A plantar wart is a hard, flat, benign skin tumor, which accounts for approximately 35% of the total number of warts. The location of the wart leads to its constant injury and pain when walking. Plantar warts can appear at any age, but are most often diagnosed in 20-30 years, as well as in children and the elderly. Plantar wart in a child is most common after five years and practically does not occur in newborns.
Plantar warts can cause a temporary loss of efficiency.
Causes and risk factors
Infectious agent for plantar warts is human papillomavirus (HPV, papillomavirus), which can be transmitted through direct contact with an infected person or through common objects. Human papillomavirus is one of the most common viruses in the world, according to some data, carriers are observed in 90% of the adult population. When it enters the human body, the virus infects the basal layer of the epithelium, while the zone of the stratified squamous epithelium is more susceptible to damage. In an infected cell, the virus can exist in an episomal form (outside the cell's chromosomes), which is considered benign, or in an introsomal form (embedded in the cell's genome), which is malignant. A person can be infected at the same time with several types of papillomavirus.
Infection is promoted by irritation of the skin, as well as microtraumas (cuts, scratches, sores, etc.). The risk of plantar warts increases with immunodeficiency states, as well as with frequent stressful situations. The most favorable for the development of the virus is a warm and humid environment. For this reason, infection often occurs in the bath, sauna, swimming pool, gym. Since the virus quickly dies in direct sunlight, infection on public beaches is unlikely. Infection is possible when walking barefoot in areas where the patient lives with a plantar wart. In this case, the disease may occur several months after infection.
In addition, risk factors include:
- diseases that lead to disruption of the trophic tissue of the foot (atherosclerosis, varicose veins of the lower extremities, diabetes mellitus),
- frequent diseases of infectious etiology,
- the presence of chronic pathological processes in the body,
- foot deformities (with arthritis of the small foot joints, deforming osteoarthrosis, flatfoot),
- excessive sweating (hyperhidrosis), or, conversely, dry skin of the feet,
- lack of sleep at night
- poor nutrition,
- wearing close, uncomfortable, poor-quality (not breathable) shoes,
- abuse of some cosmetic procedures (peeling, hair removal),
- non-compliance with personal hygiene.
Forms of the disease
There are several types of warts:
- aboutwarts (vulgar) warts - painless grayish-white dense dry protuberances that are prone to merge with the formation of large plaques,
- flat warts - painless flat nodules of round or irregular shape,
- genital warts- small nodules that can merge into large groups,
- filiform warts - long processes of the skin, usually occurring on the neck, eyelids, near the lips, under the nose and in the armpits.
Infectious agent for plantar warts is human papillomavirus (HPV, papillomavirus), which can be transmitted through direct contact with an infected person or through common objects.
Plantar warts are a type of common warts, which, as a rule, are formed on the skin of the toes or on the heels (in places of the greatest pressure of the shoe).
The plantar wart is a hard seal on the skin of the foot measuring 1-2 cm, which usually has a round or oval shape. The neoplasm rises approximately 1-3 mm above the skin surface. Its color at the beginning of the disease, as a rule, does not change, but may be pink or light brown.
In the initial stages of development, the surface of the plantar wart is smooth. As the pathological process develops, the wart becomes covered with layers of keratinized epithelium, becomes rough and acquires a grayish-yellow color. Sometimes a crater-like depression appears in the central part. Thrombosis of the superficial capillaries in the affected area can lead to the appearance of brown-black spots on the surface. Usually the tumor is isolated, the occurrence of several plantar warts may indicate a high activity of HPV. Multiple plantar warts form a mosaic pattern on the skin. As a rule, warts themselves are not painful, but can be injured when walking, bleeding and cause severe discomfort, and sometimes sharp pain. Unlike corns, plantar warts are sensitive to friction.
Plantar wart may look like a blister or resemble cutaneous hyperkeratosis. Dermatoscopy method is used to differentiate with these pathological processes. The detection of thrombosed capillaries in the affected area and the absence of a skin pattern on the surface of the neoplasm are evidence in favor of a plantar wart.
In order to identify the infectious agent, a scraping of the affected area is carried out using the polymerase chain reaction method. To determine the depth to which the plantar wart has sprouted, ultrasound is resorted to, if necessary. If a malignant neoplasm is suspected, consultation with an oncologist is necessary.
Plantar warts can appear at any age, but are most often diagnosed in 20-30 years, as well as in children and the elderly.
Differential diagnosis is required with keratodermia of the soles of Reiter syndrome, palmar and plantar syphiloids, and similar conditions.
Treatment of Plantar Wart
In about 27% of cases, there is a complete self-resolution of the plantar wart for 3-4 weeks. There are no traces on the skin of the foot. However, in most cases, due to constant trauma, self-healing of the plantar wart does not occur. Compared with other types, plantar warts are more difficult to treat.
