wart is completely excised with a laser scalpel, and the bleeding vessels are coagulated.The procedure ends with the application of a protective antibacterial dressing.

Preparation:

No special training required.

Time and number of procedures:

The procedure for direct removal of one plantar wart takes 5 to 15 minutes. The speed and safety of the procedure performed allows you to remove several similar formations at once. The capabilities of the laser removal method allow you to achieve a single wart removal.However, due to the viral nature of this disease, there is a risk of the wart reappearing in the same place, which requires a new removal.

Equipment:

Laser complex “Multiline” by “Linline”, Nd: Yap long pulse, disposable syringe, surgical instruments.

Preparations used during the wart removal procedure:

Before the procedure, the area to be removed is treated with 0.05% chlorhexidine solution, or another antiseptic. For anesthesia, a modern local anesthetic “Articaine” is used, which belongs to the lidocaine group.Its advantage is to achieve fast and safe pain relief, even at low dosages. After the wart is removed, a bandage with antibacterial ointment (“Levomekol”, “Oflomelid”) is applied.

Preparations recommended for use after the procedure:

Fast and painless wound healing is possible with the use of various ointment agents according to the stage of the wound process. Therefore, after the procedure, the doctor provides detailed instructions on self-care for the wound at home, the mode of work and rest.A schedule of follow-up examinations is drawn up together with the patient.

Restrictions after the procedure:

In the early period (1-8 days), it is desirable to limit physical activity, limiting physical activity on the foot and water procedures.

Contraindications:

• Pregnancy and lactation;
• Local inflammatory skin diseases;
• Infectious diseases during an exacerbation and other diseases accompanied by an increase in temperature;
• Systemic and autoimmune diseases;
• Labile state of mind, mental illness;
• Hard physical labor.

Soreness of the procedure:

There are short-term discomfort when performing local anesthesia. At the same time, direct removal of a wart with a laser is a completely painless process. After the procedure, minor pain in the wound area subsides within 1-2 hours.

Duration of the effect of the procedure:

The appearance of a plantar wart at the site of removal is almost impossible. However, due to viral infection of the skin of the entire foot, there is a risk of new warts appearing on other parts of it. Therefore, as a rule, the frequency of occurrence of warts is associated with the state of the patient’s immunity.

Service cost:

The cost of the procedure – from 2,200 rubles.

90,000 Warts on the legs

Warts on the feet are skin lesions that appear on the soles and other parts of the lower extremities.

Types of warts

There are several types:

• ordinary (vulgar)

  They are round, small in size.They are brown with a grayish tint. They can occur on different parts of the legs – from the thigh to the foot.

• flat

  They are distinguished by a smooth surface and slightly protrude above the surrounding skin. The color can range from pink to yellow and brown. Localized most often on the back of the lower leg.

• plantar

  They have a fairly dense structure. The top layer consists of keratinized skin. They differ from the surrounding tissues in a dirty gray tone. They tend to occur in places of greatest pressure and tissue injury.

The appearance of warts on the fingers, pads of the feet or heels can significantly reduce the quality of human life, causing not only psychological discomfort, but also severe pain. This is due to the fact that it is these places that account for a significant part of the load when walking.

The growth of neoplasms provokes the human papillomavirus, which can be infected in public places with high humidity (swimming pool or sauna).It also significantly increases the risk of infection for those who sweat profusely or wear uncomfortable shoes. However, it can take a long time from the moment of infection to the appearance of a growth – from several months to several years. This is due to the fact that the activation of the papillomavirus occurs only in case of weakening of the immune system. The virus infects the deep layers of the skin, causing increased cell proliferation, which leads to the appearance of growths.

Due to their infectious nature, warts can spread over time to healthy areas of the skin.So, having appeared in the interdigital space, they quickly expand the area of ​​their localization, since the areas of the affected integuments are constantly in contact with healthy tissues.

Within 2 years from the moment of onset, the wart can resolve on its own without the use of any treatment. However, if the skin formation causes significant pain and discomfort, then it can be removed with:

Simultaneously with the procedure, a dermatologist may prescribe additional antiviral drugs and drugs that stimulate the immune system’s own protective properties, since removal does not protect against recurrence, and warts may reappear.

Plantar hyperkeratosis: clinical picture, diagnosis, treatment | Tsykin A.A., Petunina V.V.

