GALLUZZO FOOT & ANKLE CLINIC

Plantar Warts
A wart is a viral infection, which can enter through a small cut or break in the skin. A wart is commonly seen on the bottom of the foot (plantar wart), but it can also appear anywhere on the foot or toes. Children, teens, and people with weakened immune systems are more vulnerable to the wart virus. A viral infection can spread to other locations on the foot and other parts of the body as well as to other family members!!
SYMPTOMS
Warts may appear spongy, with tiny red, brown, or black spots. They can grow up to an inch or more across, and can occur alone (solitary) or with smaller warts clustered nearby (mosaic). It is also possible that the lesions mimic other growths, e.g., calluses or corns or more serious lesions, including carcinomas, melanomas, and Kaposi's sarcoma. They can persist for years, and reoccur in the same spot. If left untreated, warts can spread to other parts of the foot, to the hand, or other areas of the body. A wart will usually feel painful with side to side pressure.
TREATMENT
There are many ways to treat warts, depending an their size and location. There is medication, available to doctors, simple excision of the lesion, and laser surgery, for more resistant growths. It is important to remember that warts have a high recurrence rate and may reoccur even after they have been removed. There are also  over the counter medications  that are available that contain chemicals and may resolve the problem. Caution should always be observed in using these medications and you should follow the instructions closely. The most common problem in having the patient use over the counter medication, is over treatment. This can cause more damage and make the lesion or lesions more resistant to any form of treatment. If any adverse reaction should occur, consult your podiatrist.
TREATMENT OPTIONS

Medication:
Warts thrive in a moist, dark environment. Medication is used to dissolve the core of the wart or to inhibit their growth. With acid medication, the wart is broken down by applying an acidic solution. Blister-forming solutions may also be used. The treatment may need to be repeated over several weeks. Another form of treatment involves drying agents, similar to formaldehyde, which dry the skin and decreases the size of some large lesions as well as removing smaller warts.

Curettage:
The wart is removed with a small, spoon-shaped instrument (curette). A local anesthetic is often used with this procedure to make it more comfortable.

Laser:
The wart is vaporized, using focused light energy produced by a laser. A local anesthetic is often used with this procedure to make it more comfortable. This procedure is usually done as an outpatient procedure in a surgicenter.

Radiosurgery:
The wart is destroyed by burning with an electric needle which also cauterizes the wound. This procedure is done in an office setting under local anesthesia. Most patients are able to continue their activities including work, the same day!!


CAUTION!!!
Do not use over the counter medications for warts, without asking your physician first. Some of these treatments can damage the skin, and may be dangerous if you have diabetes or poor circulation. Protect your feet from future infection by avoiding direct contact with warts, keeping the feet clean and dry and avoid walking barefoot.

The podiatrist will make a determination as to which procedure or combination of procedures are needed to resolve the problem with the least amount of discomfort.

You can contact Dr. A.J. Galluzzo in Rockford, IL at Tel: (815) 633-3050
or in Chicago, IL at
Tel: (312) 944-2929


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