As a local therapy, keratolysis will be applied at the initial stage of plantar wart development, i.e. peeling dead cells of the epithelium using keratolytic agents. Such treatment of plantar warts is carried out with the help of preparations containing salicylic acid. To remove the neoplasm, daily warm foot baths are recommended for 5–10 minutes, then the legs are dried, the soles in the neoplasm area are treated with pumice stone followed by applying an occlusive patch or dressing on the wart. The upper layer of the affected area should be removed daily with the help of pumice, which facilitates penetration deep into the drug. An important condition for the effectiveness of this method of treatment is the regularity of the procedure. Full cure occurs within three months in 10–15% of patients.
There are several methods for removing plantar warts.
Electrocoagulation is the removal of a plantar wart by means of a surgical coagulator that generates a high frequency current. The procedure is performed under local anesthesia. The wart is cut off with an electrode that coagulates and the tissues adjacent to the tumor. Electrocoagulation avoids bleeding and tissue infection at the site of intervention. The removed material is stored and sent to the laboratory for histological analysis. In case of deep germination of a wart, after its removal a light inconspicuous scar may remain on the skin of the foot. Electrocoagulation is not suitable for removing large or deep plantar warts.
Cryodestruction of the plantar wart with liquid nitrogen is carried out using a cold applicator. The freezing time depends on the size of the neoplasm and ranges from half to one minute. When removing plantar warts using cryodestruction, it is necessary to accurately calculate the depth of exposure (if the effect is too intense, a noticeable scar can remain, if not, the risk of recurrence of the wart at the same place increases). The procedure is carried out several times with an interval of 3-5 days. After cryotherapy, an epidermal bladder arises at the site of impact, which then gradually transforms into a dense crust, after rejection of which there is an inconspicuous pink spot on the skin. This method is the most popular way to remove plantar warts, because it is characterized by painless, high cosmetic effect (does not leave behind a noticeable scar). For these reasons, cryodestruction is recommended for the treatment of plantar warts in a child.
Laser removal of plantar warts is carried out in layers under local anesthesia. At the site of the plantar wart removed, there remains a groove that flattens out within two weeks. The method is not very painful, it allows you to accurately control the depth of impact, while direct contact of the manipulator with the tissues is excluded, eliminating the risk of infection. The advantages of the method include an extremely low risk of recurrence and a good cosmetic effect. The disadvantage of the method is the lack of the possibility of subsequent laboratory studies of a remote tumor. Laser removal can be applied to plantar warts that are difficult to get rid of by other methods.
It is used for large plantar warts, as well as extensive lesions, when tumors merge into a conglomerate. Surgical intervention is performed under local anesthesia. Plantar wart is excised with a scalpel to the papillary layer of the skin. The tumor tissue does not bleed, bleeding begins at the border of the plantar wart and healthy tissue. After excision, stitches are applied, for which thick filaments and an atraumatic needle are used. First, the stitches are put on the entire length of the wound, then the wound edges are pulled together, and the suture is tightened from the edges of the wound. Intradermal cosmetic sutures are removed approximately one week after surgery. After healing, a light thin scar remains on the skin. The removed neoplasm is sent for histological examination. In the case of multiple neoplasms, as well as with frequent relapses of the disease, surgical excision of plantar warts is supplemented with antiviral and immunomodulatory general therapy.
Uncomplicated plantar warts can self-heal.
For the treatment of plantar warts can be used immunotherapy. Used immunomodulators of local action, stimulating the production of cytokines. The drug is applied to the affected area once a week. Also, anticancer drugs from the group of antimetabolites can be applied to the affected area under the occlusive dressing.
In some cases, they resort to intra-focal injections of antigens that stimulate the reaction of the patient's immune system to the virus that caused the development of the pathological process. This method is used with the ineffectiveness of other methods of removing plantar warts.
Possible complications and consequences
Plantar warts can be difficult to walk, and the friction and pressure of the shoes cause intense pain, forcing the patient to choose looser shoes and / or change the gait. The latter can cause pain in the muscles and joints. The addition of a secondary infection leads to the development of inflammation, which further increases the pain. Some strains of HPV are carcinogenic, for this reason, malignant degeneration of a neoplasm is possible.
In some cases, aggressive therapy of plantar warts (especially their self-treatment) causes bleeding, the addition of a secondary infection, severe pain, swelling, suppuration, temporary inability to walk.
Uncomplicated plantar warts can self-heal. The resolution of the pathological process is determined by the restoration of a normal papillary pattern on the affected area.
With the right treatment, complete recovery occurs, in some cases, plantar warts recur.
The primary prevention of the occurrence of plantar warts is to prevent infection with the papillomavirus. For these purposes, it is recommended to use individual shoes in public places such as saunas, swimming pools. Proper care of the skin of the feet (regular pedicure, treatment of the skin of the feet with emollients, peeling of the soles) is of great importance. Persons with deformities of the feet are recommended to wear shoes with orthopedic insoles, the use of orthoses.
