How do you identify plantar warts. What are the most effective over-the-counter treatments for plantar warts. Why is professional medical intervention sometimes necessary for plantar wart removal. How can you prevent plantar warts from recurring.

Understanding Plantar Warts: Causes and Symptoms

Plantar warts are a common foot condition that affects many individuals. These growths occur on the soles of the feet and are caused by the human papillomavirus (HPV). While generally harmless, plantar warts can cause discomfort and pain, especially when they develop in weight-bearing areas of the foot.

Identifying plantar warts is crucial for effective treatment. They typically appear as small, rough lesions on the skin, often with tiny black dots visible in the center. These dots are actually small blood vessels that have become clotted. Plantar warts may grow in clusters, known as mosaic warts, or appear as single lesions.

Key Characteristics of Plantar Warts:

• Rough, grainy appearance
• Thickened skin over the affected area
• Pain when walking or standing
• Interruption of normal skin lines
• Possible presence of tiny black dots

Do plantar warts always require treatment? Not necessarily. In many cases, plantar warts will resolve on their own within a few months to a couple of years. However, due to the discomfort they can cause and the risk of spreading, many individuals opt for treatment to speed up the healing process.

Over-the-Counter Solutions for Plantar Wart Removal

For those seeking to treat plantar warts at home, several over-the-counter (OTC) options are available. These treatments are generally safe and effective when used as directed, though results may vary depending on the individual and the severity of the wart.

Salicylic Acid: A Popular First-Line Treatment

Salicylic acid is one of the most commonly used OTC treatments for plantar warts. Available in various forms such as gels, liquids, and patches, salicylic acid works by gradually peeling away the infected skin.

How should you apply salicylic acid for optimal results? Follow these steps:

1. Soak the affected area in warm water for about 15 minutes to soften the skin.
2. Gently exfoliate the wart using a pumice stone or emery board.
3. Dry the area thoroughly.
4. Apply the salicylic acid product directly to the wart, avoiding the surrounding healthy skin.
5. Allow the application to dry before putting on socks or shoes.
6. Repeat this process once or twice daily until the wart disappears, which may take several weeks.

Is salicylic acid suitable for everyone? While generally safe, individuals with diabetes or poor circulation should consult a healthcare provider before using salicylic acid treatments, as they may be at higher risk for complications.

Cryotherapy: Freezing Warts at Home

Another popular OTC option is cryotherapy, which involves freezing the wart using products containing dimethyl ether and propane. These treatments aim to replicate the freezing method used by healthcare professionals, albeit at a lower intensity.

When using at-home cryotherapy products, it’s crucial to follow the instructions carefully to avoid damaging healthy skin. The freezing agent is typically applied for a short duration, causing the wart to blister and eventually fall off.

Are OTC cryotherapy products as effective as professional treatments? While convenient, OTC freezing products are generally less potent than those used by healthcare providers. They may require multiple applications and may not be as effective for larger or more stubborn warts.

Alternative Home Remedies: The Duct Tape Method

Among the various home remedies for plantar warts, the duct tape method has gained popularity despite mixed scientific evidence. This approach involves covering the wart with duct tape for extended periods, potentially suffocating the virus or gradually removing the infected skin.

To try the duct tape method:

1. Cut a piece of duct tape slightly larger than the wart.
2. Apply the tape directly over the wart, ensuring good adhesion.
3. Leave the tape in place for about six days.
4. Remove the tape, soak the wart in warm water, and gently exfoliate with a pumice stone.
5. Leave the wart uncovered overnight, then reapply fresh duct tape the next morning.
6. Repeat this process for several weeks or until the wart disappears.

Why might the duct tape method work? While the exact mechanism is unclear, some theories suggest that the adhesive in the tape may stimulate the immune system to fight the virus, or that the constant occlusion may deprive the wart of oxygen.

Professional Medical Treatments for Stubborn Plantar Warts

When OTC treatments and home remedies fail to resolve plantar warts, professional medical intervention may be necessary. Healthcare providers have access to more potent treatments and specialized techniques for wart removal.

Advanced Cryotherapy Techniques

Professional cryotherapy involves the use of liquid nitrogen to freeze the wart at a much lower temperature than OTC products can achieve. This method is often more effective but may require multiple treatments spaced several weeks apart.

