The plantar wart is the growth of the skin of viral nature, it is also called corn.From medical terminology it is clear that such formations are located in the sole of the legs and fingertips.From the point of view of the oncological risk, they are not dangerous, but they cause many inconveniences when walking due to their pain with compression.
Causes of plantar warts
All types of warts, including plantar, call the human papilloma (HPV).It can be infected with close contact with infected people or a domestic form.From sunlight, the virus dies quickly, but feels very good with high humidity.Therefore, most of the time HPV infection occurs in bathrooms, saunas, swimming pools.The penetration of the virus in the body is facilitated by microtrauma and cracks on the skin, as well as a reduced immunity.
With strong protective properties of the body, the virus after infection can be in a state of sleep for an indefinite time.But if immunity is reduced, it begins to actively multiply, causing the appearance of various location in the skin of the warts.For its occurrence, it is precisely in the only one that subtypes 1, 2, 4, 27 and 57 of HPV are more responsible.
The appearance of such formations is facilitated by some predisposing factors:
- Shoes too narrow or not selected in size;
- Frequent use of high heel shoes;
- several feet deformations (including flat feet);
- Several feet joint diseases (arthritis, osteoarthritis, etc.).
The warts in the leg are found more frequently in people with excessive dry skin and hyperkeratosis.
Therefore, the causes of plantar warts in all cases are the same (HPV infection), but the predisposing factors are different.The number and size of the skin elements depend on them and the state of immunity.
How are plantar warts manifest
The wart seems rounded in the skin.It can be of different sizes, but rarely exceeds two centimeters in diameter.Above the skin level, it does not rise more than three millimeters, but at the same time it goes inside with its root.In color, it may not be different from the surrounding skin or be darker or lighter.Often, such formations have a yellow or gray tone.Visually, when examining within the elements, you can see black points or lines (they are also clearly visible in the photo).This is how the capillaries are seen in which the blood clots were formed, due to the compression of the vessels of the horny masses.
At first, the plantar wart has a smooth surface.But over time, it becomes rigid, rough, thickened.It is the horn masses that give these yellow warts.
An important sign of plantar warts is your pain with compression.Each step harms patients with severe acute pain.
These warts are very similar to plantar calluses.The similarity with the central corn is especially pronounced due to the severe pain of both formations.The main difference is that there is no skin pattern on the surface of the warts, while preserved in calluses.
Plantar warts diagnosis
A competent dermatologist will diagnose a disease based only on a clinical image.In some cases, dermatoscopy is also required.The absence of a skin pattern in education and the presence of capillaries with blood clots in its structure confirms this diagnosis.
Plantar wart treatment
It is more difficult to get rid of plantar warts than similar formations in other areas due to its deepest germination in the dermis.In the case of small and recent elements, the use of necrotizing external drugs is possible.Large and deep warts are eliminated by surgical methods.At the same time, old formations must first soften with keratolithic agents.
External drugs to eliminate warts
In some cases, self -destruction of such formations is possible.But since the plantar wart hurts quite strongly, patients do not want to wait and strive to get rid of them as soon as possible.
To eliminate small and superficial elements, any remedy for plantar warts with necrotizing effect is prescribed.
These products contain acids that coagulate skin proteins, causing necrosis.Similar effects are prescribed by medications that have snacks in their composition.But they cause necrotizing effects due to freezing tissues, and not due to their chemical damage.
All these drugs apply point in education.It is necessary to strictly ensure that the substance does not fall into the surrounding fabrics, since this will cause its burn.After processing at the site of the old wart, there will be a wound that will be covered with a crust.After healing, she will disappear alone.It can carry out such treatment at home, but only as prescribed by a doctor.
In this way, it is possible to derive a wart of only small sizes and with a shallow germination in the skin.For large elements, you must choose other elimination methods, since incomplete destruction of the wart will necessarily lead to relapse.
Surgical methods to eliminate plantar warts
In surgery, you can eliminate the verruga to plant a wart in several ways.Preference is given to soft methods:
- laser elimination;
- Ola radio knife;
- Cryodructure;
- electrocoagulation.
All these procedures are carried out in an outpatient basis.Patients can go home only a few minutes after their implementation, it is only necessary to regularly treat the wound at home.
The most effective and safe methods to eliminate plantar warts are considered a laser or radio knife.When they are carried out immediately, they coagulate the vessels, which is a good prevention of bleeding and secondary infection.Complications by eliminating skin formations in these methods are extremely rare.What cannot be said about criodestruction and electrocoagulation, so these treatment methods have faded in the background and are rarely used.
If the warts are large or old (covered with a large amount of horn masses), it is recommended to treat them with keratolithic agents within two weeks prior to the elimination procedure.For this purpose, salicylic or acid ointment and other medications are prescribed.Therefore, it is possible to exfoliate part of the horn scales, make the formation softer and more flexible.This will facilitate and accelerate the wart elimination process.
In rare cases, when there are many elements or there are doubts about their nature, the doctor can advise surgical split with a scalpel.With this method of removal of warts, the rehabilitation period and a high risk of scars are much longer, therefore, it is used only according to strict indications.
Characteristics of plantar warts in children
In children over five years, plantar warts are quite common, since they often run barefoot, injure and do not always follow personal hygiene rules.Immunity provides malfunction due to regular contacts with sick children (in kindergartens and schools), which leads to an increase in the probability of warts.
The treatment of such formations in a child is better to start with external funds.You can try to exfoliate shallow elements with the help of salicylic ointments with the subsequent use of Pumice.Immunomodulatory drugs have been shown well.With a regular application to the wart, they can delete it in a few weeks.
If the elements are deep, use products with necrotizing action or check them out with a laser or a radio wave knife.
Plantar warts prevention
It is impossible to protect against the occurrence of warts with absolute probability, but the risk of their appearance can be reduced.To do this, you must act in two directions: eliminate predisposing factors and stimulate body defenses.
To achieve the first objective, you need:
- Observe personal hygiene rules (do not walk barefoot in public places, wash your feet daily and process cuts and lesions in a timely manner);
- Select comfortable shoes in size;
- Over time, avoid foot deformations and treat joint diseases.
A healthy lifestyle, training, hardening, taking vitamin complexes and immunostimulant drugs as prescribed by a doctor will help maintain body defenses to a good level.
With excessive dry skin and hyperkeratosis, it is recommended to regularly make pedicures and exfoliations.In case of greater legs of the legs, special products should be used for the treatment of hyperhidrosis.When complying with all these rules, the risk of developing warts in plants will be minimal.
Subanary warts are a non -dangerous disease, but offer many inconveniences due to pain when walking.Fortunately, in modern medicine there are many ways to get rid of it quickly and with the minimum risk of new relapses.To do this, consult a dermatologist and strictly follow all your appointments and recommendations.