Subanar warts (also, Ladown-Sore) are usually located on the pillow of the legs, on the heels, on the tip of the toes.
This type of warts represent 30 % of cases.They meet at any age.A distinctive feature is sensation soreness and mechanical pressure.
The reasons for the appearance of a plantar wart
Warts appear when infected with some types of human papillomavirus (HPV).About 38 - 42 % of people are its carriers of apparently healthy skin.
The human papilloma virus has in various sources from several tens to two hundred species.Depending on what type of HPV is an infected person, he may have different types of neoplasms on the skin:
- Social warts,
- Papillomas,
- ordinary warts,
- flat,
- Anogenital - pointed warts.
The appearance of a plantar wart is preceded by an infection of HPV 1, 2, 4 of the type.The transmission is made in contact and daily.In the cells of the basal layer of the skin, the virus can be in a state of sleep for a long time.Once favorable factors occur, the process of multiplication of the virus in the epithelium begins.This leads to the formation of morphologically altered skin tissues.
Plantar wart infection is associated with a walking boss, swimming in the pool, the use of a shared bathroom.The infection is facilitated by the presence of microtraumas of the legs, inflammatory processes on the skin, increased sweating of the legs.
Distinguishing characteristics of plantar wart
In appearance, plantar warts look like calluses.
At first, a small relatively dense knot appears on the foot, which then expands but is at the same level with healthy skin.The neoplasm is compacted, it becomes a yellowish color, it acquires a granulated surface, it is covered with a thick horn layer.
Sometimes the plantar wart has the shape of a hole at the bottom of which there are solid bundles of carved papillae, and the edges look like a roller made of layers of horns.
This type of wart is painful.Acute pain occurs when walking barefoot when the affected area on a small tightly object progresses when the heel is located in the pressure at the pressure points, the pillows of the legs.This makes it difficult to walk.
When removing the horn layer, threads, soft papillae are visible in the central part of the plantar wart.These are the capillaries in which blood clots are formed.With minor damage, they start to bleed.
The plantar wart is characterized by the appearance in the support areas of the foot, which are subjected to the greatest pressure.Most often they are single.But sometimes they form fusion in the form of a plaque that has a mosaic pattern.Deep cracks often appear on the legs.
How to get rid of a plantar wart
Specific antiviral drugs and vaccines that destroy HPV still do not exist.It is impossible to completely remove the virus from the body.There are many methods for removing warts, but none of them is absolutely effective.Recurrents of the disease are possible after one of them.
A high risk of re -emergence of growths is noted:
- In the treatment of common neoplasms - with an area of over 2 cm2;
- With plantar warts, as they penetrate deeper into the dermis.
The basic principle of treatment is aimed at destroying (destruction) by one or the other method of foci of papillomas arising at the site of the introduction of the virus.In wart therapy are used:
- Methods for chemical destruction;
- diameterocoagulation;
- Cross -depressing with liquid nitrogen;
- Laser therapy (carbon dioxide) is used for the ineffectiveness of other methods.
The doctor should decide how to perform removal: some treatments can cause more harm than warts themselves.For example, deep destruction of plantar warts (mainly laser and electrosurgical) can cause the formation of scars on the foot.And it is constantly subjected to loads when walking.
Before treating a wart and destructive agents, it is necessary to perform preparatory procedures that soften the surface of the growth and contribute to the penetration of the medicines used.It is necessary to keep the foot in a solution of soapy water or to apply salicylic acid.After softening, excess horn (surface layer) should be removed and only then apply the therapeutic solution.
To reduce the pressure and pain when walking during treatment, the rubber ring can be attached to the foot in the growth area with adhesive plasters.
Options for treating a wart method by chemical destruction
Concentrated solutions of acids, alkali, salts are used to remove plantar warts:
- hydrogen peroxide;
- Preparations based on salicylic and lactic acid;
- acetic and nitric acid;
- 50 % solution of tricholocic acid;
- Tudja juices, Salandin.
Salicylic acid has a pronounced therapeutic effect against papillomas foci.Its use is related to the keratolithic principle of defect exposure: softening, dissolving and rejection of the layer layer of the epidermis.
Salicylic acid is part of many remedies for the treatment of warts.Its concentration can be from 10 to 60 %.
The effectiveness of the treatment of single plantar warts with salicylic acid after quarterly therapy is 84 %, with a mosaic - in 45 % of cases.
The therapeutic effect of the concentrated trichloroxic acid is associated with the chemical destruction of the tissues.The effect of destruction is achieved when the wart and fabric surrounding it become white.
The effectiveness of the destruction of the plantar wart is checked as follows: growth is compressed on both sides.If pain is felt, then it is not yet destroyed, if there is no pain, then the removal is successful.
The preparation of this action is used with caution in medical control.The most active of them are released only from medical workers.
Medicines that include Lytta are used to remove papilloma outbreaks in cosmetic premises.This is the poison of the improper nature.