Leonardo da Vinci has the following statement: “The human foot is a work of art, consisting of 26 bones, 107 ligaments and 19 muscles. ” The great artist, writer, scientist and thinker of the High Renaissance was certainly right in treating the foot as a work of art. The interaction of the bone and ligamentous apparatus with the muscular system has been brought here to impeccable perfection.And it remains only to be amazed how, despite the colossal load that our feet experience every day, they combine functional reliability and aesthetic appeal. Great for this is the merit not only of muscles, ligaments and bones, but also of the skin, the structure of which on the feet is significantly different due to anatomical and physiological features.

The human foot is a rather complex mechanism designed to keep the entire body upright when standing and walking.This element of the entire musculoskeletal system, small in weight and size, constantly has to withstand significant static and dynamic loads throughout a person’s life. These features determined the structure of the foot – the lowest part of the limbs. The part of the foot that is in direct contact with the ground is called the foot or sole, and the opposite upper side is called the back of the foot. The foot as a whole has a vaulted structure, thanks to the articulations – which has mobility, flexibility and elasticity.Externally, the foot is subdivided into anterior, middle and posterior sections. Toes belong to the front section and from the side of the sole – the ball of the foot, to the middle section – the arch of the foot, and the back section from the side of the sole forms the heel. The arch is that part of the foot that normally does not touch the ground from the side of the sole, but on the back side forms the rise of the foot. According to the bone structure, the foot is divided into the tarsus, metatarsus and phalanges. The convex part of the arch is made up of five metatarsal bones located in the body of the foot, the outer extensions of these bones form the fingers and are called phalanges.The ball of the foot is at the very bottom of the arch in front of the toes and protects the joints from impact [1].

The heel bone is the strongest and heaviest of all 26 bones in the foot. It is she who is a continuation of the axis of the human body, and therefore all his weight falls on it. Just like the calcaneus, 6 more bones of the foot (tarsal bones) have a spongy structure, that is, inside they are almost completely filled with strong bone tissue, which allows them to withstand heavy loads.The rest of the foot bones look like light hollow tubes of different lengths. Their main task is to ensure the mobility and shock-absorbing properties of the foot when walking, jumping and running. All bones of the foot have articular surfaces covered with smooth and slippery cartilage tissue, which facilitates their mutual friction. The joints of the hindfoot and midfoot are inactive compared to the joints of the toes. Each joint is covered with a capsule, inside of which a small amount of fluid is constantly formed, which contributes to additional sliding of the articular surfaces of the bones.

Etiology and pathogenesis of plantar hyperkeratosis

The skin of the sole is thick, rough, hairless and rich in sweat glands. The skin of the dorsal surface is elastic, easily displaced, therefore, with any inflammatory processes, puffiness appears on the back of the foot. A distinctive feature of the skin of the soles is that in this area there is the thickest epidermis, which, like on the palms, consists of five layers: basal, prickly, granular, shiny and horny.It should be noted that the lustrous layer is found only in the epidermis of the palms and soles. The keratinocytes of this layer contain a specific protein eleidin – an intermediate product of the transformation of keratohyalin into keratin, which gives a characteristic shine during histological examination. In places that serve to support the bones: on the heel, on the heads of the metatarsal bones, on the nail phalanges between the bones and the outer integument, there is a fairly well-defined third layer of skin – subcutaneous adipose tissue, which protects the bone from external pressure.At the level of the metatarsal heads, the transverse edge is a fat pad, also called the ball of the foot. A deep fold traces it in front of the plantar surface of the fingers, interrupted by individual interdigital spaces. This makes the toes appear shorter on the sole side in relation to their size on the back.

Being subjected to constant stress, with deformities of the foot, wearing uncomfortable shoes, with active sports, in response to the mechanical effect on the skin of the feet, a response occurs in the form of increased proliferation of keratinocyte cells, which ultimately leads to the development of plantar hyperkeratosis.The concept of “hyperkeratosis” comes from two Greek words: ὑπέρ – a lot and keratosis – the formation of keratin. Hyperkeratosis makes the skin rigid, low-elastic, reduces its sensitivity to external influences. There are many reasons for plantar hyperkeratosis. The main ones are presented in Table 1.

Hyperkeratosis due to mechanical causes is one of the most common among healthy young people involved in sports, as well as among the elderly and patients with chronic diseases. According to the literature, more than half of people over 65 years of age and more than 65% of patients with rheumatoid arthritis have hyperkeratosis requiring treatment [1]. According to Springett, when examining men and women of all age groups on an outpatient basis, hyperkeratosis is detected in the area of ​​the 1 metatarsophalangeal joint (PFC) in 27% of cases, 2–4 PPS – in 36% and 5 PPS – in 17% of cases. In the Grouios studies, male joggers took part, and approximately comparable results were obtained: hyperkeratosis of 1 PPS was detected in 23%, 2-4 PPS – in 32% and 5 PPS – in 12.5% ​​of cases [2, 3].

