Most plantar warts do not require any treatment. Most of the wart goes away within two years without any interference. But if they start to hurt, or to grow, you need to undergo a course of treatment. It is much easier to get rid of small warts, than on large ones.
People with diabetes and damage to the nerve fibers of the foot or a weakened immune system, should be treated only under medical supervision. The doctor will assess the effectiveness of the course and follow the process of healing of the affected areas.
Treatments that may be prescribed by a doctor
If home treatment does not help, your doctor may recommend other methods. Usually the course start with the least painful way that causes the least side effects and scar deformities. Scars on the feet are painful. Furthermore, such deformation is irreversible. Most warts can reappear a short while later, and the treatment has to be repeated.
Cryodestruction (cryotherapy). To freeze and destroy the wart using liquid nitrogen, which is applied with a spray can or a cotton swab. Pop a bubble around the wart. About a week dead tissue is completely eliminated. The procedure itself can be painful, and it can be formed after the painful blisters that gradually go away.
Cantharidin. Your doctor may also be used to treat plantar warts cantharidin – a substance extracted from the hemolymph of blister beetles. Typically, the extract combined with salicylic acid, the mixture was applied to the plantar wart and superposed on the bandage. The first application of this method of procedure does not cause discomfort, but the bubble that appears later, may be ill. About a week later the doctor cuts away dead skin.
Immunotherapy. This method aims to ensure that, using the resources of the immune system of the body to get rid of difficult to treat warts. There are two ways of treatment. You can enter into the wart interferon – a drug that stimulates the immune system to reject the tumor. Or you can enter into the wart foreign substance (antigen), which activates the immune system. Physicians often use mumps virus antigens, as many people are immune to them. As a result, the antigen triggers an immune response that helps the body deal with neoplasms. In those cases where the interferon is used for several hours after the procedure can be observed symptoms of influenza-like symptoms. Both can cause pain.
Imiquimod (Aldara). This cream that is applied directly to the wart, is an immunotherapy drug that promotes the body’s production of immune system proteins (cytokines) that attack the human papilloma virus. After this procedure around the affected area can be formed a strong inflammation and tissue damage covering the wart. In this case, treatment is terminated imiquimod. Also, the drug can cause symptoms similar to flu symptoms, which are reduced at lower doses of medication.
Small surgical intervention. The wart is cut off or destroyed by cauterization with an electric needle. These procedures are called fulguration and curettage. Before the procedure the doctor performs anesthesia of the skin. Because of the risk of scarring the skin in the treatment of warts this procedure are trying to use as little as possible.
Laser therapy. A pulsed dye laser, with which cauterize small blood vessels are clogged. As a result, the affected tissue dies and the wart disappears. A side effect of this method can be painful and scarring deformation.
Whatever treatment is used, the doctor always tells the patient how to apply a bandage to the wart, or wound, remove yourself as dead tissue in the interval between examinations, how to clean the exposure area and how to change the bandage if necessary.
Also, your doctor may recommend over-the-counter medicine that should be used in conjunction with other methods, and between examinations. Also, your doctor may suggest the use of an antibiotic cream that helps protect the skin from penetration common infections after removing plantar warts or after the bubble burst, formed during the treatment.
To reduce the risk of plantar warts:
You should avoid direct contact with warts. In particular, and with their own.
You need to ensure that your feet are clean and dry. In case a change shoes and socks.
Do not walk barefoot in public places. On the territory of public pools and locker rooms to put on shoes slippers or sandals.
For the treatment of warts and to care for healthy skin and nails use different nail files, pumice and nail clippers.
After contact with warts should wash their hands thoroughly.