With increased sweating of the skin of the feet, it is important to choose shoes made from natural materials, as well as the use of drying agents. When dryness of the skin of the legs and the occurrence of cracks, it is recommended to regularly use moisturizing cosmetics, medicinal baths for the legs with the addition of essential oils and / or herbal infusions have a good effect.
What causes warts on the feet
HPV can live without a carrier for more than one month, which allows it to appear in places where the risk of infection is extremely small. However, the rays of the sun for him are destructive, so it is impossible to get infected on the beach
Transmission occurs through:
- direct contact with an infected person,
- abrasions or leg wounds.
Contaminated areas or common areas (baths, toilet, pool) can become carriers of the infection. High humidity, excessive heat contribute to the activation of pathology. Upon contact, the virus attacks all sorts of damage on the feet. Penetrating inside, it becomes passive from one week to a month.
The cause of the appearance of warts can be:
- Sock uncomfortable, tight shoes. It puts pressure on the skin and friction occurs.
- Minor damage to the skin of the feet.
- Diseases that violate tissue trophism (diabetes, varicose veins).
- Deformation of the foot (flatfoot, arthritis).
- Sweating or excessive dryness of the epidermis.
While wearing shoes, a wart can be pressed into the lower layer of the skin and develop inside. On the surface, growths are formed, which are increasing every day.
The adult generation produces immunity to various diseases, therefore plantar warts are more common in children. However, during pregnancy, HPV may begin to actively spread, this is due to a weakened immune system.
What a plantar wart looks like
The wart on the foot is difficult to distinguish from dry corns. The exact answer can be obtained from a specialist, he will take a scraping, send for analysis.After confirming the diagnosis, an ultrasound is assigned to determine the depth of the lesion.
The main signs of warts:
- Size and shape.
The boundaries of the growth are clear, oval-shaped. Dimensions in width reach two centimeters, a height of about two millimeters. Growth occurs inward and wide.
At the initial stage, the color does not differ from the surrounding skin, has a pink or brownish tint. As the wart develops, the color changes to a distinct yellow.
After four weeks of growth, a roughness appears, its structure begins to resemble a cauliflower. Around the formation can be seen keratinized skin, resembling a roller.
The appearance of black dots on the surface of the formation indicates a blockage of capillaries located in the thickness of the wart. When it is opened, they may bleed.
Plantar wart has two names derived from its origin:
Having examined the wart under a microscope, it becomes clear that the visible part on the surface of the foot is a small fraction of the structure.
- The main body of the formation is located deep in the skin. It is shrouded in blood vessels that nourish it.
- Rods that penetrate the body of the wart at the initial stage have a red or pinkish tint.
- During treatment or with old growths, the rods are black.
On the surface of the foot or toes, the black dot is the root of the plantar wart.
If you delete it yourself, then black threads will be noticed after the procedure. In such a situation, it is best to consult a dermatologist for help. It is important to know if the roots were extracted incorrectly, then the growth of the wart will not stop.
Viral warts on the foot are rarely determined by symptoms.
A number of warning signs that are a reason for going to a doctor:
- The size of the growth becomes larger every day
- Itching, colitis,
- Got a black color
- Started to bleed
- There has been a sprawl.
A small itch does not cause much discomfort. After a significant increase in the sole of the foot, the seal begins to ache when walking. This is due to the fact that the spike grows inwards, when the weight is transferred to the infected surface, it contracts (this is different from corns, they only hurt with direct pressure).
If it was noticed that the wart is blackened, do not panic. Taking the pills, starting treatment for warts, can be the causes of discoloration. But undue attention to it does not hurt.
Treatment of plantar warts is more difficult than other types. There are four types of disposal of them:
- Exfoliation of dead cells. The procedure can be done at home, before referring to specialists.
- Immunotherapy. Enhance immunity with vitamins, using special creams.
- Laser removal.
- Surgical removal.
Medicine offers various ways to effectively get rid of plantar growths.
Liquid nitrogen removal
The procedure is performed with liquid nitrogen at its negative temperature of 196 C 0. The affected tissues are frozen until a white halo of 1 mm appears. A repetition is done every 2 weeks. Anesthesia is done to children or people with high skin sensitivity.
It is considered the cheapest way and is very popular. It is famous for its simple procedure, after which there are practically no scars. However, basically everything depends on the experience of the specialist. Before you begin, he must be confident in the depth of the defeat of the skin. With excessive intensity of exposure can remain scars, and with a small - there is a chance of relapse.
During laser irradiation, the affected tissues evaporate. The procedure is usually painless, but when removing plantar warts, it requires local anesthesia. Getting rid of the wart occurs in one session.