Clinical picture

The presence of hyperkeratosis, especially in the heel area, often leads to a violation of the integrity of the skin and the formation of cracks, which are accompanied by severe pain syndrome, which reduces the ability to work and limits the ability to actively engage in sports. Based on the foregoing, it is quite important to organize proper foot skin care.

Podological classification of plantar hyperkeratosis from mechanical stress:

• Dry corn;
• core corn;
• soft corn;
• subungual hyperkeratosis;
• fibrous callus;
• vascular corn.

Dry corn (callus, tylosis) is a limited focus of thickening of the stratum corneum of the epidermis with clear boundaries, relatively uniform thickness, usually yellowish, usually found in areas subject to stress on the plantar and lateral surfaces of the feet [4]. It is more often located on the skin of the heels and in the area of ​​the PFC (Fig. 1). Depending on the location and thickness of the underlying tissues, pressure on dry callus may subjectively be accompanied by pain.Foot pain, or metatarsalgia, in many cases occurs as a result of painful calluses in the PFC area [1].

Core corn (tyloma, clavus durus) is a dense and sharply limited area of ​​epidermal hyperkeratosis, small in size, rounded with clear boundaries, smooth edges, located in the area of ​​pressure of bone protrusions and processes on the underlying soft tissues. Most often, dry calluses are located in the area of ​​the dorsum of the interphalangeal joints, the lateral surface of 2–5 toes, as well as in the area of ​​the PFJ with transverse flat feet [4].Corns must be differentiated from plantar warts. During the formation of a callus, in addition to the focus of hyperkeratosis, a very hard translucent rod is formed, located in the center of the callus and consisting of very dense horny masses. When pressure is applied to the core callus, sharp pain occurs due to compression of the dermal nerve endings located between the dense core and the bony process (Fig. 2). The same soreness occurs with pressure on the plantar wart.However, the plantar wart is painful not only with vertical pressure, but also with lateral compression, a change in the skin pattern is always noted above the wart, there are brownish inclusions represented by microhemorrhages from the capillaries. In addition, around the “maternal” wart, we often note numerous “daughter” plantar warts of smaller sizes (Fig. 3).

For soft calluses, the characteristic localization is the location on the skin between the fingers.Due to the high humidity in this area, the corn macerates and acquires a soft consistency. Soft calluses are also very painful and are often complicated by the addition of a secondary bacterial infection.

Subungual hyperkeratosis occurs quite often, it can be observed in onychomycosis, traumatic onychia and other types of dystrophy [5]. It is characterized by a gradual increase in the nail plate from the distal edge, while between the free edge of the nail and hyponychium, horny masses of gray-yellow color accumulate.Subungual hyperkeratosis is considered one of the pathognomonic signs of onychomycosis, since it is assumed that keratinocytes respond to the invasion of a fungal infection by hyperproliferation. Therefore, in the presence of such a symptom, it is imperative to conduct a study on pathogenic fungi.

In recent years, there has been a steady increase in the incidence of diabetes mellitus (DM). About 8-10% of diabetic patients suffer from diabetic foot syndrome. Diabetic foot syndrome is a complex of anatomical and functional changes that develop against the background of the main manifestations of diabetes mellitus: neuropathy, micro- and macroangiopathy, osteoarthropathy, which contribute to increased trauma and infection of the skin and soft tissues of the foot, the development of a necrotic process and, in advanced cases, leading to amputation.Diabetic foot syndrome manifests itself in the form of purulent-necrotic processes, ulcers and osteoarticular lesions that occur against the background of specific changes in peripheral nerves, blood vessels, skin and soft tissues, bones and joints. Prevention of the development of diabetic foot syndrome is of paramount importance in the treatment of diabetic patients. The skin of patients with diabetes, especially in type 2, is prone to excessive dryness, hyperkeratosis and cracking, which is a favorable condition for the development of the infectious process.

