Subanary warts (also, ladown-sore) are usually localized on the pillow of the feet, on the heels, on the fingertips.
This type of warts accounts for 30 % of cases.Meet at any age.A distinctive feature is soreness when feeling and mechanical pressure.
The reasons for the appearance of a plantar wart
Warts appear when infected with some types of human papilloma virus (HPV).About 38 - 42 % of people are its carriers on apparently healthy skin.
The human papilloma virus has in various sources from several tens to two hundred species.Depending on what type of HPV a person was infected, he may have various types of neoplasms on the skin:
- Social warts,
- papillomas,
- ordinary warts,
- flat,
- Anogenital - pointed condylomas.
The appearance of a plantar wart is preceded by an infection of HPV 1, 2, 4 of the type.The transmission takes place in contact and everyday path.In the cells of the basal layer of the skin, the virus can be in a sleeping state for a long time.As soon as favorable factors appear, the process of breeding the virus in the epithelium begins.This leads to the formation of morphologically changed skin tissues.
Infection with plantar warts is associated with the walking barefoot, swimming in the pool, the use of a common bath.Infection is facilitated by the presence of microtraumas on the feet, inflammatory processes on the skin, increased sweating of the legs.
Distinctive features of the plantar wart
In appearance, the plantar warts resemble corns.
At first, a small relatively dense knot occurs on the foot, which then expands, but is at the same level with healthy skin.The neoplasm is compacted, becomes a yellowish color, acquires a granular surface, is covered with a thick horn layer.
Sometimes the plantar wart has the form of a hole at the bottom of which there are dense bundles of threaded papillae, and the edges look like a roller made of horn layers.
This type of wart is painful.A sharp pain occurs when walking barefoot, when the affected area on a small solid object is advancing, when the heel is located in the pressure in the places of pressure, the foot pillows.This makes it difficult to walk.
When removing the stratum corneum in the central part of the plantar wart, filamentary, soft papillae are visible.These are the capillaries in which blood clots formed.With mild damage, they begin 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 mergers in the form of a plaque that has a mosaic pattern.Deep cracks often occur on the feet.
How to get rid of a plantar wart
Specific antiviral drugs and vaccines that destroy HPV does not yet exist.It is impossible to completely remove the virus from the body.There are many methods for removing warts, but not one of them is absolutely effective.Relapses of the disease are possible after any of them.
A high risk of re -occurrence of growths is noted:
- in the treatment of common neoplasms - with an area of more than 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 another method of foci of papillomas arising at the site of the introduction of the virus.In therapy of warts are used:
- chemical destruction methods;
- diatermocoagulation;
- cryodestruction with liquid nitrogen;
- Laser therapy (carbon dioxide) is used for ineffectiveness of other methods.
The doctor should decide how to carry out removal: some treatment methods can cause more harm than warts themselves.For example, deep destruction of plantar warts (primarily laser and electrosurgical) can provoke the formation of scars on the foot.And she is constantly subjected to loads when walking.
Before treating a cartridge wart and destructive means, it is necessary to carry out preparatory procedures that soften the surface of the growth and contribute to the penetration of the drugs used.It is necessary to hold the foot in a soap water solution or make an application of salicylic acid.After softening, the excess horn mass (surface layer) must be removed and only then applied the therapeutic solution.
To reduce pressure and pain when walking during treatment, a rubber ring can be attached to a foot in the growth area with adhesive plasters.
Options for the treatment of a wart method by chemical destruction
To remove plantar warts, concentrated solutions of acids, alkalis, salts are used:
- hydrogen peroxide;
- Salicylic and lactic acid -based preparations;
- acetic and nitrogen acid;
- 50 % solution of trichloroxic acid;
- juices of thuja, celandine.
Salicylic acid has a pronounced therapeutic effect against foci of papillomas. Its use is associated with the keratolytic principle of exposure to the defect: softening, dissolution and rejection of the stratum layer of the epidermis.
Salicylic acid is part of many means for treating warts.Its concentration can be from 10 to 60 %.
The effectiveness of the treatment of single plantar warts with salicylic acid after three -month therapy is 84 %, with mosaic - in 45 % of cases.
The therapeutic effect of concentrated trichlororoxic acid is associated with the chemical destruction of tissues.The destruction effect is achieved at the moment when the wart and the fabric surrounding it is whitewashed.
The effectiveness of the destruction of the plantar wart is checked in the following way: the 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 carried out successfully.
Preparations of this action are used with caution under medical control.The most active of them are released only to medical workers.
