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Plantar warts can be painful, annoying and embarrassing, so knowing how to treat warts on your feet can alleviate pain, discomfort and the social stigma that come along with the condition. Treatment may be long-term, but with patience and persistence, your condition is manageable, and you can clear up your warts completely.
Steps
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Consider how common warts are, and know that you are not alone with this problem. The plantar wart gets its name from being on the planter surface (the sole) of your foot. [1] X Trustworthy Source Cleveland Clinic Educational website from one of the world's leading hospitals Go to source
- The human papillomavirus (HPV) is the virus that creates warts, and it invades your body in the superficial layer of your skin, thus causing a thickened growth that resembles a callous. [2] X Trustworthy Source Cleveland Clinic Educational website from one of the world's leading hospitals Go to source
- It is more likely to occur in skin that has been broken open or is wet, but can occur in healthy dry skin as well.
- Warts may take up to six months to appear on the sole of the foot after exposure to the virus, so it can be difficult to trace back to the precipitating event. [3] X Research source
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Be aware that warts are most common in children and young adults, which can help in diagnosing them. (However, it is possible for them to occur in people of any age.)
- They are also more common in people whose immune systems are compromised for other reasons, such as people with chronic skin conditions such as eczema, or people with organ transplants or HIV/AIDS. [4] X Trustworthy Source PubMed Central Journal archive from the U.S. National Institutes of Health Go to source
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Understand that for anyone with warts, it is easier to treat fewer, smaller warts. Some people try a "wait and see" approach to see if their warts will resolve on their own, but if you notice no improvement within a few weeks, or spreading or growth of the warts, your best bet is to seek treatment sooner rather than later. [5] X Research source
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Use salicylic acid, at home or with the help of a healthcare provider if you would like additional guidance. [6] X Research source
- Prior to treatment with salicylic acid, use a pumice stone to remove the outer layer of your wart(s), so that the dead skin cells (the callous part) are removed. [7]
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Expert Source
Catherine Cheung, DPM
Board Certified Podiatrist Expert Interview. 21 April 2019. You will know when you are done because the skin underneath the callous part is much more sensitive and it will hurt to continue scraping any further. - Soak the affected foot (or feet, if you have warts on both sides) in warm water for 10–20 minutes prior to treatment. [8] X Research source This softens the skin and enhances the effectiveness of treatment. Make sure your foot is completely dry after soaking to that the salicylic acid patch you will apply stays on as well as possible.
- Apply salicylic acid patch to the affected area of your foot. [9] X Research source The best time to do this treatment is just before bedtime each night. Leave it on overnight, and remove it in the morning. Continue this treatment every night until the wart(s) is/are gone, and one to two weeks longer after they have disappeared to ensure that the HPV virus has been totally eradicated.
- Note that for people with "neuropathy" (medical conditions that relate to damage to their nerves), it is not advisable to use salicylic acid. This is because the decreased sensation for people with these conditions may result in the salicylic acid causing damage to their skin without them being able to notice it.
- Prior to treatment with salicylic acid, use a pumice stone to remove the outer layer of your wart(s), so that the dead skin cells (the callous part) are removed. [7]
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Expert Source
Catherine Cheung, DPM
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Try duct tape — another effective remedy that can be used at home. It is not fully understood why duct tape works as a treatment for plantar warts, but a number of scientific studies have shown that it has good success in a great number of people, so it is definitely worth a try. [10] X Research source
- The silver duct tape available at most home improvement stores is better than the clear type, for the reason that it tends to stick better to the soles of the feet.
- Place it on the sole of your feet (a piece large enough to fully cover any and all warts), and leave it on for six days. If it falls off before then, replace it with a new piece of duct tape sooner rather than later as the goal is to keep the warts covered for a full six days. Then remove it for one day to let the area breathe. After removing it, soak your foot for 10–20 minutes in warm water to soften the skin, and use a nail file or pumice stone to scrape away dead skin on the surface. [11] X Research source
- Note that people who do find success with the duct tape strategy tend to show improvement by the two week mark, and often complete resolution by the four week mark of using this treatment. If you do not find this is the case for you, it is best to move on and try other options.