The obvious advantages are the absence of scars or scars on the foot, the sterility of the method, rapid healing. Unlike the nitrogen method, the specialist does not need to know the depth of the lesion, he will be able to control the penetration in the removal process.
The radio wave method is used for a long time, at present it has not lost its effectiveness. The procedure is performed using a radiobore without direct contact. In the process, cauterization of the vessels occurs, which prevents the spread of infection. Deepening heals within two weeks.
Removal occurs with high frequency current. The wart has a direct effect on the electrode in the working tip. Dying off of infected cells occurs due to high temperature, they remain inside. In the process of restoring the skin, they will be forced out. In one procedure, it is possible to remove several growths at a time.
Surgical removal is an extreme measure. Used when the wart is large. Excision is made with a scalpel under the anesthetic. Healing time is delayed, and scars remain at the site of removal.
In the pharmacy, you can find various drugs to combat papillomas on the sole.
- Salicylic ointment has anti-inflammatory effect.
- Oxolinic ointment and Ridoksol - antiviral drugs.
- Viferon is available in the form of cream, has an immunostimulating effect.
Salipod - a plaster for local removal of growths. It is glued to a pre-steamed surface. Sulfur and salicylic acid contained in the composition soften and reject the stratum corneum.
- Feresol - a solution that causes mummification of warts. Requires caution in applying to an infected surface. In case of contact with healthy areas, it may be injured.
- Kollomak - keratolytic drug, which is spotted on the affected area twice a day. It is allowed to apply to children, women during pregnancy. During the session it is allowed to process no more than one wart. Contraindication is renal failure. For removal of side effects: irritation or severe redness, it is recommended to wash it off with water.
- Solkoderm - a tool that causes local skin necrosis. Available in ampoules. The composition includes: acetic acid, nitric acid, oxalic acid.
To folk remedies non-traditional methods of treatment include:
The wart is steamed or soaked in water for a painless cut with sharp scissors. Garlic needs a small eraser, it is fixed with a plaster on the wart. The procedure is done at night during the month.
- Grass Celandine or Super Cleaner.
The spike tongue is cut with a sharp, sterile object, then orange juice is squeezed out onto the cut. Repeat 5 times during the day. Recovery occurs in 2-3 months.
- Potato Flowers.
Insist flowers on alcohol for 20-25 days. Then make compresses in the night: moisten cotton wool in the tincture, apply to the wart, wrap the foot with polyethylene. For ease of movement wear a sock.
Treatment with improvised means
You can try HPV with home remedies such as alloe, vinegar, potassium permanganate. Such methods are more benign than laser treatment or nitrogen treatment.
- Alloe Well known for its antibacterial action. Promotes rapid healing of not only wounds, but also burns. You can use the leaves of the plant or gel Alloe Vera. Apply to the nail for a few weeks until it turns black. After should fall away itself.
- Vinegar. Combine the flour with a 9% solution of vinegar. Make a hole in the adhesive plaster under the nails, stick it on, smear the mixture over it. Place a piece of the whole patch on the dough. Walk 3 days, do not soak.
- Potassium permanganate First, the sole is steamed out, then a small part of the wart is cut off. The manganese crystal is placed in the middle and sealed with a plaster. Walk until the plaster disappears by itself. Repeat the procedure 4 times.
The consequences of self-treatment
If the body has become a carrier of human papillomavirus, you should not start the treatment yourself. It is necessary to seek help from specialists. They will analyze and tell you what the build-up is.
By daring home removal, you can harm the body more than it helps. Many drugs are designed only to combat HPV, their other use can cause a burn, and after scars and scars.
A wart can be both benign and malignant. If the latter is damaged, the risk of skin cancer increases.
Plantar warts are benign epithelial tumors caused by the human papillomavirus, which, in turn, is found in more than 118 types. Each subtype may have a preference for specific areas of the body. For example, plantar warts are more commonly caused by papillomavirus subtypes 1, 2, 4, 27 and 57, while anogenital warts are more often caused by viruses subtypes 6 and 11. Papillomavirus is transmitted through direct skin contact, including from person to person, and also to be acquired by walking barefoot on contaminated surfaces, such as public bathrooms, changing rooms, or dirty ground. The virus can live for several months without a carrier, which makes it extremely infectious. The virus attacks the skin during direct contact, penetrating through possible tiny cuts and abrasions in the stratum corneum (outer skin layer). After infection, the warts can appear only after a few weeks or months. Because of the pressure on the foot and toes, the wart can be pressed inward, and the stratum corneum can build up above it. Plantar warts can hurt if they are not cured. Warts can spread through autoinoculation, infecting the surrounding skin. In this way, they can unite and form mosaic clusters.
With age, people develop immunity, so infection is more common in children than in adults.
Diagnostics Causes or Causes?
