BACKGROUND: Plantar warts (aka verrucae) are skin lesions that develop along the toes or bottoms of the feet. They are caused by the human papilloma virus (HPV) and often look like a callus or corn. Depending on the size and location, they may be painful.
Plantar warts are not usually a serious health concern and may disappear in a few weeks or last many years. Plantar warts often make running, jumping, and even walking, uncomfortable because they press inwards on the sensitive nerves of the skin. The tenderness can change posture and cause strain elsewhere in the body. A little wart can be a big problem. Most times our own body can attack the wart and eradicate it on its own within a few months to 1 year.
IF it becomes tender and/or over-the-counter remedies are not working, or if they are spreading if is beneficial for the lesion to be evaluated and treated by a podiatrist. Many plantar wart treatment options are available to treat warts.
Unfortunately, many ‘over the counter’ preparations or at-home-remedies are generally unsuccessful in treating plantar warts due to their deeper and calluses-over formation.
Here at Kalmar Family Podiatry we offer many different treatment options to treat the wart depending on location, duration of wart, and our clinical examination.
- Prescription Strength Salicylic Acid (Our Products)
- Compound Wart Medication
- Prescription Anti-neoplastic Medications (eg. 5-Fluorouracil): Inhibits viral replication at the cellular level by inhibiting DNA & RNA synthesis
- Immunotherapy with intralesional injections (eg. Bleomycin, Candida): Warts are superficial skin viruses that the body sometimes does not recognize, which make them difficult to treat. Therefore, the purpose of these injections is to cause an immune response in order for your body to recognize the issue and respond and hopefully heal/eradicate the virus.
- Cryotherapy (via Cryoprobe): The CryoProbe is designed using the latest innovations in micro-technology, which enables the device to apply the nitrogen with direct, pinpoint precision onto a lesion through very fine micro-applicators. Delivers a fine pinpoint spray of liquid nitrous oxide at a constant temperature of minus-127 degrees of F under 725 psi of pressure to the tissue with precise accuracy.
- Surgical Removal (Excision): Usually not necessary but if all standard treatments fail to treat that wart is a valid and effective treatment option. The procedure is performed in the office under local anesthesia. The patient gets to walk post-excision with a sterile bandage.
The following tips may help to prevent plantar warts:
- Avoid touching the wart
- Avoid walking barefoot in communal changing or shower rooms
- Change shoes and socks daily.
- Keep feet clean and dry.
- Check children’s feet periodically.
- Avoid direct contact with warts on other persons or on other parts of the body.
- Do not ignore growths on, or changes in, your skin.
So, if you have any type of skin lesion on your foot, especially one that is painful or new, let the experts at Kalmar Family Podiatry diagnose your condition and treat it quickly and appropriately. Call us at 631-549-0955 OR use the "Contact Us" box below.