- Be aware that if you have any of the following medical conditions — diabetes, poor circulation to your extremities (hands and feet, called "peripheral artery disease" by doctors), nerve problems (called "neuropathy"), or any chronic skin conditions — it is not advisable to use duct tape as a treatment, as it may irritate your skin as a result of having these conditions.
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Try exposing the wart(s) to high temperatures (this is called "hyperthermia"). This entails exposing the affected area of your foot/feet to water of approximately 113 °F (45 °C), for 30–45 minutes two to three times per week. [12] X Research source
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Use garlic cloves. When applied to the site of the wart(s) and rubbed over them every night (followed by covering the area with a bandage or duct tape), this has been shown to be successful for some people. [13] X Research source
- Garlic has antiviral properties, which likely explains the utility of this form of treatment.
- If you do not notice any improvement after two to three weeks, move on to trying another form of treatment.
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Try tea tree oil. This has also been shown to have antimicrobial properties and, when applied nightly to the area of your wart(s) and covered afterwards with a bandage, this is another easy "home option" for treatment. [14] X Research source
- Again, if you do not notice any improvement after two to three weeks, move on to trying another form of treatment.
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Ask your doctor to try cryotherapy (also called liquid nitrogen). This is where a very cold liquid is applied to the skin that destroys plantar warts by freezing them. [15] X Research source
- Most often you will have to return to see your family doctor several times to receive multiple liquid nitrogen treatments, before the wart (or warts) completely goes away. Your doctor can provide a schedule of how frequently she would like to see you. After the wart disappears, it is most often recommended to use salicylic acid as a follow-up to treatment for one to two weeks to ensure that the wart does not return.
- Due to some pain that accompanies treatment with liquid nitrogen, it is not recommended for young children. However, older children and adults tend to have no problem with it.
- Know that there is the possibility with this treatment (for people with darker skin) to have some depigmentation (lightening of the skin) in the area of treatment. If this is a cosmetic concern for you, speak to your doctor who may recommend alternative modes of treatment for your wart(s).
- If you notice any depigmentation that bothers you after the first liquid nitrogen treatment, you may choose not to continue. The damage from a single treatment will likely be very minimal (if at all), but it could be permanent so it is best to opt out if this bothers you.
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Try having your wart removed via shave excision. This is a procedure done by your doctor, if liquid nitrogen alone is unsuccessful.
- If your doctor deems that this procedure is what you need, he or she will first inject some local anesthetic (freezing agent) into your skin in the area around the warts. [16] X Research source
- This freezing ensures that the procedure can be done without causing you undue pain.
- After the freezing is complete, the doctor will use a small scalpel to excise, or remove, the wart(s) from your skin. [17] X Research source
- Your doctor will likely recommend follow-up treatment of some sort to give the maximum chance that the wart(s) will not return.
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Ask your doctor about other medical treatments. These include Cantharidin, 5-Fluorouracil, Imiquimod, and other forms of "immunotherapy." [18] X Research source These tend to be used later down the line, but are certainly options you and your doctor can talk more about together.
- Your doctor may also consider an injection into the wart itself. [19] X Trustworthy Source Cleveland Clinic Educational website from one of the world's leading hospitals Go to source This is a procedure done by your doctor for cases that are unsuccessful with other modes of treatment.
- Finally, your doctor may try laser treatments (or phototherapy). This is another option available to patients whose warts persist despite trying other simpler treatments.
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Expert Q&A
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QuestionWhat if the warts on my feet are itchy?Dr. Catherine Cheung is a double board-certified Podiatrist based in San Francisco, California. With over 20 years of experience, Dr. Cheung specializes in all aspects of foot and ankle care, including complex reconstruction, injury treatment, custom orthotics, bunion surgery, and all general foot and ankle issues. Dr. Cheung is affiliated with the Brown & Toland Physicians and the Sutter Medical Network. She received her BS from UCLA. She earned a DPM from the California College of Podiatric Medicine, completed her residency at the Encino Tarzana Medical Center, and completed a fellowship at the Kaiser Permanente San Francisco Medical Center. She is double board-certified by the American Board of Podiatric Surgery in Foot Surgery and Reconstructive/Ankle Surgery.If your feet are itchy, it's likely that your feet aren't getting enough air. Wear breathable socks and stay away from nylon. Switch to sandals if you can and take your shoes and socks off after you get home. If your feet get itchy during the day, switch out your socks during lunch.
