Plantar warts (also, that palmo-plantar) are generally located on the cushion forefoot, on the heel, on the pads of fingers.
The share of this type of warts is 30 % of the cases. Occur at any age. Peculiarity of the pain during palpation, and of the mechanical pressure.
The reasons of occurrence of a plantar wart
The warts may appear during infection by certain types of human papillomavirus (HPV). About 38 – 42% of people have, apparently, on the health of the skin.
The human papillomavirus account the different sources of a few tens to two hundred species. Depending on the type of HPV has been infected by a man, he may appear at different types of institute of the skin:
- plantar warts,
- the human papillomavirus (hpv),
- warts,
- flat,
- the anogenital region – condylomata acuminata.
The appearance of a plantar wart before the infection HPV-1, 2, 4 types. The transmission is done at the touch of a violence by. In the cells of the basal layer of the skin, the virus can stay longer in sleep. As soon as appear the favourable factors, begins the process of the reproduction of the virus in the epithelium. This led to the formation of morphologically altered tissues of the skin.
Infection warts plantar associate with walking barefoot, swimming in the pool, use of the bathroom. The infection favors the presence of repetitive strain injuries on the feet, the inflammatory processes on the skin, increasing the perspiration of the feet.
The distinguishing characteristics of the plantar warts
In appearance, the plantar warts are reminiscent of corn.
First on the foot occurs a small, relatively dense bundle, which is then enlarged, but is on one level with a healthy skin. The tumor is compacted, is yellowish in colour, acquires a smooth surface, covered with a thick horny layer thick.
Sometimes, the plantar wart has the view of the pit at the bottom of which settled dense tufts of papillae filiform, while the edges are like the roll of the horn stratifications.
This type of warts is different and painful. A sharp pain occurs when walking barefoot, when the stepping hit of a parcel of land on a small, hard object, the location in a plot of pressure in the heel area, the pads of the feet. It is difficult to walk.
During the removal of the horny layer in the central part of the plantar wart are visible, threadlike, soft taste buds. It capillaries in which are formed the blood clots. With a slight damage, they start bleeding.
For plantar warts is characterized by the appearance of reference on the areas of the foot that are the most to pressure. More often, they are rare. But sometimes, form the merger in the form of a plate, having a mosaic image. On the feet, there are sometimes deep cracks.
How to get rid of plantar warts
Specific antiviral drugs and vaccines, eradicating the HPV, it does not exist. To completely remove the virus from the body impossible. There are many methods to remove the warts, but none of them is not fully effective. Disease recurrences are possible after one of them.
High risk of re-emergence of outgrowths highlights:
- during the processing of the currents of the institute of more than 2 cm2;
- when plantar warts, because they penetrate deeply into the dermis.
The basic principle of the treatment is aimed at destruction (the), or other method of homes papillom met on the site of the introduction of the virus. In the treatment of warts are used:
- the methods of chemical degradation;
- the diathermy surgical;
- cryosurgery with liquid nitrogen;
- laser therapy (laser dioxide), apply when the failure of other methods.
To decide how to proceed with the removal, must of doctor: some treatments may cause more damage than to themselves of the wart. For example, the destruction of plantar warts (especially in laser and electrosurgical) can cause the formation of scars on the foot. And it is constantly subjected to loads during walking.
Before treating a wart on the sole cauterizing and undermine the means, it is necessary to pass the preparatory procedure, emollients, surface patches and encourage the penetration of the drugs used. It is necessary to keep the foot in in in it a mylno soda a solution of water or application of salicylic acid. After softening the excesses of the Horny mass (surface layer), it is necessary to remove, and then apply the healing solution.
To reduce the pressure and the pain when walking during treatment, on the foot in the accumulation zone with the help of plaster, you can attach a rubber ring.
The treatment options for the wart by the chemical method of destruction
To remove plantar warts apply concentrated acids, alkalies, and salts:
- the hydrogen peroxide;
- the preparations of salicylic and lactic acids;
- acetic acid and nitric acid;
- 50 % of a solution of trichloroacetic acid;
- juice of thuja, celandine.
Salicylic acid expressed action against the homes of papillom Its application is related to a keratolytic to the principle of the impact of a default: the softening, dissolution and the rejection of the horny layer of the epidermis.
Salicylic acid is included in the composition of a lot of ways to treat warts. Its concentration may be from 10% to 60%.
The effectiveness of the treatment of the unity of plantar warts salicylic acid, after three months of therapy was 84 %, while the mosaic in 45% of cases.
The therapeutic action concentrated trichloroacetic acid is associated with chemical destruction of the tissues. The effect of degradation is reached when the wart and the environment, and its fabric economic white.
The effectiveness of the destruction of a plantar wart is checked in the following way: bulging tight with the two parties. If you feel pain, it means that it is not yet destroyed, if the pain is not the successful removal.
The drugs of this action, use with caution, under medical supervision. The most active of them are issued only to health professionals.
For the elimination of foci of papillom in cosmetic treatments using drugs, which the lytta. It is a poison of non-protein nature.