The only reason is human papillomavirus, abbreviated (HPV - read all about this virus). WARNING: parasites in the intestines are not the cause of warts! (see exposition from Elena Malysheva).
Infection Scheme:the man scratched his skin. The virus penetrates the skin. Integrates into skin cell genes. And the cell becomes ugly, becoming like a tumor cell. Many of these cells look like a wart.
Attention:Some types of human papillomavirus can cause dysplasia and cervical cancer (read a detailed article about cervical dysplasia).
Infected! When did this happen?
Infection with a type of HPV that causes warts occurs in childhood. Almost all children are infected with this virus - in kindergartens, in schools, in public places. But not everyone gets sick - it all depends on immunity.
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 are rare. And if the adult has spines, it indicates a decrease in the activity of the immune system. Read more about the functioning of the immune system.
The entrance gates for the virus are injuries to the soles of the feet and palms: scratches, cuts, abrasions and calluses.
Provocative factors - excessive sweating of the feet and wearing tight shoes, stress.
Symptoms and manifestations
Main manifestation: dense rounded education on the palm or the sole of the foot.
Main symptom: pain when walking and itching in the area of the wart.
- a small "callus" appears on the skin,
- it itches a little,
- when walking a little pain.
In 2-4 weeks
- a rough surface appears in the center,
- often black dots in the center
- along the edges there is a small roller of keratinized skin.
- 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 affects just such a skin.
- Why does it hurt when walking? Because plantar wart grows inward. When walking the body weight pushes the wart and it squeezes the pain receptors.
- Why is itchy skin? Because the ugly cells grow and put pressure on the adjacent 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, the pathological formation rises only 1-2 mm above the surface of the skin, because it grows inward and in breadth.
Nearby may appear child warts. They merge with the maternal and form a painful conglomerate. This is a clear indicator of reduced immunity. And this often requires medical treatment.
Yellow color - the surface of the skin.
Violet - virus-infected cells grow, forming the body of the spike.
1) Removal with drugs
For these purposes, local necrosisers are used.
- Solkoderm (detailed article about this drug - link),
- Wartox (read more detail - link),
- duofilm (instruction)
- Collomac (instruction)
- super clean
- Verrukatsid, or Faresol (read instructions) - acts softer, efficiency is good,
- Lapis (read about lapis pens) is effective for long-term use.
They contain acids or alkalis. Removal of plantar warts (prickles) occurs through a chemical burn of the skin. The wart is dying off. And on this place remains inconspicuous scar.
Treatment time: 1 - 5 weeks (an average of 14-20 days).
To prepare for the wart procedure, you can glue the salipod corn plaster (2 days), or cut the spike with a nail scissors.
2) Instrumental removal.
but) Soft laser. (read more)
Your wart will evaporate under the action of the laser. In this place you will have a deep wound. The wound will heal in 10-14 days.
Here is a video of laser wart removal:
But the reader reviews: link
b) A liquid nitrogen. (details about this method)
Deep tissue freezing occurs. A bubble forms. It will be boooolno and then it still hurts !! Heals 14 days.
Here is a video of the cryodestruction of the wart on the foot with liquid nitrogen:
But reader reviews: review 1 and review 2
at) Radio wave radiation (apparatus "Surgitron" and others). (read more)
The same effect as from a laser - the evaporation of tissues. And it will remain from the wart only deepening-wound.
Here's a video of the removal of the plantar wart radio wave with a loopback tip (view from 40 seconds):
Here's a reader review: link
d) Surgical removal of the wart with a scalpel.
Produced under local anesthesia. Stitched seams. It is used very rarely, as a laser or radio wave is much more convenient, easier and less traumatic.
The wart is burned out by an electrocoagulator. This is the same scalpel, only electric. In large clinics now rarely used.
Here is a video of spine force removal using electrocoagulation:
And here is the review of our reader: link
3) Treatment of hard-to-remove warts.
In some cases, the removal does not lead to a cure for warts - they appear again and again. What to do in such cases?
- It is necessary to identify the cause of the reduction of skin immunity in this place. It is possible that excessive sweating of the legs, wearing rubber or tight shoes, impaired blood flow in the limbs, common diseases such as diabetes, HIV and others may be the cause.
- Focal immune therapy. The doctor conducts injections of immune drugs under the skin. For example, interferon injections subcutaneously with a course of 7 days. Such injections contribute to the enhancement of the immune response in the skin and the reverse development of the spitz.
Another method of focal immunotherapy is treatment with Imiquimod-based creams (trade names are Aldara cream, Keraworth), treatment with Panavir gel or Epigen-spray.
- General immune therapy. Rarely prescribed, with persistent course of the disease, with multiple spines on both limbs. You can use immune drugs: Allokin-alpha, izoprinosin.
Folk methods - can I start with them?