How does professional cryotherapy differ from at-home freezing methods? The extreme cold of liquid nitrogen penetrates deeper into the skin, effectively destroying the wart tissue and stimulating an immune response to fight the virus.

Electrodessication and Curettage

For particularly stubborn warts, healthcare providers may recommend electrodessication and curettage. This procedure involves drying out the wart with an electric needle and then scraping it away with a specialized tool called a curette.

Is electrodessication suitable for all plantar warts? This method is typically reserved for warts that haven’t responded to other treatments, as it can leave scarring and may not be ideal for weight-bearing areas of the foot.

Preventing Plantar Wart Recurrence and Spread

After successfully treating plantar warts, taking preventive measures is crucial to avoid recurrence and prevent the spread of the virus to others.

Key Prevention Strategies:

• Keep feet clean and dry
• Wear breathable footwear
• Use flip-flops in public showers and locker rooms
• Avoid walking barefoot in public areas
• Don’t share towels or personal care items
• Boost your immune system through a healthy lifestyle

Can plantar warts be prevented entirely? While it’s impossible to guarantee complete prevention, these measures significantly reduce the risk of contracting or spreading the virus that causes plantar warts.

When to Seek Professional Help for Plantar Warts

While many plantar warts can be effectively treated at home, certain situations warrant professional medical attention. Recognizing when to consult a healthcare provider is crucial for proper management and to prevent complications.

Signs That Indicate Professional Care Is Needed:

• Persistent warts that don’t respond to OTC treatments
• Warts that cause significant pain or interfere with daily activities
• Multiple or spreading warts
• Uncertainty about whether the growth is indeed a wart
• Weakened immune system or underlying health conditions
• Signs of infection, such as increased pain, redness, or pus

How do healthcare providers diagnose plantar warts? Diagnosis typically involves a visual examination, but in some cases, a biopsy may be performed to rule out other conditions.

Innovative Treatments on the Horizon

As medical research advances, new treatments for plantar warts are emerging. These innovative approaches aim to provide more effective and less invasive options for wart removal.

Immunotherapy

Immunotherapy treatments work by stimulating the body’s immune system to fight the virus causing the wart. This can be done through topical applications, injections, or oral medications that enhance the immune response.

How does immunotherapy compare to traditional wart treatments? While still being studied, immunotherapy shows promise in treating resistant warts and may have a lower risk of scarring compared to some surgical methods.

Laser Therapy

Laser treatments use focused light energy to destroy the blood vessels feeding the wart, effectively killing the infected tissue. This method is particularly useful for warts that haven’t responded to other treatments.

Is laser therapy painful? While some discomfort may be experienced during the procedure, many patients find it less painful than cryotherapy or surgical removal.

Photodynamic Therapy

This treatment involves applying a light-sensitive medication to the wart and then exposing it to a specific wavelength of light. The interaction between the drug and light destroys the wart tissue.

What are the advantages of photodynamic therapy? It may be less likely to cause scarring and can be effective for multiple warts in a single treatment session.

Living with Plantar Warts: Management and Comfort

While waiting for treatments to take effect or if immediate removal is not possible, managing the discomfort associated with plantar warts is essential for maintaining quality of life.

Strategies for Comfort and Management:

• Use cushioned insoles or pads to relieve pressure on the wart
• Keep the affected area moisturized to prevent cracking and pain
• Wear comfortable, well-fitting shoes that don’t squeeze the feet
• Apply over-the-counter pain relievers if necessary
• Practice good foot hygiene to prevent spread and infection

Can lifestyle changes impact the healing of plantar warts? Maintaining overall health through a balanced diet, adequate sleep, and stress management can support the immune system’s ability to fight the virus.

Dealing with plantar warts requires patience and persistence. While these growths can be frustrating and uncomfortable, a combination of proper treatment, preventive measures, and lifestyle adjustments can effectively manage and eliminate them. Remember that each case is unique, and what works for one person may not be as effective for another. If you’re struggling with persistent plantar warts, don’t hesitate to consult a healthcare professional for personalized advice and treatment options. By staying informed and proactive, you can take control of your foot health and step confidently into a wart-free future.

How to get rid of plantar warts

Plantar warts are warts that occur on the bottoms of the feet.