In the body of the insect contains up to 5 % of this substance. He is best known as an aphrodisiac – causes sexual arousal. But the poison also has the apostema the action. In case of contact with skin, it quickly penetrates deep to the interior, removes the work of the epidermal cells. They perish, formants of a bubble. Therefore, in the dermatological practice a solution of this substance is applied to the cautery and remove skin flaws.
In the treatment of plantar warts disappear in 80% of cases.
The advantage of the most cauterizing funds against the plantar wart is relatively painless when it is applied on the skin. But their use has side effects, the treatment is necessary in the long term.
For the treatment of plantar warts also apply to other drugs, causing mortification of the tissues and destroy the pathological state of education on the foot.
These drugs are on the neoplasm 1 times in the 7 to 14 days.
Get rid of plantar warts medication at home. The surface of the hearth previously degreased with alcohol. The treatment is carried out until the tumor does not acquire a uniform color yellow.
On the site of the wart will form a crust. In a few days, should be a complete rejection. If this has not happened, it is necessary to reconsider the treatment of drug addiction. For the treatment of plantar warts takes 3 to 4 sessions.
At home remove warts cauterization drugs to be cautious, so as not to damage the surrounding healthy tissue. To avoid complications, it is recommended to perform the process of pre-consultation with the doctor.
Biopuncture
When the recurrence warts takes place biopuncture. Just before starting the treatment, prepare a solution of bleomycin and applied to the base of the lesion. Then, the wart is drilled injection needle until the appearance of hemophilia and injected the drug. The procedure is repeated several times until the full impregnation of the institute of the solution.
After treatment of the surface of the foot cover with plastic wrap and tied up with a bandage on for 24 – 48 hours. For two days the wart dies, a few days is not necessary.
Accurate data on the effectiveness, side-effects and contraindications of this method of treatment of plantar warts not.
The physical treatment. The diathermy surgical
The diathermy surgical method of removing, during which the combustion of pathological tissues occurs under the influence of the alternative electric current of high frequency. The plantar wart is removed from the layer-by-layer of the electrode, which is in contact with the surface of the outgrowth. When multiple elements of the suppression of the exercise in a phased manner.
The removal of plantar warts method diathermocoagulation – a procedure painful, therefore, is done under local anesthesia. After the treatment imposed dressing sec.
Depending on the depth of a defect of the wound has healed 4 – 6 weeks. On the site of the removal will form a scar.
The physical treatment. Cryosurgery
Cryotherapy – a method of exposure of the skin to low temperature of the agents. The destruction of the institute occurs due to the formation inside the cells and vessels of ice crystals. Under the influence of low temperatures stops the flow of blood in the vessels and the default collapses. But while retaining the structural base, the collagen fibers and the ability of nerve fibers to the recovery. It is normally the healing after kriodestruktsii.
Treat the plantar warts effectively the soft method kriodestruktsii during the processing of the liquid nitrogen. The liquid nitrogen is applied on the outbreaks with a cotton swab on the hard type cryomassage for 20 – 30 per session. Procedures repeated spend 2 to 4 days.
In the case of congestion, thickening of the horny layer of the prior to each procedure on a 12 – 24 on the fireplace to impose a band-aid "Crept". Just before the cryotherapy are mylno soda foot bath.
The surgical excision of the wart
The surgical treatment of plantar warts do not pass, because this method is traumatic, and relapse, it's weird. After a surgical excision there is a risk of scarring rough.
In very rare cases, if you think that the wart acquires the properties of a malignant tumor, it is necessary to cut it. Is excised outgrowth in the skin widely, invading the adjacent tissues. Therefore, the operation is often accompanied by excessive bleeding.
To avoid the appearance of scars on the foot, the plantar warts away from the curette. This medical instrument used in surgery for removal (curettage) of pathological soft tissue of the bone. In a base of accumulation administered an anaesthetic injection. This will facilitate the separation of the warts of the lower layers of the skin. The doctor removes the pathologically changed skin scratching movements.
After the completion of the procedure on the site of the deletion the clip is still a pretty round wound hemorrhagic. Its burned to stop the bleeding and destroy the remaining elements of the wart. The removed tissue sent to the histology.
Complete healing of the tissue occurs after 2 – 3 weeks.
The treatment of plantar warts ways
Alkaline bath. The sodium bicarbonate in an amount of 500 g of packed into a canvas bag thin. The bag hanging on the water faucet, then open the hot water faucet. The jet must pass through the bag and dissolve the baking soda. After this, in the bathroom, add cold water and bring the water temperature up to 36 – 38° C. Alkaline bath for a period of 10 to 15 minutes every day or every two days. The course of treatment – 10 – 12 valves.
A hot bath. Take a bath for feet with a water temperature of 45 °c or with the addition of the oxidation of the peat (50 ml / 10 l water) for 20 – 30 minutes, two to three times per week. To get an effect, you must perform 20 of these procedures, and more.
If the wart is not treated, the following options are possible developments:
- they can suddenly disappear of themselves;
- the eruption remain unchanged;
- comes in the progressive stage of the growth of skin lesions.
When the recurrence warts treatment must combine the removal of growths from the stimulation of antiviral immunity. When the human papillomavirus apply the interferons. You can lubricate a fault for 2 to 4 weeks or more antiviral ointments.