Warts Specialist

Understanding Plantar Warts

Plantar warts are small, fleshy growths that commonly develop on the soles of the feet, particularly on weight-bearing areas such as the heels and balls of the feet. These warts are caused by the human papillomavirus (HPV), which enters the skin through tiny cuts or cracks, allowing the virus to take hold.

While most plantar warts are harmless and often resolve with conservative treatment, they can become painful or interfere with daily activities such as walking and running. If your warts worsen or cause discomfort, seeking professional medical care is recommended.

Signs and Symptoms

Plantar warts can present differently for each individual, but common symptoms include:

• Hard, thickened skin over a well-defined spot
• Small, fleshy growths on the bottom of the foot
• Pain or tenderness when walking or standing
• Lesions that disrupt the natural lines and ridges of the skin
• The presence of a small black dot (often called a “seed”), which is a clotted blood vessel supplying the wart

A distinguishing feature of plantar warts is the appearance of "paprika bleeding"—tiny red dots that may bleed when the wart is scraped or irritated. This occurs because the virus causes abnormal growth of blood vessels in the outer layer of the skin.

Prevention Strategies

Although plantar warts cannot be entirely prevented, the risk of developing them can be significantly reduced by taking the following precautions:

• Avoid direct contact with warts, including your own
• Keep feet clean and dry to prevent viral growth
• Refrain from picking or scratching at warts, as this can spread the virus
• Wear protective footwear in public areas, such as locker rooms, pools, and communal showers
• Use personal hygiene tools, such as emery boards and toenail clippers, without sharing them with others

By following these preventive measures, you can reduce your chances of contracting HPV and developing plantar warts.

Diagnosis

Diagnosing plantar warts typically involves a physical examination by a podiatrist, who will review your medical history and assess your symptoms. In some cases, the wart may be paired with a scalpel to check for the presence of a "seed" (clotted blood vessel), or a small tissue sample may be sent to a laboratory for further analysis.

Treatment Options

The treatment approach depends on the severity and persistence of the warts. While some plantar warts resolve on their own, professional intervention may be required for those that cause pain or continue to spread. Common treatment methods include:

• Topical Treatments: Prescription-strength salicylic acid or Cantharone (a blistering agent) can help remove infected skin layers over time.
• Cryotherapy: Freezing the wart with liquid nitrogen to destroy infected tissue.
• Debridement: Removing the thickened skin layers to expose and treat the wart more effectively.
• Surgical Removal: For particularly stubborn or painful warts, minor surgical procedures may be necessary.

Since plantar warts are caused by a viral infection, treatment focuses on eliminating the affected skin layers. Multiple sessions may be required, spaced 2 to 4 weeks apart, depending on the size and persistence of the wart. As warts are contagious, patients are advised to avoid direct contact and use gloves if necessary when handling affected areas.

Plantar warts are a common condition, but they don't have to interfere with your daily life. If you are experiencing discomfort or persistent warts, schedule an appointment with Albuquerque Associated Podiatrists today by calling our office at (505)247-4164 for a same day appointment, or using our convenient online booking tool.