Nontraditional methods of treatment are ineffective. Dermatologists recommend removal for a quick cure.
Garlic kills viruses.
- A wart is steamed in hot water and partially cut off with nail scissors. At the same time cut skin roller. Partially cut off the wart tissue itself. If the blood vessels of the wart bleed, it's not scary.
- Cut the plastic from the garlic and placed on the wart.
- Attach the adhesive plaster.
Leave so for the night. In the morning we repeat. If you do not want to "smell" garlic at work - postpone the procedure until the evening.
And so every day for a week or two.
The wart goes away after 3-4 weeks.
2) Treatment with fresh celandine juice (grass)
Celandine juice kills viruses.
4-6 times a day we grease with fresh orange juice of celandine. You can cut it a little.
The wart disappears in 1-2 months.
3) Lacquer and scotch method
This method is suggested by the site reader: link
4) Method with glue BF6 (reader reviews)
5) Method with dry manganese (reviews and recipes of readers)
I'll tell you my story.
I was helped by glue bf and papillek.
It all started last summer - heel began to ache (in the center). I thought that a splinter ... I forgot about her, but she worried more and more. When it started to hurt, I began to read that it could be - natoptysh, spur and the most offensive that I got on this site and read about the wart, but at that moment I could not have thought that I had a plantar wart. In general, I used different means from natoptysh, mazol, and as a result, the same nonsense appeared on the finger. Then I realized (it was spring) that it was contagious and went to the hospital, where I was told that it was a wart and sent for removal with nitrogen. After reading about this procedure, I somehow did not want to do it, especially since no one guarantees the result, and I had to remove 3 pieces on my hand and 10 pieces on my heel ...
I decided to first try the methods listed here. Feresol - the smell is terrible. Immediately refused it. I do not remember where I found the drug, called Papillek. Produced in Ukraine. The drug actually works, almost no smell. It acts more gently than the super clean. burns out but almost painlessly. I decided to fight them with warts on the arm, and on the heel - at first I would steam out the heel for several days, adding sea salt with needles and applying Salipod for several days. This is to remove rough skin from the heel. The fact is that I did not see the wart at all, but the heel itself looked terrible. Somewhere in a week I just started applying BF glue on the heel. It was June 15th. There was pain for a few days and I thought nothing would help ...
It's July 18th. I forgot what it is when the heel does not hurt. I walk normally. On the arm everything went — Papillek used — one went right away. Two had to be re-applied after 2 weeks. The hardest thing was to bring near the nail, I thought it would not work, but now the pain was already there.
The heel does not hurt. For 3 weeks, BF glue really helped. Keeps well, after a shower put a new layer or deleted old and put new. Scotch did not use - just glue and sock. The heel looks much better - more healthy skin. Warts darkened (under the skin) and they are at least visible. One fell out.
To guarantee the heel additionally used Papillek. I continue to smear glue.
Yes, another month drank fish oil. The dermatologist prescribed Novirin (Inosine pranobex - 500 mg), but so far I have decided not to drink it.
Conclusion: if I immediately began to look for the cause and would know that this is a wart, then I would have brought it out long ago with glue and would not have suffered more than half a year.
Do not rush to remove the laser and nitrogen - try the "popular" methods.
I didn’t believe in the beginning either, and from all the ways my head was already hurting, which one to choose, but in the end I realized that for the heel the BF glue is the most convenient option. I remember watching the video with some kind of transmission about warts - how they made fun of varnish and glue ... and recommended removal only with a laser or nitrogen. I even doubted at that moment, but decided to try ... and I do not regret.
Sorry, that a lot of text, but I wanted to share. It turned out that not everything is so scary. We must try and find something that will help. Yes, it took 1.5 bottles of glue in a month, i.e. 50 hryvnia and without pain. Removal of such a number of warts on the heel with nitrogen would have cost at least 1000 UAH. + could not walk for a long time.
Thanks to everyone for the advice, I hope my “experience” will help someone.
Causes of Plantar Wart
Warts appear when infected with certain types of human papillomavirus (HPV). About 38 - 42% of people are its carriers on apparently healthy skin.
Human papillomavirus has a variety of sources from a few dozen to two hundred species. Depending on the type of HPV that the person was infected with, different types of skin lesions may appear on his skin:
- plantar warts,
- common warts
- anogenital - genital warts.
The appearance of plantar warts is preceded by infection with HPV 1, 2, 4 types. The transfer is a contact-household way. In the cells of the basal layer of the skin, the virus can be in a dormant state for a long time. As soon as favorable factors appear, the process of reproduction of the virus in the epithelium begins. This leads to the formation of morphologically modified skin tissue.
Infection with plantar warts is associated with walking barefoot, swimming in the pool, using a shared bathroom. The presence of microtraumas on the feet, inflammation of the skin, and increased sweating of the legs contribute to the infection.