While plantar warts are almost always harmless, they can be very painful if they occur in a spot on the foot that supports your weight. Plantar warts are very common, and they typically go away on their own. However, although some plantar warts disappear in a couple weeks or months, it can take as long as a couple of years for them to go away.

If you have plantar warts and want them removed, you have a number of options for treating them at home, or you can visit your healthcare provider for plantar wart removal. Here’s what you need to know about getting rid of plantar warts.

Over-the-counter wart treatments

There are wart treatments that are available over the counter for home use.

• Salicylic acid is available in a number of over-the-counter plantar wart removal products, including gels, liquids and patches. These range in concentration from 17% to 40%. For warts on thick skin, use a product with a higher concentration, and for those on thinner, more sensitive skin, use a lower concentration.

To remove warts with salicylic acid:

1. Soak the plantar wart in water for 15 minutes to soften it.
2. Use a pumice stone or emery board to remove the top layer of dead skin.
3. Rinse and thoroughly dry the wart.
4. Apply the salicylic acid product to the wart. Try to avoid getting it on the surrounding skin. Allow the product to dry before putting on shoes or socks.
5. Repeat these steps once or twice a day until the wart goes away.
    

It can take as long as three months for the wart to go away. Once the wart is gone, continue treatment for another week or two to help prevent it from growing back.

• Freeze sprays are another over-the-counter option for plantar wart removal. These products typically contain a mix of dimethyl ether and propan. The product is briefly applied to the surface of the wart to freeze it. When using this cryotherapy method, it is important to follow the instructions on the package carefully to avoid burning the skin.

Home remedies for warts

While using duct tape isn’t a highly researched remedy for plantar warts, the studies that have been done show mixed results. Still, anecdotal evidence shows that for some people, duct tape is a tried-and-true wart remedy, and it’s worth a try if you’re not too keen on having to apply salicylic acid to the wart every day. Scientists aren’t sure why duct tape works, but some suspect it may suffocate the wart—or simply remove the skin and virus in layers until the wart disappears.

To treat a wart with duct tape, choose the classic silver variety, which is stickier than other types. Follow these steps:

1. Soak the wart for 15 minutes.
2. Gently file the wart with an emery board or pumice stone.
3. Rinse and thoroughly dry the wart.
4. Place a piece of duct tape directly over the wart so that it extends beyond the perimeter of the wart. Press firmly to create a strong bond.
5. Leave the duct tape on for up to a week. If it falls off, replace it.
6. On the sixth or seventh day, remove the duct tape, soak and file the wart, and leave it uncovered overnight.
7. The next day, reapply the tape, and repeat the same process until the wart disappears.
    

Some people remove warts with salicylic acid treatment combined with a duct tape patch.

Can you pull out a plantar wart with
tweezers?

No, never try pulling out plantar warts with tweezers. Pulling out a plantar wart yourself is extremely painful, and it’s unlikely that you’ll get all of it. This means it’s more likely that it’ll grow back. Pulling out plantar warts with tweezers can also lead to a serious infection.

Can you cut off a plantar wart?

No, never attempt to cut off a plantar wart at home. If you want your wart completely removed, visit your healthcare provider.

Plantar wart treatment by your
healthcare provider

For complete plantar wart removal, visit your healthcare provider, who will use one of a few effective methods for getting rid of plantar warts, including:

Cryotherapy.  One of the most commonly used plantar wart removal methods involves freezing them off, a procedure known as cryotherapy. To freeze plantar warts, your healthcare provider will swab or spray liquid nitrogen onto the wart and a small area surrounding the wart. The liquid nitrogen is extremely cold and burns the skin, killing the virus-infected cells. Freezing plantar warts is painful and causes redness and, in some cases, blisters. It typically takes several treatments spaced two to three weeks apart to freeze plantar warts completely off.

Electrodessication. Also known as zapping and cutting or cautery and curettage, electrodessication involves drying the wart with an electric needle and using a small, scoop-like instrument called a curette to dig out the wart. Electrodessication typically leaves scarring, and it’s not generally recommended for plantar warts unless they don’t respond to other treatments.