The insect body contains up to 5 % of this substance.He is more known as an aphrodisiac - causing sexual arousal.But the poison also has a skin range.If it enters the skin, it quickly penetrates inside, suppresses the work of epidermal cells.They die, forming a balloon.Therefore, in dermatological practice, the solution of this substance is used to cauterize and eliminate skin defects.
In the treatment, plantar warts disappear in 80 % of cases.
The advantage of most catering agents against plantar warts is relatively painlessness when applied to the skin.But their use has side effects, you have to be treated for a long time.
Other medicines are also used to treat the plantar wart, causing tissue dead and destroying pathological formation of the foot.
These drugs are administered to the neoplasm 1 time for 7 - 14 days.
You can get rid of plantar warts at home.The surface of the hearth is previously discouraged by alcohol.The processing is done until the neoplasm becomes an even yellow color.
A scab is formed in the place of the wart.A few days later, his full rejection must happen.If this does not happen, it is necessary to perform repeated treatment with the drug.3-4 sessions are required to treat plantar warts.
At home, remove warts with cauterizing medicines carefully so as not to damage the surrounding healthy tissues.In order to avoid complications, it is recommended to perform the procedure by consulting your doctor before.
Whimper
Repeated warts are blended.Immediately before the start of treatment, a solution of bleomycin is prepared and applied to the foot on the lesion.Then the wart is drilled with an injection needle until bleeding occurs and the medicine is administered.The procedure is repeated several times until the neoplasm is completely soaked with a solution.
After treatment, the surface of the foot is covered with a plastic film and becomes a dressing for 24 - 48 hours.Within two days the wart dies, after a few days it disappears.
There are no accurate data on the effectiveness, side effects and contraindications of this method of treating a plantar wart.
Physical methods of treatment.Diathermoagulation
Diarthermocoagulation is a removal method in which the burning of pathological tissues occurs under the influence of AC with a high frequency.The plantar wart is removed with a layer of a layer with an electrode that is in contact with the growth surface.With multiple elements, the removal is done in stages.
The removal of plantar warts by diameterocoagulation is a painful procedure, therefore it is performed with local anesthesia.After treatment, a dry dressing is applied.
Depending on the depth of the defect, the wound heals 4 to 6 weeks.A scar is formed at the removal site.
Physical methods of treatment.Cobbled
Croitherapy is a method of exposing the skin to low -temperature agents.The destruction of neoplasm occurs due to the formation of ice crystals inside the cells and blood vessels.Under the influence of low temperatures, the blood flow in the vessels ceases and the defect is destroyed.But at the same time, the structural base, collagen fibers and the ability of nerve fibers to recover.This guarantees normal wound healing after cryodestruction.
For the effective treatment of plantar warts by the method of gentle cryodestruction during treatment with liquid nitrogen.Liquid nitrogen is applied to the outbreaks with a cotton swab according to the type of hard cryomas for 20 - 30 s per session.Repeated procedures are performed after 2 to 4 days.
In the case of excessive thickening of the horn layer before each procedure, 12 - 24 hours is applied to the hearth on the glue layer of Saliza.Immediately before cryotherapy, they make a bath with a soap knife.
Surgical cutting of the wart
Surgical treatment of plantar warts is not performed as this method is traumatic and does not prevent relapse.After surgical cut, there is a high risk of gross scars.
In extremely rare cases, in case of suspicion that the wart acquires the properties of a malignant tumor, it must be cut.They excise skin that grows wide, capturing adjacent tissues.Therefore, surgery is often accompanied by severe bleeding.
To avoid the appearance of scars on the foot, plantar warts are removed with a pillow.This medical instrument is used in surgery to remove (curettage) of pathological soft tissues from the bones.Anesthetic injection is introduced at the base of growth.This facilitates the separation of the wart from the lower layers of the skin.The doctor removes pathologically altered skin with scraping movements.
After the procedure is completed at the point of removal of the element, a pure round bleeding wound remains.It is cauterized to stop bleeding and destroy the other elements of the wart.Remote tissues are sent for histological examination.
Full tissue healing occurs after 2 to 3 weeks.
Treatment of plantar warts with folk methods
Alkaline baths.Sodium bicarbonate in an amount of 500 g is poured into a thin lingerie bag.The bag is hung on the tap and then the end of hot water opens.The flow should pass through the bag and dissolve soda.Then cold water is added to the bath and the water temperature is taken to 36 - 38 ° C. The alkaline baths are spent 10-15 minutes, spend daily or every other day.The course of treatment is 10 - 12 bathrooms.
Hot baths.Take foot baths at 45 ° C or with peat, oxidized (50 ml per 10 liters of water) for 20 to 30 minutes two to three times a week.In order to achieve the effect, it is necessary to perform 20 such procedures or more.
If the warts are not treated, the following event development options are possible:
- They can suddenly disappear on their own;
- The rashes will remain unchanged;
- The progression of the growth of skin neoplasms will occur.
With recurrent warts, treatment should combine the removal of outgrowths with the stimulation of antiviral immunity.In human papillomavirus, interferons are used.You can lubricate the defect for 2 to 4 weeks or more antiviral ointments.