Plantar warts (also, he and ladonna-plantar) usually localized to cushion the foot, the heel, the pads of the fingers.
The share of this type of warts accounting for 30 % of the cases. Occur at any age. A distinctive feature – pain at the sensation and mechanical pressure.
Causes of plantar warts
Warts appear when attack by certain types of hpv (HPV). About 38 – 42 % of people are his carriers of apparently healthy skin.
Papilloma virus has according to different sources, from several tens to two hundreds of species. Depending on the type of the HPV infected man, he can discover different kinds of tumors on the skin:
- plantar warts,
- papilloma,
- common warts,
- flat,
- anogenital – genital warts.
The occurrence of plantar warts is preceded by infection of HPV 1, 2, 4 types. Transmission occurs contact-domestic by. In the cells of the basal layer of the skin, the virus may remain a longer period of fallow. As soon as they appear favorable factors, begins the process of multiplication of the virus in the epithelium. This leads to the creation of considerably morphologically altered tissue of the skin.
Attack of the plantar wart associated with walking barefoot, swimming in the pool, your use of the shared bathroom. Infections contributes to the presence of trauma to stop, the inflammatory processes on the skin, excessive sweating of the feet.
The characteristic features of plantar warts
By the appearance of plantar warts resemble corns.
First on the stop creates a relatively small dense nodule, which then expands, but is at the same level with the healthy skin. Tumor sealed, becomes yellowish, acquires a granular surface is covered with a thick Horny layer.
Sometimes plantar warts has a view of fossa, at the bottom, where they decompose dense bundles of small thread-like papillae, and the edges look like a rolling pin of the Horny layers.
This type of warts is different pain. A sharp pain occurs when walking barefoot, when stepping was struck by the plot on the potty with a hard object, when the arrangement in the places pressure in the heel area, pads on the feet. This makes it difficult walking.
When removing the keratinized layer in the central part of the plantar warts are visible, simple, soft papilles. It's the capillaries, in which there has been the formation of blood clots. In light of the damage to start bleeding.
For plantar warts is a typical incidence on the load-bearing part of the foot that are most under pressure. Most often, they are one. But sometimes the form of the merger in the form of plaques, which are a mosaic picture. To stop often arise deep cracks.
How to get rid of plantar warts
Specific antiviral drugs and vaccines, destroying HPV, does not yet exist. To completely remove the virus from the body impossible. There are many methods for removing warts, but neither one of them is completely effective. Recurrence of the disease are possible for each of them.
High risk of the recurrence of the growths is celebrated:
- in the treatment of the most common tumors – an area larger than 2 cm2;
- when the plantar warts because they are more deep in a diminishing extent, into the dermis.
The basic principle of treatment is aimed at destruction (destruction), or another method of the tabernacle of papillomas arising at the site of introduction of the virus. In the therapy of warts are used:
- methods of chemical degradation;
- surgical diathermy;
- cryosurgery with liquid nitrogen;
- laser therapy (carbon laser), - apply when the ineffectiveness of other methods.
Decide how to perform the removal, the physician should: some methods of treatment may cause more harm than the warts. For example, deep to the destruction of plantar warts (primarily laser and electrosurgical) can induce scarring on the stop. And she is constantly exposed to stress when walking.
Before that, than to treat warts on the soles of the feet burn and destructive means, it is necessary to perform preparatory procedures, plasticizers surface paperwork build-up, and contributes to the penetration of the products used. It is necessary to hold the foot in a soap soda solution water or make application of salicylic acid. After softening the excessive Horny weight (surface layer) it is necessary to remove, and only then to cause the treatment solution.
In order to reduce the pressure and pain when walking during treatment, on station in the area of paperwork build-up using a band-aid, it is possible to attach a rubber ring.
Treatment options warts methods of chemical destruction of
For removal of plantar warts applying concentrated solutions of acid, alkali, salt:
- hydrogen peroxide;
- preparations based on acid and lactic acid;
- acetic and nitrogen acids;
- 50 % trichloroacetic acid solution;
- juice thuy, celandine.
Salicylic acid is expressed as the therapeutic effect against the tabernacle of papillomas of Its application is associated with as a keratolytic principle of impact defects: a softening, dissolving and loosening the horny layer of the epidermis.
Hyaluronic acid is part of many means to treat warts. Its concentration may be from 10 to 60 %.
The effectiveness of the treatment of the individual plantar warts salicylic acid after a three-month therapy is 84 %, while the mosaic – in 45 % of cases.
The therapeutic action of concentrated trichloroacetic acid is related to the chemical destruction of tissue. The effect of the degradation is reached in the moment warts and its living fabric white.
The effectiveness of the destruction of the plantar warts is tested in the following manner: of the game results in the clench of the two sides. If a person feels pain, it means that is not yet destroyed, if there is no pain, it means that the removal is executed successfully.
Remedies such events use with caution under medical control. The most active of them released only to medical personnel.
For the removal of an outbreak of papillomas in cosmetic cabins of applying medicines, in the composition of which is included lytta. It is a poison of the non-protein nature.