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QuestionWhat will happen if I shave my wart?Dr. Chris M. Matsko is a retired physician based in Pittsburgh, Pennsylvania. With over 25 years of medical research experience, Dr. Matsko was awarded the Pittsburgh Cornell University Leadership Award for Excellence. He holds a BS in Nutritional Science from Cornell University and an MD from the Temple University School of Medicine in 2007. Dr. Matsko earned a Research Writing Certification from the American Medical Writers Association (AMWA) in 2016 and a Medical Writing & Editing Certification from the University of Chicago in 2017.If you shave the wart you will need to freeze it with cryotherapy first. See a trained professional to do this procedure.
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QuestionHow can you figure out where the wart came from?Dr. Chris M. Matsko is a retired physician based in Pittsburgh, Pennsylvania. With over 25 years of medical research experience, Dr. Matsko was awarded the Pittsburgh Cornell University Leadership Award for Excellence. He holds a BS in Nutritional Science from Cornell University and an MD from the Temple University School of Medicine in 2007. Dr. Matsko earned a Research Writing Certification from the American Medical Writers Association (AMWA) in 2016 and a Medical Writing & Editing Certification from the University of Chicago in 2017.It's hard to tell, but it is usually from not wearing shoes or foot apparel in public places.
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Tips
- If you are not sure whether your skin lesion is actually a wart (as opposed to something else), it is best to have it assessed by your doctor. [20] X Research sourceThanks
- If you notice signs of redness, swelling, pus/infection, or other irritation developing around the site of your wart(s), it is best to consult your doctor to ensure that nothing more serious is going on. [21] X Research sourceThanks
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Warnings
- Remember that if you have chronic skin conditions, nerve or circulation troubles, or medical conditions that otherwise weaken your immune system, you should always consult your physician before attempting treatment of any sort (home treatment or prescription).Thanks
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References
- ↑ https://my.clevelandclinic.org/health/diseases/24899-plantar-warts
- ↑ https://my.clevelandclinic.org/health/diseases/15045-warts
- ↑ https://www.uptodate.com/contents/common-warts-plantar-warts-and-flat-warts-beyond-the-basics
- ↑ https://www.ncbi.nlm.nih.gov/books/NBK431047/
- ↑ https://www.uptodate.com/contents/common-warts-plantar-warts-and-flat-warts-beyond-the-basics
- ↑ https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf8629
- ↑ Catherine Cheung, DPM. Board Certified Podiatrist. Expert Interview. 21 April 2019.
- ↑ https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=abo1677&lang=en-ca
- ↑ https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=abo1677&lang=en-ca
- ↑ https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf8629
- ↑ https://healthcare.utah.edu/the-scope/shows.php?shows=0_500ts0b3
- ↑ https://healthonline.washington.edu/sites/default/files/record_pdfs/Treating_Warts_Home_11_10.pdf
- ↑ https://www.mountsinai.org/health-library/condition/warts
- ↑ https://www.mountsinai.org/health-library/condition/warts
- ↑ https://www.uptodate.com/contents/common-warts-plantar-warts-and-flat-warts-beyond-the-basics
- ↑ https://www.uptodate.com/contents/common-warts-plantar-warts-and-flat-warts-beyond-the-basics
- ↑ https://www.uptodate.com/contents/common-warts-plantar-warts-and-flat-warts-beyond-the-basics
- ↑ https://www.healthdirect.gov.au/wart-treatments#treated
- ↑ https://my.clevelandclinic.org/health/diseases/15045-warts#management-and-treatment
- ↑ https://www.healthdirect.gov.au/wart-treatments#treated
- ↑ https://www.healthdirect.gov.au/wart-treatments#treated
About This Article
Article Summary
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If your feet have been exposed to human papillomavirus (HPV) and you develop plantar warts, you can treat them at home by covering them with duct tape for six days, then using a pumice stone to scrape away the dead skin. You could also try using salicylic acid as treatment, either at home or with the help of a healthcare provider. To do it yourself, apply a salicylic acid patch to the affected area each night and remove it each morning for the best effect. Alternatively, you could turn to your doctor, who will likely use cryotherapy to freeze off your warts. For more tips from our Medical co-author, like how to use garlic cloves to treat warts, read on.
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