Plantar warts (Palmar-plantar) is usually localized on the cushion of the foot, on the heel, on the tips of your fingers.
The share of this type of warts in 30 % of cases. Meet in every age. A special feature – pain at the feeling and mechanical pressure.
The causes of plantar warts
Warts appear to be, if you with certain types of human papilloma virus (HPV). About 38 – 42 % of the people carrier on the apparently healthy skin.
Human Papilloma Virus has according to different sources, from several dozen up to two hundred species. Depending on the reasons HPV-type of person was infected, for him, different types of growths can occur on the skin:
- plantar warts,
- Papillomas,
- common warts,
- flat,
- anogenital'nye Condylomata acuminata.
The emergence of plantar warts is preceded by infection with HPV 1, 2, 4 types. The transmission occurs through contact-household. In the cells of the basal layer of the skin the Virus is dormant for long periods can. Once the contributing factors, begins the process of virus replication in the epithelium. This leads to the formation of morphologically altered tissue in the skin.
The infection plantar warts bind with walking barefoot, swimming in the Pool, use of shared bathroom facilities. Infection promotes the presence of micro-traumas to the feet, inflammation of the skin, excessive sweating of the feet.
Specifics of plantar warts
The appearance of plantar warts are similar to calluses.
First of all, on the foot of small solid nodules, which is then expanded occurs relatively, but is on a level with the healthy skin. Recharge compressed, is yellowish, granular surface, covered by a thick Stratum corneum.
Sometimes plantar wart has the appearance of the Fovea, on the bottom of the dense bunch are filiform papillae, and the margins look like the platen roller from the lower layers of horn.
This type of warts is different pain. A sharp pain occurs when walking barefoot upon the occurrence of the affected land to go on a small Apache subject, in the case of the arrangement in the areas of pressure in the area of the heels, the Pads of the foot. This makes it difficult to walk.
When you remove the Stratum corneum in the Central part of the plantar warts visible filament shaped, soft papillae. It is the capillaries, in which blood clots formed. In the case of slight damage, they begin to bleed.
For plantar warts is due to the appearance on the load-bearing areas of the foot that are exposed to the greatest pressure. Mostly, they are isolated. But sometimes the Fusion in the Form of tiles, the mosaic pattern. On the feet, often there are deep cracks.
How to get rid of plantar warts
Specific antiviral drugs and vaccines, to destroy HPV, does not yet exist. To completely remove the Virus from the body is not possible. There are many methods for the removal of warts, but none of them is absolutely effective. Recurrences of the disease are possible to each of them.
High risk of the recurrence of the plants celebrated:
- in the treatment of the most common neoplasms – area of more than 2 cm2;
- in the case of plantar warts, as they penetrate deeper into the Dermis.
The basic principle of the treatment is aimed at destruction (destruction) or another method, the focal points of papillomas, occur at the site of introduction of the Virus. In the therapy of warts used:
- Methods of chemical destruction;
- diatermokoagulyatsiya;
- Cryotherapy with liquid nitrogen;
- Laser therapy (carbon dioxide Laser), used the ineffectiveness of the other methods.
To decide in which way the implementation of the deletion, should the doctor some treatments can cause greater damage than even warts. For example, a depth of destruction from the plantar wart (especially in Laser and electro-surgical) can cause the formation of scars on the foot. And she is constantly exposed to stress, while walking.
Before the treatment, the wart to burn out on the sole, and a destructive agent, it is necessary to have a preparatory procedure, skin excrescence-friendly interface and promotes the penetration of the drugs used. Must keep the feet in soap-Soda and water solution or an application of salicylic acid. After softening excess mass from the cornea (to remove the superficial layer) and only then a therapeutic solution.
In order to reduce pressure and pain while walking treatment on the foot in the area of outgrowth with the help of plaster attached to the rubber ring may be.
In the treatment of warts by chemical destruction
For the removal of plantar warts used concentrated solutions of acids, alkalis, salts:
- Hydrogen peroxide;
- Preparations with a basis of salicylic and lactic acid;
- Acetic acid and nitric acid;
- 50 % solution of trichloroacetic acid;
- Juice Of Thuja, Celandine.
Salicylic acid has a pronounced therapeutic effect against the focal points of the papillomas, your application goes to the keratolytic principle of effect to cause: softening, resolution, and rejection of the Horny layer of the Epidermis.
Salicylic acid is a component of many agents for the treatment of warts. Your concentration can be from 10% to 60%.
The effectiveness of the treatment of some plantar warts salicylic acid after a three-month therapy is 84 %, while mosaic in 45 % of cases.
Therapeutic effect of concentrated trichloroacetic acid, associated with a chemical destruction of the tissue. The effect of the destruction is achieved in the Moment when the wart and the surrounding tissue is white.
The effectiveness of the destruction of plantar warts is examined: the construction of two pages shrink. If the pain, then it is destroyed even if it hurts, means performed the delete is successful.
Preparations for such an action to use it with caution under a doctor's supervision. The most active of them are only physicians.
For the distance of the focal points of the papillomas in cosmetic offices used drugs, contain lytta. The poison is not protein-like nature.
