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Diplomate, American Board of Podiatric Surgery

Diplomate, American Board of Podiatric Surgery

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Plantar Warts

Overview

Plantar warts which are also called Verruca occur on the sole of the foot. They can be very painful because the entire weight of the body cause pressure against the verrucas. Plantar warts are usually rough with hard calluses around the painful wart. The center of the wart has small pinpoint black dots, these are the small capillaries that supply blood to the wart. Scraping or using a pumice stone on the wart may cause bleeding because of these small blood vessels. OTC treatment’s include topical medication like salicylic acid to remove the wart. Home remedies can be using duct tape to remove the wart,sometimes there is benefit. These generally have little success because the wart grows into the foot, so the depth of the wart is about 1/8 inch. Patient’s that have wart have a underlying problem that predisposes them, which is sweaty feet. Moisture is the environment that the wart like’s, so soaking the feet to reduce moisture can help reduce possible spread. Wart’s that hurt can be treated with laser treatment or removal. Patient’s may have multiple wart’s these are superficial and are called mosaic type warts.

Causes

Warts are benign growths that can occur anywhere on the skin. Normally, antibodies in the blood kill the virus. Some people are more susceptible to warts than other mainly because there feet sweat a lot and the virus can be present in shoes. They can spread between family member’s so it’s important to Lysol the shower to prevent that. 

A plantar wart is similar in structure to an iceberg, about 1/3 of its size is on the surface of the skin and remaining 2/3 is under the skin in the epidermal layer of skin. Warts are very superficial and don’t go deep into the foot.show small red or black dot’s, which are the blood supply to the wart. There can be significant pain with hard skin around them. The pain is caused by the wart being pinched when walking.

Wart’s are more common in children than adults.

Treatment

  • NON-PAINFUL WARTS — Try to keep the feet as dry as possible, many of these viruses will die within a year or so.
  • OTC TREATMENTS — Many times people try acid medication and duck tape generally this doesn’t help much because of the depth of the wart.
  • EXCISION OF PAINFUL WART — In this technique , we numb the area of the wart and remove it and use a chemical after removal to ensure the virus is killed. Healing time is short but the area is sore for about a week.
  • LASER TREATMENT — In this technique, we use a laser to kill the blood supply to the wart without having to remove them, this allows for no down time. Sometimes we need to numb the wart area before laserization. Success is over 80%.
  • Treatment is determined by the patient symptoms and pain.

Complications

Warts can regrow this indicates the virus is still present. If this occurs you need to see us a soon as possible to prevent possible spreading of the warts.

Plantar Wart Treatment