In the body of the insect contains up to 5 % of this substance. This is known as an aphrodisiac – increases sexual excitement. But the poison also has a skin-apostema action. In case of contact with skin quickly penetrates deep inside, suppresses the work of the epidermal cells. They die, they form bubbles. So in the dermatological practice the solution of this substance apply for the cautery and removal of skin defects.
In the treatment of plantar warts will disappear in 80% of cases.
The advantage of the majority of cauterizing remedies against plantar warts is a relative painless when applied to the skin. But their use has side effects, the cure must work.
To treat plantar warts are applied other drugs that cause necrosis of the tissues and which destroys the pathological education to stop.
These drugs give the tumor 1 times per 7 – 14 days.
Get rid of plantar warts cure is possible in home conditions. The surface of the fireplace pre-degrease with white spirit. Processing is carried out so long as the tumor does not appear of a uniform yellow color.
On the site of the wart will form a scab. For several days should occur to its full release. If it didn't happen, it is necessary to perform re-processing of the drug. For the treatment of plantar warts requires 3 – 4 sessions.
At home remove warts burn medications should be careful not to damage the surrounding healthy tissue. To avoid complications, it is recommended to perform the procedure before consulting with a doctor.
Biopuncture
When recurring warts is held biopuncture. Immediately prior to the initiation of treatment preparing a solution of bleomycin and applied to the soles of the feet on the lesion. Then the wart pierce the injection needle before the advent of the bleeding and injected drugs. Repeat the procedure several times until the complete impregnation neoplasms of the solution.
After the treatment the surface of the legs provided with a plastic wrap and tie a bandage for 24 – 48 hours. During the two days the warts will die away after a few days falls off.
Accurate data on the effectiveness, adverse effects and contraindications of this method of treatment plantar warts do not.
Physical methods of treatment. Surgical diathermy
Surgical diathermy – method of removal, in which the combustion of the pathological tissue occurs under the action of alternating electric current with a high frequency. Plantar wart is removed layer after layer of the electrode which is in contact with the surface of paperwork build-up. When multiple elements of a removal carried out in several stages.
Removal of plantar warts method diathermocoagulation – painful procedure, so it is performed under local anesthesia. After the treatment is superimposed on the dry bandage.
Depending on the depth of the defects injuries have healed 4 – 6 weeks. On-site removal of formed scar.
Physical methods of treatment. Cryosurgery
Cryotherapy – a method of effects on the skin low temperature agents. The destruction of the neoplasms occurs as a result of education inside the cells and blood vessels of the ice crystals. Under the influence of low temperatures stop the flow of blood in the vessels and the defect is destroyed. But when it is preserved the structural basis, the collagen fibers and the ability of the nerve fibers-to the recovery. It ensures the normal healing of wounds after cryoablation.
Treat the plantar warts effectively by the method of gentle cryoablation when handling liquid nitrogen. Liquid nitrogen is applied to the area with a cotton swab on the type of the solid cryo for 20 – 30 s per session. Repeated treatment is carried out after 2 – 4 days.
The excessive thickening of the stratum corneum before each procedure for 12 – 24 hrs on the fireplace provides a band-aid "Sliped". Directly ahead of cryotherapy make soap-soda foot bath.
Surgical excision of warts
Surgical treatment of plantar warts is not performed because this method is traumatic, and relapse he fights back. After surgical excision there is a high risk of formation of rough scars.
In extremely rare cases, when suspicions that the warts will acquire the characteristics of a malignant tumor, it is necessary to remove it. Excised the skin of the game results in a widely overlaps the surrounding tissue. So the operation is often accompanied by heavy bleeding.
To prevent the occurrence of scars on the stop, the plantar wart is removed by curette. This medical instrument is used in surgery to removal (curettage) of the pathological soft tissue from the bones. In the base paperwork build-up applied the injection of the anesthetic. This makes it easier to study the wart from the lower layers of the skin. The doctor removes the pathologically modified skin scrape movements.
After the completion of, the procedure at the site of removal of the element remains mild round the bleeding Wound. Her keepers to stop sunbathing, to stop bleeding and destroy the remaining items of the wart. The removed tissues are sent for histological study.
Complete healing of the tissue occurs after 2 – 3 weeks.
Treatment of plantar warts folk ways
The alkaline baths. Sodium bicarbonate in an amount of 500 g poured in a thin plain pouch. Case suspended on the water faucet, then open the hot water faucet. The current has to pass muster, and dissolve the soda. Once in the tub, add cold water and make up water temperature at 36 – 38° With. Alkaline baths lasting 10 – 15 minutes spend a day or through the day. The course of treatment – 10 – 12 bath.
Hot tub. Take a bath for the feet at a water temperature of 45 °C, or with the addition of the oxidation of peat (50 ml per 10 l of water) for 20 – 30 min two to three times a week. To achieve the effect it is necessary to carry out 20 such procedures and more.
If the warts left untreated, they are possible the following scenarios:
- can suddenly disappear by themselves;
- rashes remain unchanged.
- becomes the progression of the growth of skin tumors.
When recurrent warts treatment should combine the removal of the growths with the stimulation of antiviral immunity. When the virus papilloma applying interferons. You can delete defect for a period of 2 – 4 weeks or more antiviral ointment.