Other plantar wart treatment methods

Other options your healthcare provider might recommend for plantar wart removal include:

• Cutting the wart out with a scalpel, which produces similar results as electrodessication, including possible scarring.
• Prescription drugs like topical imiquimod, an immunotherapy drug, or topical fluorouracil, a chemotherapy drug. These are applied to the wart as a cream. The chemotherapy drug bleomycin is a plantar wart treatment medication that’s injected into the wart.
• Intralesional immunotherapy, which involves testing the patient for a positive reaction to skin test antigens for mumps, Candida or Trichophyton. If the test is positive, the wart is injected with the antigen, which causes an allergic response that breaks down the HPV virus to remove the wart.

If your plantar warts aren’t causing you pain or discomfort, you can let them go away on their own. But if they’re painful, itchy or bothersome, visit your healthcare provider for advice on plantar wart treatment. Many healthcare providers will recommend over-the-counter treatments first. If your wart doesn’t respond to these treatments, your healthcare provider will explain your options and help you decide which removal method is best for you.

Published February 2022.

Sources:

1. https://www.ncbi.nlm.nih.gov/books/NBK279586/
2. https://www.health.harvard.edu/diseases-and-conditions/how-to-get-rid-of-warts

Warts: Diagnosis and treatment

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Plantar Wart (Spike): Causes and Treatments

June 21, 2018

Plantar Warts is a type of wart that occurs on the soles of the feet and on the palms of the hands.
Of all skin warts, plantar warts occur in 30%. They are the ones most often removed.

The only cause is the human papillomavirus, HPV for short.

Scheme of infection: people scratched the skin. The virus enters the skin. Embedded in the genes of skin cells. The cell takes on ugly forms, becoming similar to tumor cells.

Caution: Some types of human papillomavirus can cause cervical dysplasia and cancer.
Infection with the type of HPV that causes warts occurs during childhood. Almost all children become infected with this virus – in kindergartens, at schools, in public places. But not everyone gets sick – it all depends on the immune system. In childhood, warts appear for the first time. Then the adult’s immune system copes with this virus. Therefore, in adults, warts on the skin rarely appear. And if an adult has spikes, this indicates a decrease in the activity of the immune system.
Entrance gates for the virus are injuries of the soles of the feet and palms: scratches, cuts, abrasions and calluses. Provoking factors – excessive sweating of the feet and wearing tight shoes, stress.

Main manifestation : hard, round formation on the palm or sole of the foot.

Main symptom : Pain when walking and itching around the wart.

Initial stage:

• a small callus appears,
• she itches,
• hurts when walking.

After 2-4 weeks:

• Rough surface appears in the center,
• often – black dots in the center, **
• along the edges – a small roller of keratinized skin.

Why?

• Why do spines appear on the palm and sole? Because the skin here is especially dense (unlike other parts of the body). And this type of HPV virus infects just such skin.
• Why does it hurt when walking? Because the spine grows inward. When walking, the weight of the body presses on the wart and it compresses the pain receptors.
• Why is itching? Because the ugly cells of the plantar wart on the foot and palm press on neighboring skin receptors, which leads to itching.
• Why black dots? This is the result of blockage of blood vessels in the thickness of the wart on the foot or on the palm.

Dimensions – 3 -10 mm. At the same time, they rise above the surface of the skin by only 1-2 mm, because they grow inward and in breadth.
Child warts may appear nearby. They merge with the mother and form a painful conglomerate. This is a clear indicator of a decrease in immunity. And this often requires medical treatment.

Methods of treatment:

In 90% of people, a plantar wart goes away without treatment at an early stage. The immune system suppresses the virus and heals the skin.
The time of self-healing depends on the stage of the process: from 2 weeks to 1.5 years.

When should a thorn be treated?

• if it hurts a lot,
• if it interferes with walking,
• if grown to a large size,
• if children appear nearby.

How and with what to treat warts on the feet?

Removal – a treatment that is successful in 98% of patients

Drug removal

Local necrotizing agents are used for this purpose.
Solcoderm, vartoks, duofilm, kollomak, super celandine and others
They contain acids or alkalis. Removal of plantar warts (thorns) occurs through a chemical burn of the skin. The wart is dying.
And in this place there is an inconspicuous scar.
The treatment time is long: an average of 14-20 days).
The probability of recurrence (reappearance at the same place) is very high.

Instrument removal

• Laser.

Your wart will be vaporized by the laser. In this place you will have a deep wound. The wound will heal in 10-14 days.
Disadvantages of the method: deep wound after removal. Rough scarring.

• Liquid nitrogen.

