Plantar warts (that palmar-plantar) are usually localized on the cushion of the foot, heels, on the tips of the fingers.
The share of this type of warts represent 30 % of the cases. Meet at any age. A distinctive feature – pain sensitivity and mechanical pressure.
The causes of the appearance of plantar warts
Warts appear when infected by certain types of human papilloma virus (HPV). About 38 – 42% of people are native apparently on healthy skin.
The human papilloma virus counts according to various sources, from a few tens to two hundreds of species. Depending on what kind of HPV has infected the man, may appear various types of skin cancers:
- plantar warts,
- human papilloma virus (hpv
- common warts,
- flat,
- anogenital – warts, genital.
The appearance of plantar warts is before the infection by HPV 1, 2, 4 types. The transmission is contact-home through. In the cells of the basal layer of the skin the virus can remain for a long time in a state of suspension. Once that appear to be favourable factors, begins the process of multiplication of the virus in the epithelium. This leads to the formation of morphologically altered tissue of the skin.
The infection plantar warts bind to walking barefoot, swimming in the pool, use of the shared bathroom. Infection favours the presence of microtrauma to the arrests, inflammatory processes on the skin, increased sweating of the feet.
Distinctive features plantar warts
Apparently plantar warts resemble corn.
Initially, the foot occurs a small, relatively close node, which then expands, but it is on a single level with the healthy skin. Outgrowth compacted, becomes yellowish, acquires a granular surface, is covered with a thick stratum corneum.
Sometimes the plantar wart has a view of the pit, at the bottom of which are tight bundles of filiform papillae, while the edges appear as the cushion of the here additions.
This type of warts enjoys pain. A sharp pain occurs when walking barefoot, when I pass hit the ground in a small solid object, when it is found in places of pressure in the area of the heel pads of the foot. This makes it difficult to walk.
During the removal of the stratum corneum in a central position plantar warts are visible filiform, soft taste buds. This capillary, in which lumps are formed. With a slight damage, they begin to bleed.
For plantar warts is characterized by the appearance of the reference areas of the foot, which are at a higher pressure. Often they are rare. But sometimes form the melt in the form of a plaque, with mosaic. On the feet often occur in deep cracks.
How to get rid of plantar warts
Specific antiviral drugs and vaccines, to destroy the HPV, does not yet exist. To completely remove the virus from the body cannot. There are a lot of methods for the removal of warts, but none of them is not absolutely effective. The consequences of the disease are possible after any of them.
A high risk of the recurrence of the lesions is celebrated:
- during the treatment, the most common neoplasms – surface of more than 2 cm2;
- when plantar warts, as they are to penetrate deep into the dermis.
The basic principle of the treatment aims at the destruction (the) a way or method other outbreaks papillomas, occur at the place of introduction of the virus. In the therapy of warts are used:
- chemical methods of degradation.
- diathermocoagulation;
- cryosurgery liquid nitrogen;
- laser therapy (carbon dioxide lasers), apply the ineffectiveness of other methods.
Decide how to do the removal, the physician should: some of the methods of treatment can cause more harm, in and of itself warts. For example, deep plantar warts (first of all, laser and electrocautery) may result in the formation of scars on the foot. And she is constantly exposed to stress when you walk.
Before treating the wart on the sole cauterise and destroy the means, we have to keep the procedures for preparing, mitigating surface edge and facilitate the penetration of the drugs used. We have to keep you foot on the soap soda water solution or the application of salicylic acid. After softening the excess Horny mass (surface layer) must be removed and only then apply therapeutic solution.
To reduce the pressure and the pain when you walk during the treatment, the foot in the area of accumulation with the help of patches it is possible to fix the rubber ring.
Treatment options for warts with the chemical method of destruction
For the removal of plantar warts is to apply concentrated solutions of acids, alkalis, salts:
- hydrogen peroxide;
- drugs based on salicylic acid and lactic acid;
- acetic acid and nitric acid;
- A 50% solution of trichloroacetic acid;
- fruit juices tui, the celandine.
Salicylic acid has a strong therapeutic effect against outbreaks of papillomas and Its application is associated with keratolytic the principle of impact on the defect: the softening, dissolution and the rejection of the horny layer of the epidermis.
Salicylic acid is the part of many funds for the treatment of warts. Its concentration may be from 10 to 60 %.
The effectiveness of the treatment of single plantar warts salicylic acid after three months of treatment is 84 %, while the mosaic – in 45% of cases.
The effect of the therapeutic concentration of trichloroacetic acid is associated with chemical destruction of the tissues. The effect of degradation is reached in the moment, when the wart and the tissue becomes white.
The efficiency of destruction plantar warts is verified in the following way: outgrowth shrink with two latvians. If you feel pain, it means that has not been destroyed, if there is no pain, then the removal is carried out successfully.
Medicines that action use with caution and under medical supervision. The most active of which are only released to health care providers.
For the removal of pockets of papillomas in cosmetic offices use drugs, the composition of which is lytta. This poison is not protein in nature.