In the body of the insect, up to 5% of this substance. It is more known as an aphrodisiac – sexual arousal caused. But the poison also has a cutaneous apostema effect. In case of contact with skin, it penetrates quickly deep inside, inhibits the work of the epidermal cells. You die to form a bubble. So in the dermatological practice, the solution of the given substance for burns and removal of skin defects.
In the treatment of plantar warts of the cases, disappear in 80 %.
Advantage of most of the a cauterizing agent against a plantar wart is relatively painless when applied to the skin. But your application has side effects treated for a long time.
For the treatment of plantar warts, other medicines, apply to necrosis of the tissue caused and destroy the abnormal formation on the feet.
These medicines to use for the formation of 1 time in 7 – 14 days away.
Get rid of plantar warts drug can at home. The surface of the stove with alcohol degreased. The treatment is not made until the tumour acquire a uniform yellow.
At the site of the wart scab is formed. In a few days, its full rejection to happen. If that does not happen, it is necessary, a review of the drug treatment. For a plantar wart treatment 3 requires 4 sessions.
To remove home warts burning medications, you should be careful to avoid damaging the surrounding healthy tissue. To avoid complications, it is recommended that the procedures, after consultation with the doctor.
Biopuncture
In the case of recurring warts biopuncture carried out. Immediately before the treatment, the solution of Bleomycin is preparing and on the feet is applied to a hotbed of defeat. Then the wart sting, the injection of the needle until the occurrence of bleeding administered and medicines. The procedure is repeated several times, until complete impregnation of neoplasms of the solution.
After the treatment, the surface of the foot with plastic wrap, cover and tie a bandage for 24 – 48 hours. Within two days the wart dies, after a few days disappears.
Accurate data on the effectiveness, side-effects and contraindications of this method of treatment of plantar warts.
Physical methods of treatment. Diatermokoagulyatsiya
Diatermokoagulyatsiya method to remove, in the combustion of pathological tissues flow occurs under the influence of an alternating electric high frequency. Plantar wart layer is removed for the layer of the electrode, the sprouted grains in contact with the surface. When multiple delete items in stages is carried out.
Plantar wart removal method diathermocoagulation – painful procedure is performed under local anesthesia. After the treatment, dry bandage superimposed.
Depending on the defect depth of the wound 4 heal – 6 weeks. On the distance from the point rubez forms.
Physical methods of treatment. Cryotherapy
Cryotherapy is a method of influence on skin low-temperature agents. The destruction of tumors by the formation within the cells and vessels of ice crystals. Under the influence of low temperatures, the blood stops flow in the vessels and the cause of the collapses. However, the structural basis of the collagen fibers and the ability of nerve fibers to the recovery of remains. It offers a normal wound healing after cryodestruction.
Plantar warts effectively treat gentle method of cryoablation in the processing of liquid nitrogen. The liquid nitrogen is chopsticks on the watt according to the type of hard cryomassage within 20 – 30 per session. Repeated treatments lead to 2 – 4 days away.
If excessive thickening of the Horny layer before each treatment and 12 – 24 hours on the stove sticking plaster "Sliped place". Immediately prior to the cryotherapy soap Soda making nozhnuyu foot bath.
Surgical excision of warts
Surgical treatment of plantar wart is not performed, since this method is traumatic, and he relapses prevented. After surgical excision there is a high risk of formation of rough scars.
In extremely rare cases, if you suspect that the wart has acquired the characteristics of malignant tumors, it needs to cut. Outgrowth of excised dermal far, grabbed the surrounding tissue. Therefore, surgery is often accompanied by severe bleeding.
To avoid scars on the foot, plantar warts roughened to remove. This medical Instrument is used in surgery to remove (dilation and curettage) pathological soft tissues from the bone to use. In the base injection of the anesthetic outgrowth by means of injected. This facilitates the separation of the lugs from the lower layers of the skin. The doctor removes the diseased skin scratching movements.
After the conclusion of the proceedings in the place of an element, removing a clean round a wound. Your cauterized to stop the bleeding and destroy the remaining elements of the wart. The removed tissue is sent for histological study.
Complete healing of tissue takes about 2 – 3 weeks.
Treatment of plantar warts people have
Alkaline Baths. Sodium hydrogen carbonate in an amount of 500 G of pour into a linen bag thin. The bag hung on a faucet, then the hot water valve opens. The beam has to through the bag, and the resolution of Soda. Then in the pan add cold water and bring the water temperature up to 36 – 38° C. Alkaline baths, the duration is 10 – 15 minutes daily or every second day. The course of treatment – 10 – 12 baths.
Hot Baths. You can take a bath for the feet with a water temperature of 45 °C or with the addition of the oxidative peat (50 ml to 10 litres of water) for 20 to 30 minutes two to three times per week. To achieve an effect, you need to 20 of such procedures, and more.
If the warts are not treated, it can lead to the following scenarios:
- You will suddenly disappear by themselves;
- Rashes remain unchanged;
- happen to continue the growth of the skin below-growths.
In the case of recurring warts should be removed to combine the treatment of growths with incentives for anti-viral immunity. In the case of Papilloma Virus, interferons are used. Lubricate cause within 2 – 4 weeks and more than anti viral ointments can.