Deep freezing of tissue occurs. A bubble forms. It will hurt a lot and then hurt more!! Heals 14 days.
Disadvantages of the method: Severe pain during removal and after removal. Prolonged healing. Rough scar.

• Radio wave radiation (device “Surgitron”).

The same effect as from the laser – tissue evaporation. And only a deepening-wound will remain from the wart.

Advantages of the method:

Nearby vessels are coagulated, forming a dense crust at the site of the neoplasm, so the removal is performed without damage to the vessels and does not cause even the slightest blood loss.
The crust disappears on its own after 7-10 days. In its place is an inconspicuous scar.

The wart is burned out with an electrocoagulator. This is the same scalpel, only electric. It is now rarely used in large clinics.

Prevention is the foundation of the foundations

• Wearing loose shoes.
• Treatment of excessive sweating of the feet.
• Treatment of injuries, scratches and cuts on the feet.
• A healthy lifestyle and strengthening of the immune system is the prevention of viral diseases, including the HPV virus.

plantar wart wart removal spine

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Plantar wart – treatment and removal of warts

Life with a plantar wart is a torment: it is impossible to stand or walk. And it’s scary to go to the doctor – the removal is very painful, and the wound after such a procedure heals for a long time. And only recently, dermatologists have a gentle way to deal with this problem.

Whatever people came up with in search of a way to get rid of plantar warts. They rubbed them with potatoes or garlic, tied the meat to the wart. The use of “burning” products at home is often ineffective and can lead to the appearance of rough scars. In general, anyone who has ever tried to get rid of a plantar wart on their own knows that everything is useless, you cannot do without a doctor.

IMPORTANT! Information from the article cannot be used for self-diagnosis and self-treatment! Only a doctor can prescribe the necessary examinations, establish a diagnosis and draw up a treatment plan for a consultation!

What is a plantar wart?

A plantar wart is nothing like the ones you see on the body. Why do they appear, as if from nowhere? There was nothing on the sole of the foot and suddenly you can’t walk.

Any warts are skin neoplasms, the development of which is provoked by human papillomavirus (HPV) . That is, a wart is a viral disease that needs to be treated systemically.

You can become infected with HPV through contact with an infected person or through household items, especially if a person has weakened immunity, both general and local. The virus most easily penetrates the skin through microtraumas and skin soaked in water (maceration), so often the most unpleasant – plantar – warts appear in those who visit the pool or gym.

Warts are different:

• vulgar (translated from Latin – ordinary),
• flat,
• plantar
• genital warts.

Of course, warts do not color anyone, so their owners try to get rid of a cosmetic defect. But the pain is delivered, as a rule, plantar. Outwardly, they look like corns and occur more often on the skin of the soles – in places of pressure and friction.

Usually the skin thickens there due to increased keratinization. When pressure is applied to plantar warts, the pain can be so intense that patients compare it to a “nail in a boot.”

Treatment of a plantar wart at home

Drugs are sold in pharmacies, the instructions for which say that the indication for use is plantar warts. But, removing warts at home is undesirable, because it is often ineffective and can cause complications.

Most home remedies are strong solutions of alkalis or acids. When using them, the occurrence of a deep long-healing burn and the development of a rough scar are possible 0008 . With insufficient exposure, warts reappear. In addition, infection of the wound and the development of purulent complications are possible.

The method of treatment must be chosen by the physician . And the application of any destructive drugs should also be carried out by a doctor or take place under his supervision.

Removal of plantar warts

How this is done is up to the doctor. It is possible to minimize the risk of recurrence (relapse) of the wart with the help of complex therapy. Despite the fact that today there are no drugs that completely kill the human papillomavirus in the body, many patients need antiviral therapy. In addition, the formed wart must be removed. For the destruction (destruction) of warts, a laser, liquid nitrogen, cauterizing, keratolytic and mummifying agents can be used.

Laser removal of large warts is often more effective than liquid nitrogen removal. Before laser destruction, the plantar wart is chipped with an anesthetic, which is a rather painful procedure. During laser destruction, in addition to the destruction of the formation itself, thermal heating (burning) of the surrounding tissues occurs, which, on the one hand, damages the virus, and on the other hand, leads to some inflammation around the removed wart. Wounds on the skin of the soles do not heal quickly, as there is constant pressure on the damaged area when walking.