Thus, the risk of developing onychomycosis of the feet in patients with diabetes is 2–8 times higher than in the general population [6]. Every third of 175 million patients with diabetes have mycosis of the feet. In the USA alone, there are about 7 million such patients [7]. According to various authors, the incidence of onychomycosis in people with diabetes is from 20 to 60% [8]. In patients with diabetes, the skin of the feet is most often affected. Moreover, of all forms of mycosis of the feet, squamous-hyperkeratotic is most often observed, but intertriginous and dyshidrotic are also found.With diabetes, the squamous-hyperkeratotic form is manifested by dry flat papules and slightly lichenified nummular plaques of a bluish-reddish color, usually located on the arches of the feet. The surface of the rash, especially in the center, is covered with layers of grayish-white scales of varying thickness; along the periphery there is a “border” of exfoliating epidermis; upon close examination, single bubbles can be seen. Rashes, serpiginating and merging, form diffuse foci of large sizes, which can spread to the entire sole, lateral surfaces and the back of the feet.Along with such flaky foci in patients with diabetes, hyperkeratotic formations of the type of limited or diffuse yellowish callosities with frequent cracks on the surface are often found. With diabetes, due to angiopathy, the trophism of the nail bed and matrix is ​​disturbed, the growth rate of the nail plates decreases, the nails change shape, thicken. Trophic disorders lead to the fact that in patients with diabetes, hypertrophic forms of nail damage are most common (Fig. 4). In this case, the nails change color, pronounced subungual hyperkeratosis develops; the nail loses its shine, becomes dull, thickens and deforms up to the formation of onychogryphosis; partially collapses, especially from the sides; patients may experience painful sensations when walking.Often, a thickened deformed nail affects the skin of the lateral ridges, which leads to the formation of paronychia and ingrown nail. In elderly patients, nails, altered by the type of onychogryphosis, can lead to the formation of bedsores. These clinical features and the course of onychomycosis of the feet in patients with diabetes increase the risk of necrotic ulcerative complications, which can lead to the development of gangrene. As a rule, with diabetes, multiple lesions of the nail plates are noted, which complicates the treatment of onychomycosis in this group of patients.

Plantar hyperkeratosis treatment methods

Treatment of plantar hyperkeratosis should be comprehensive and include the elimination of the causes that caused excessive pressure on the skin of the feet, the selection and wearing of comfortable shoes, the treatment of concomitant pathology, including mycosis of the feet.

In most foreign countries, patients with plantar hyperkeratosis turn to podiatrists or podiatrists – specialists who diagnose and treat both biomechanical disorders and dermatological diseases of the feet [1]. In Russia, podological practice is not properly developed and does not have state certification. There are only a small number of private centers that offer podiatric services for a fee. In these centers, using special instruments, devices for medical pedicure with rotating burs and cutters, the areas of limited hyperkeratosis are removed layer by layer and painlessly. In addition, in these centers, special individual orthopedic insoles, prostheses and correctors are made that can redistribute the load to other areas of the skin of the foot, which also has a beneficial effect on reducing the severity of plantar hyperkeratosis.

At home, there are many methods of dealing with plantar hyperkeratosis. As means for removing horny masses, you can use various pedicure brushes, pumice stones, blades, scrubs, etc., which are abundant in our market, and their arsenal is constantly growing. In addition, today there is a large selection of cosmetics for foot skin care.

The necessary requirements for an external agent used in the presence of plantar hyperkeratosis are as follows: this agent should have a pronounced keratolytic effect and at the same time moisturize the skin of the feet with increased dryness, which is often observed with hyperkeratotic lesions (Fig. five). Of course, this agent is urea, which is part of many moisturizers and keratolytic agents. For over 100 years, urea has been successfully used in dermatological practice. Back in 1957, Kligman wrote: “sometimes, in our enthusiastic search for new therapeutic substances, we do not pay enough attention to old remedies, whose gloss has long been erased, but which nevertheless may at certain times be much more useful than new miracle drugs that fail … In the world of external therapy, such a drug is urea ”[9].

Urea can be used, depending on the concentration, when treating the wound surface, treating hyperkeratosis and increased dryness, atopic dermatitis, psoriasis, ichthyosis, eczema, keratosis, keratosis Pilaris, keratoderma, with traumatic and ingrown nails. In small concentrations (2-10%), urea has proven itself as a basic moisturizing therapy for inflammatory dermatoses, in high concentrations – 40% or more – it can even dissolve the nail plate, therefore it can be used in therapy in combination with antifungal drugs [10– 12].