Distinctive features of the plantar wart
In appearance, plantar warts resemble calluses.
Initially, a small, relatively tight nodule appears on the foot, which then expands, but is flush with healthy skin. The tumor is compacted, becomes yellowish, acquires a grainy surface, covered with a thick horny layer.
Sometimes the plantar wart has the appearance of a fossa, at the bottom of which dense tufts of filiform papillae are located, and the edges look like a cushion of horny layers.
This type of warts is painful. Sharp pain occurs when walking barefoot, when attacking the affected area on a small hard object, when placed in places of pressure in the heel area, the pads of the foot. This makes walking difficult.
When the stratum corneum is removed, filamentous, soft papillae are visible in the central part of the plantar wart. These are thrombosed capillaries. With slight damage, they begin to bleed.
For the plantar wart is characterized by the appearance on the supporting areas of the foot, which are subjected to the greatest pressure. Most often they are rare. But sometimes they form a merger in the form of a plaque with a mosaic pattern. There are often deep cracks on the feet.
How to get rid of plantar warts
Specific antiviral drugs and vaccines that destroy HPV, does not yet exist. Completely remove the virus from the body is impossible. There are many methods for removing warts, but none of them is absolutely effective. Relapse of the disease is possible after any of them.
The high risk of re-occurrence of growths observed:
- in the treatment of common tumors - an area of more than 2 cm2,
- with plantar warts, as they penetrate more deeply into the dermis.
The main principle of treatment is aimed at the destruction (destruction) of one or another method of papillomatous foci that occur at the site of the introduction of the virus. In the treatment of warts are used:
- chemical degradation methods
- liquid nitrogen cryodestruction,
- laser therapy (carbon dioxide laser), used with the ineffectiveness of other methods.
It is up to the physician to decide which way to do the removal: some treatments may cause more harm than the warts themselves. For example, the deep destruction of plantar warts (primarily laser and electrosurgical) can provoke the formation of scars on the foot. And she is constantly subjected to stress when walking.
Before treating plantar wart with cauterizing and destructive agents, it is necessary to carry out preparatory procedures to soften the growth surface and facilitate the penetration of the drugs used. It is necessary to hold the foot in a soap-soda solution of water or make applications of salicylic acid. After softening, the excess horny mass (surface layer) needs to be removed and only then the treatment solution is applied.
To reduce the pressure and pain when walking during treatment, a rubber ring can be attached to the foot in the area of the build-up using adhesive tape.
Options for the treatment of warts method of chemical destruction
Concentrated solutions of acids, alkalis, salts are used to remove plantar warts:
- hydrogen peroxide,
- preparations based on salicylic and lactic acids,
- acetic and nitric acid,
- 50% trichloroacetic acid solution,
- juices of thuja, celandine.
Salicylic acid has a pronounced therapeutic effect against papillomatous foci. Its use is associated with the keratolytic principle of exposure to a defect: softening, dissolution and rejection of the stratum corneum of the epidermis.
Salicylic acid is found in many preparations for the treatment of warts. Its concentration can be from 10 to 60%. For example, an effective solution "Kollomak", which includes 20% salicylic and 5% lactic acid.
The efficacy of treatment of single plantar warts with salicylic acid after three months of treatment is 84%, with mosaic - in 45% of cases.
The therapeutic effect of concentrated trichloroacetic acid is associated with chemical destruction of tissues. The effect of destruction is achieved at the moment when the wart and the surrounding tissue turn white.
The destruction efficiency of the plantar wart is checked in the following way: the growth is compressed from two sides. If pain is felt, it means it is not yet destroyed, if there is no pain, it means that the removal was carried out successfully.
Preparative drugs are used with caution under medical supervision. The most active of them are released only to medical professionals.
To remove papillomatous foci in cosmetology cabinets use drugs, which include cantharidin. This is poison non-protein nature. He is distinguished by the representatives of the family of beetle beetles (Meloidae): a vest (Meloe), a Spanish fly (Lytta), a pilferer (Mylabris).
The body of insects contains up to 5% of cantharidin. The substance is more known as an aphrodisiac - it causes sexual arousal. But poison also has a blistering action. When it comes into contact with the skin, it quickly penetrates deep inside, inhibits the work of epidermal cells. They die forming a bubble. Therefore, in dermatological practice, cantharidin solution is used for cauterization and removal of skin defects.
When treated with cantharidin, plantar warts disappear in 80% of cases.
The advantage of most cauterizers against plantar warts is relative painlessness when applied to the skin. But their use has side effects, it is necessary to be treated for a long time.