In the body of the insect contains up to 5 % of this substance. It is more widely known as an aphrodisiac – causes sexual arousal. But the poison also has a skin-apostema action. In case of contact with skin, it is quickly deeply penetrates inside, suppresses the activity of the epidermal cells. They die, forming a bubble. Thus, in practice dermatologic solution of this substance applies to the moxibustion and the removal of the skin defects.
In the treatment of plantar warts disappear in 80% of cases.
The advantage of the most cauterizing funds against the plantar warts is the relative absence of pain when applied on the skin. But their application has side effects, the treatment should be long-term.
For the treatment of plantar warts you also apply other drugs that cause mortification of the tissues and destroy the pathological education to a halt.
These medicines have to apply a mass of 1 time every 7 – 14 days.
Get rid of plantar warts medication can be at home. The surface of the hearth previously degreased with alcohol. The treatment takes place, until the tumour will not purchase a uniform yellow color.
On the place the warts can form the crust. After a couple of days should be its complete rejection. If this has not happened, it is necessary to repeat the drug treatment. For the treatment of plantar warts requires 3 – 4 session.
At home to eliminate warts cauterizing medicines with caution in order not to damage the surrounding healthy tissue. To avoid complications, it is recommended that you carry out the procedure, after consultation with the doctor.
Biopuncture
When recurring warts is held biopuncture. Immediately before starting the treatment, prepare a solution of bleomycin, and applied on the foot on intralesional. Then the wart pierce the needle of the injection before the advent of haemophilia a and is administered the medication. The procedure is repeated several times until the complete impregnation malignancies solution.
After the treatment, the surface of the foot, cover with plastic wrap and tied with a bandage on for 24 – 48 hours. Within two days the wart dies, after a few days disappears.
Precise data on the efficacy, side-effects and contraindications of this treatment method for plantar warts is not.
The physical therapies. Diathermocoagulation
Diathermocoagulation – method of elimination, in which the combustion of the pathological tissues takes place under the influence of an alternating current of high frequency. The plantar wart is removed, layer by layer, the electrode that is in contact with the surface edge. Multiple, items removal place in several stages.
Removing plantar wart method diatermokoagulyatsii – a painful procedure, then it is executed step by step under local anesthesia. After the treatment is superimposed on the dry end.
Depending on the depth of the defect as the wound heals in 4 – 6 weeks. On-site removal form the scar.
The physical therapies. Cryosurgery
Cryotherapy – a method of impact on the skin, low-temperature agents. The destruction of the lesion occurs due to the formation inside of cells and blood vessels of ice crystals. Under the influence of low temperatures and stops the flow of blood in the blood vessels and the defect is destroyed. But in this case remains the structural basis of the collagen fibres and the ability of the nerve fibers to the recovery. This provides a normal healing of wounds after cryoablation.
Cure plantar warts effective method of safeguarding cryoablation during the treatment with liquid nitrogen. The liquid nitrogen is applied on the outbreaks on a cotton ball for a style that is distinctly hard cryomassage for 20 – 30 per session. Repeat the procedure done in 2 – 4 days.
In the case of a thickening of the stratum corneum before treatment for 12 – 24 h for the fireplace to impose band-aid "Sliped". Directly across from cryotherapy make soap sparkling water foot bath.
Surgical excision of warts
The surgical treatment plantar warts do not pass, because this method is traumatic, and the fallout does not prevent. After surgical excision there is a high risk of scar formation is serious.
In extremely rare cases, if you suspect that a wart acquires the properties of a malignant tumor, it is necessary to cut. Removed the skin accumulation widely, grabbing the tissues. Therefore, the operation is often accompanied by a severe hemorrhage.
To avoid the appearance of scars on the foot, plantar warts remove called a curette. This medical instrument used in surgery for the removal (curettage) of a pathological soft tissue of the bones. On the basis of accumulation administered an injection of the anesthetic. This facilitates the removal of warts from the lower layers of the skin. The doctor removes pathologically altered skin scraping movements.
After you have completed the procedures in place removal of an element remains clean, round, bleeding wound. His cauterization to stop the bleeding and destroy the remaining elements of the warts. Tissue removed is sent for histological examination.
Complete tissue healing takes place in 2 – 3 weeks.
Treatment for plantar warts ways popular
Alkaline baths. Sodium bicarbonate in a quantity of 500 g poured in a bag of thin cloth. Bag hanging on the water faucet, then open the hot water faucet. The jet must pass through the bag and dissolve the sodium bicarbonate. After that, add to the bath of cold water and bring the water temperature up to 36 – 38° C. Alkaline baths lasting 10 – 15 minutes they spend every day or every day. The course of treatment – 10 – 12 baths.
The hot baths. Do the bathroom stop when the temperature of the water At 45 °c, or with the addition of oxidative peat (50 ml per 10 litres of water) for 20 – 30 min two to three times a week. To get the effect, you need to run 20 of these procedures and more.
If the warts are not treated, the following scenarios:
- they can disappear suddenly the same;
- rashes remain unchanged;
- what happens is the progression of the growth of skin tumors.
When recurring warts treatment must combine the removal of incrustations from the stimulus, immunity, antiviral. When the human papilloma virus apply to interferons. Can lubricate a fault for 2 – 4 weeks or more antiviral ointments.