In our opinion, Foretal Plus cream can take a special place in the treatment of plantar hyperkeratosis and increased dryness of the skin of the feet. This is one of the few drugs on the domestic market that combines a combination of urea and phospholipids. The concentration of urea in it is 25%. This, on the one hand, has a pronounced keratolytic effect, helps to cope well with increased dryness, relieves the rough skin of the heels. On the other hand, this product also has a pronounced moisturizing effect due to urea and phospholipids, which, as you know, are necessary for skin cells, i.e.Because they are the main components of plasma membranes and their main suppliers. Essential polyunsaturated fatty acids included in the composition of phospholipids provide the mobility of the cell membrane, which is necessary for the normal functioning of cells and the synthesis of lipids of the stratum corneum of the skin, which are responsible for its barrier functions. Phospholipids spontaneously organize into layered structures and create storage reservoirs of moisture for the skin. Having a high affinity for the skin, they bind to its cells with keranocytes and create a long-lasting moisturizing effect.The moisturizing effect of phospholipids is explained not only by their ability to bind water, but also due to their ability to form bilayer structures in water, they form a thin film on the surface of the skin, which protects it from moisture loss. It is also important to note the pronounced regenerative capacity of phospholipids, given the peculiarities of the skin of the feet, where the processes of renewal of the epidermis occur especially intensively due to mechanical stress.

Do not forget that urea in such a concentration (25%), which is used in Foretal Plus cream, can have an auxiliary effect in the treatment of hyperkeratotic forms of mycosis of the feet in combination with antifungal agents and be used as a prophylaxis for fungal infection, i.e.to. well eliminates the entrance gate – foci of hyperkeratosis, cracks. In addition, Foretal Plus cream fights well with increased dryness and eliminates excess keratin, which mushrooms use as a food substrate. Therefore, this cream has both therapeutic and prophylactic effects in the treatment of mycoses of the feet.

Thus, the constant use of Foretal Plus cream can replace a visit to the podiatric office for patients, since this drug actively helps to fight the manifestations of plantar hyperkeratosis.

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Is it harmful to walk barefoot? – Health Mail.ru

In Russia, as well as in many cultures of Asia and the Middle East, it is customary to walk barefoot at home. However, doctors believe that it is worth changing this tradition. And it’s not even about germs and dirt: walking barefoot around the house can lead to the development of various structural injuries of the foot.

Our feet are the foundation of the body, just like the foundation of a building.

They are responsible not only for weight distribution and body stability, but also for maintaining the position of the ankles, knees and back as we move from one point to another.

Orthopedists believe that walking barefoot weakens the plantar fascia (the ligament that connects the heel to the forefoot), and this can cause pain and discomfort not only in the feet, but throughout the body.

Hard surfaces are a danger to our feet

Podiatrist Phil Wasili says that our feet are actually designed to walk on softer, natural surfaces (such as sand and soil) rather than polished hard surfaces, so we can injure our feet by walking around the house without shoes.“The softer ground gives way to our heel as the foot touches the ground, allowing the outside of the foot to sink into the surface, thus supporting the foot,” says Vasili.

Since many surfaces are hard, walking indoors without shoes puts pressure on the arch of the foot, which in turn puts stress on various parts of the body.

For whom it is especially harmful to walk barefoot

Orthopedist Nelya Lobkva notes that after women reach 50 years of age, “they lose fat on the ball of the foot, reducing shock absorption.”This change impairs the ability to protect the knees, hips and lower back.

15 amazing facts about your health – in our gallery:

Shoes protect your feet from bacteria and fungi

And, of course, walking barefoot increases the risk of infection with fungus and bacteria. Most often, problems arise due to the fact that people go barefoot in public places: the gym, near the pool, go to a shared shower without slates.

But even your home floors, which seem clean at first glance, cannot be completely free of germs.What to say about carpets, where a large number of bacteria collect between the villi.

These harmful microorganisms first infect the skin and then can infect nails, resulting in thickened, discolored and brittle nails. The nail changes its appearance, there is an unpleasant odor.

Risks associated with walking barefoot

1. Athlete’s foot. This is the name given to a fungal infection of the foot, which usually develops on the soles of the feet and between the toes.Causes itching, dryness, flaking of the skin or, in more severe cases, inflammation, cracks and blisters.

2. Plantar fasciitis. The foot contains a thick layer of tissue called the plantar fascia that extends from the heel to the toes. The job of this tissue is to support the muscles and arch of the foot. Too much pulling will stretch it, and this will create tiny tears that cause pain and inflammation. What causes great stress? Walking barefoot: Without shoes, you have no arch support.

3. Nail fungus. This is a condition that occurs when a microscopic fungus enters one or more nails. A part of the fungus begins from the very “athlete’s foot”. As the nail fungus penetrates deeper into the nail, it can lead to discoloration, thickening and crumbling of the edges of the nail.

4. Plantar warts. Warts appear when the skin becomes infected with the human papillomavirus (HPV). They can also be found on the foot, but they usually occur in areas of direct pressure – on the pads of the toes and heels.