Methods of use of these drugs and their undesirable effects are listed in Table 1.
|The name of the active substance||Mode of application||Side effects|
|Salicylic acid||The drug is applied to the surface of the defect 2 times a day for 5 to 7 days. If there is inflammation, treatment is stopped after three days, and then, if necessary, repeat the course.||Soreness in the application of drugs, the formation of rough scars.|
|Trichloroacetic acid||Horny layers are cut off with sharp scissors, applied trichloroacetic acid and covered with film. The film is removed after 5-7 days, dead tissue is removed with a curette (with a surgical spoon). The course of treatment may last for several weeks.||The main side effects after treatment with trichloroacetic acid are pain in the area of the defect and the formation of ulcers.|
|Cantharidin||In preparations, cantharidin is combined with other ingredients. A colloidal solution of poison is applied directly on the wart with an applicator, then closed with adhesive tape for 24 hours. After one or two days, a bubble forms at the site of application of the solution. Heals the place of removal within a week, without leaving a scar. Repeated application of the drug is carried out in 1 - 3 weeks.||The dust of the pounded insects is very irritating and burns the airways. The entry of cantharidin into the digestive tract leads to rapidly developing intoxication. When this occurs, abdominal pain, vomiting, urine with blood, acute inflammation of the kidneys, the development of renal failure. The substance can also cause disturbances of reflex activity in the central nervous system and the development of paralysis.|
For the treatment of plantar warts are also used other drugs that cause tissue necrosis and destroy the pathological formation of the foot:
- 10-20% silver nitrate solution,
These drugs are applied to the tumor 1 time in 7-14 days.
Among these funds emit Solkoderm. This is an aqueous solution, the active component of which are the products of the interaction of organic acids (acetic, oxalic, lactic) and metal ions with nitric acid.
The principle of action of Solcoderm is the following: while preserving the structure, there is a gradual mummification of the diseased tissue with which the drug comes into contact. Healing takes place under a scab. This eliminates the formation of an open wound. Therefore, in the treatment of Solkoderm, complications such as secondary infection or scarring are extremely rare. Due to the low concentration of acids in the drug, the likelihood of side effects is low.
It is possible to get rid of plantar warts at home. Solkoderm is put with the special plastic pallet which is available in a set. The surface of the papillomatous focus is preliminarily degreased with alcohol. Processing is carried out until the neoplasm acquires a uniform yellow color.
In place of the wart formed scab. After a few days, it should be completely rejected. If this does not happen, it is necessary to re-process the drug. For treatment of plantar warts, 3 to 4 sessions are required.
In the treatment of the drug Solkoderm effective in 85 - 94%. To remove large growths, a large amount of solution is required, so the cost of treatment increases.
At home, remove the warts cauterizing drugs should be careful not to damage the surrounding healthy tissue. To avoid complications, it is recommended to carry out the procedure, after consulting with a doctor.
On the recommendation of the European guidelines, recurrent warts are performed with blepuncture. Immediately before treatment, a solution of bleomycin is prepared and applied to the foot on the lesion. Then the wart is pierced with an injection needle until bleeding occurs and the medicine is injected. The procedure is repeated several times until the neoplasm is completely saturated with the solution.
After treatment, the surface of the foot is covered with plastic wrap and bandaged for 24 to 48 hours.Within two days the wart dies off, disappears after a few days.
There is no exact data on the effectiveness, side effects and contraindications of this method of treating plantar wart.
Physical treatment methods. Diathermocoagulation
Diathermocoagulation is a removal method in which the burning of pathological tissues occurs under the influence of high-frequency alternating electric current. The plantar wart is removed layer by layer with an electrode that contacts the growth surface. With multiple elements, removal is carried out in stages.
Removal of plantar warts by the diathermocoagulation method is a painful procedure, therefore it is performed under local anesthesia. After treatment, a dry dressing is applied.
Depending on the depth of the defect, the wound heals 4 to 6 weeks. A scar is formed at the site of removal.
Treatment of plantar warts folk methods
Alkaline baths. Sodium bicarbonate in the amount of 500 g is poured into a thin linen bag. The bag is hung on the water tap, then the hot water tap is opened. The jet should pass through the bag and dissolve the soda. After that, cold water is added to the bath and the temperature is adjusted to 36 - 38 ° C. Alkaline baths with a duration of 10 - 15 minutes are carried out daily or every other day. The course of treatment - 10 - 12 baths.
Hot baths. Take a bath for a stop at a water temperature of 45 ° C or with the addition of peat oxidate (50 ml per 10 liters of water) for 20-30 minutes two or three times a week. To achieve the effect, you must perform 20 such procedures and more.
If warts are not treated, the following scenarios are possible:
- they may suddenly disappear on their own,
- rashes remain unchanged
- there will be a progression of growth of skin tumors.
With recurrent warts, treatment should combine removal of growths with stimulation of antiviral immunity. In human papillomavirus, interferons, imiquimod, isoprinosine are used. You can lubricate the defect for 2 to 4 weeks or more with antiviral ointments: oxolinic, tebrofenic.