To remove foci of papillomas in cosmetic rooms, drugs are used, which include Lytta.This is the poison of non -headed nature.
The body of insects contain up to 5 % of this substance.It is more known as aphrodisiac - causes 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 bubble.Therefore, in dermatological practice, a solution of this substance is used to cauterize and remove skin defects.
In treatment, plantar warts disappear in 80 % of cases.
The advantage of most Cauterizing agents against plantar warts is relative painlessness when applying to the skin.But their use has side effects, you need to be treated for a long time.
Other drugs are also used to treat the plantar wart, causing tissue deadness and destroying pathological formation on the foot.
These drugs are applied to the neoplasm 1 time in 7 - 14 days.
You can get rid of plantar warts at home.The surface of the hearth is previously degreased with alcohol.Processing is carried out until the neoplasm acquires a uniform yellow color.
A scab is formed at the site of the wart.A few days later, its complete rejection must occur.If this does not happen, it is necessary to carry out repeated treatment with the drug.For the treatment of plantar warts, 3-4 sessions are required.
At home, remove warts with cauterizing drugs carefully so as not to damage the surrounding healthy tissues.To avoid complications, it is recommended to carry out the procedure, having previously consulted with the doctor.
Bleopuncture
With recurrent warts, bleopuncture is carried out.Immediately before the start of treatment, a solution of bleomycin is prepared and applied to the foot on the lesion.Then the wart is pierced with an injection needle until bleeding appears 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 bandaged with a bandage for 24 - 48 hours.Within two days, the wart dies, after a few days it disappears.
There is no exact data on the effectiveness, side effects and contraindications of this method of treatment of a plantar wart.
Physical methods of treatment.Diatermocoagulation
Diarthermocoagulation is a removal method in which the burning of pathological tissues occurs under the influence of alternating electric current of high frequency.The plantar wart is removed by a layer by a layer with an electrode that is in contact with the surface of the growth.With multiple elements, removal is carried out in stages.
Removal of plantar warts by diatermocoagulation is a painful procedure, therefore it is performed under local anesthesia.After treatment, a dry bandage is applied.
Depending on the depth of the defect, the wound heals 4 to 6 weeks.At the place of removal, a scar is formed.
Physical methods of treatment.Cryodestruction
Cryotherapy is a method of exposure to the skin of low -temperature agents.The destruction of the 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 restore are preserved.This ensures normal wound healing after cryodestruction.
To treat plantar warts effectively by the method of gentle cryodestruction during liquid nitrogen treatment.Liquid nitrogen is applied to the foci with a cotton swab according to the type of hard cryomassage for 20 - 30 s per session.Repeated procedures are carried out after 2 to 4 days.
In case of excessive thickening of the stratum corneum before each procedure, 12 - 24 hours on the hearth is applied to the Saliza adhesive plastry.Immediately before cryotherapy, they make a soap -shaped knife bath.
Surgical excision of the wart
Surgical treatment of plantar warts is not carried out, since this method is traumatic, and it does not prevent relapse.After surgical excision, there is a high risk of the formation 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 out.They excise the skin growing wide, capturing adjacent fabrics.Therefore, the operation is often accompanied by severe bleeding.
To avoid the appearance of scars on the foot, plantar warts are removed with a cushion.This medical tool is used in surgery to remove (curettage) of pathological soft tissues from bones.An anesthetic injection is introduced into the base of the 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 place of removal of the element, a neat round bleeding wound remains.It is cauterized to stop bleeding and destroy the remaining elements of the wart.Remote tissues are sent for histological examination.
Complete healing of tissues 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 linen bag.The bag is hung on the tap tap, then the hot water crane is opened.The stream should pass through the bag and dissolve soda.After that, cold water is added to the bathtub and water temperature is brought to 36 - 38 ° C. Alkaline baths are spent 10-15 minutes spend daily or every other day.The course of treatment is 10 - 12 baths.
Hot baths.Take baths for feet at a water temperature of 45 ° C or with the addition of peat oxidate (50 ml per 10 liters of water) for 20 to 30 minutes two to three times a week.To achieve the effect, it is necessary to perform 20 such procedures or more.
If the warts are not treated, the following options for the development of events are possible:
- They can suddenly disappear on their own;
- rashes will remain unchanged;
- The progression of the growth of skin neoplasms will occur.
With recurrent warts, treatment should combine the removal of growths with the stimulation of antiviral immunity.In the human papilloma virus, interferons are used.You can lubricate the defect for 2 to 4 weeks or more antiviral ointments.