WARTS | VERRUCA PEDIS

Warts (verruca pedis) can appear in different sizes, shapes and locations. Warts are an infection of the skin caused by the Human Papillomavirus (HPV). There are many different strands of the HPV virus. I do not like to use the term "Plantars Warts" because warts do not have to appear on the bottom of the foot. Although that is the most common location, it is not the only location. For any infection there needs to be three components: Infectious agent (virus), susceptible host (patient), portal of entry (eg: open sore). Often we pick up the HPV virus from communal bathing places – eg: public pools, showers or places where we go bare foot. Warts can have a cauliflower like appearance, can have black dots located in the centre and may be tender to walk on or pinch. Not everyone who comes in contact with the virus will present with a wart. However, those with decreased immunity are more susceptible to warts. 

TREATMENT

Warts on the foot can be extremely difficult to treat. They are even more difficult to treat if they have been there for a long period of time. This is believed to be due to the fact that we have an extra layer of skin on the soles of our feet (stratum lucidium). Often overlying Callus (hyperkeratosis) also forms. This overlying callus causes more pain and may make the host more susceptible to the virus. Treatment may take weeks or months to complete. 

At Royal City Foot Clinic we may accompany treatment with an application of prescription medication, salicylic acid, injection with medication, needling, freezing or surgical excision. Each treatment plan will be tailored specifically to each patient.

It is also important to avoid sharing common items with members of the family, to keep the area covered with a band-aid and socks or wear house shoes to prevent the spread of the virus. 

WITHOUT TREATMENT

Without treatment, you may be surprised to learn that some warts can simply go away. However, it is more common to see the wart become increasingly painful, spread to surrounding tissue or appear to grow. When warts are left untreated, it can hinder our ability to walk or run due to the influx of pain during weight bearing (standing). ​