Plantar Warts

Submitted:
March 12, 2008 Updated: March 12, 2008
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giving information about common conditions and what you can do about
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DEFINITION
from Surgery of the Foot and Ankle , 6th edition, Roger A. Mann,
and Michael J. Coughlin, page 1088:
Plantar warts, or "papliomas of the sole," are very
common. They can occur on any part of the foot, but when localized
under areas of pressure, for example, the heel or metatarsal head
region, they give rise to tenderness and localized pain. Warts are
caused by a DNA virus belonging to the papovavirus group.
The incidence of plantar warts is 1% to 2% in the general
population and rises to as much as 25% in institutionalized children.
Areas where young adults and adolescents live together and bathe in
common areas such as boarding school, public baths, and military
dwellings have the highest rates. Usually by 2 years, the warts will
resolve spontaneously in 60% of the cases. Others have found a 20%
spontaneous resolution rate. Warts are transmissible from location to
location on a given patient and from person to person.
What is going on:
The body has a continual job of protecting itself from outside
invasion of unfriendly bacteria, viruses, and fungi. It is only when
the body's defenses are weakened or the invasion is too strong for
the body, or because some break in the body defenses has occurred,
such as a cut or a scratch that penetrates the skin, that the viruses
have a chance of setting up a stronghold. In the case of the plantar
wart virus, the resulting infection causes a plantar wart.
The "differential diagnosis" of a plantar wart is an
ordinary callus or corn. This distinction may be difficult to make.
However they are two very different things and must be treated
completely differently. The common callus or corn is a normal skin
response to localized pressure. The wart is a viral infection. Warts
tend to occur in clusters which is a "give away" as to
their identity.
What to do:
1. The first thing to do is to ascertain the diagnosis. If the
lesion (skin thing) is not over a weight-bearing pressure point,
chances are that it may be a plantar wart. If there is a "whole
family" of them, they are certainly warts. If in doubt seek
professional medical advice.
2. The best help in overcoming the viral infection is to increase
your general health, including your immunity. Get eight hours regular
sleep. Especially the sleep obtained before midnight is beneficial to
your immune system. Green leafy vegetables like broccoli,
cauliflower, and kale are beneficial to enhance the immune system. A
specific food with anti-viral properties is garlic. Scientific tests
have shown that the deodorized form of garlic retains its antiviral
properties. Folklore remedies such as rubbing the wart with garlic or
onion probably have some scientific basis. Outdoor exercise on a
regular basis, such as walking 2 to 3 miles a day, will boost the
immune system function. Taking multivitamin supplements have helped
in curing warts.
3. Palliative or symptomatic treatment is useful for painful
plantar warts because the pain from plantar warts can be intense. The
best palliative treatment is to use a corn doughnut pad or use an
insert with a hole cut out of the insert over the painful wart.
4. A word of caution: There are a great number of treatments for
plantar warts. When there are many treatments for a condition, this
tells you that no one of the treatments is completely successful for
all cases. It appears that directing the treatment to improving the
general immunity of the body is preferable to local treatment of the
wart.
5. Prevention: Plantar warts cannot always be prevented, however
certain things will help:
a) If your immunity is known to be compromised, avoid public
swimming pools, bathing areas, or using the same bathing facility (if
there is a choice) with a family member who is known to have warts.
b) Avoid what you know will stress your body and decrease your
immunity. Avoid over-fatigue or exposure, chilling your body.
c) Good health, including a healthy immune system comes from good
nutrition, balanced exercise, rest, and a healthy life-style that
avoids harmful habits like smoking, drinking addicting beverages, and
excesses of any type.
6. Local Treatment: As has been suggested above, local treatment
is less beneficial than general, immune system building treatment.
However, for very painful plantar warts there is a place for local
treatment. For the local treatment of choice, we are indebted to Dr.
William Wagner, MD, of Los Angeles now at the Loma Linda University
Medical Center for popularizing. Dr. Wagner tells of a specific
medication that he used to use with great success until it was no
longer manufactured. By necessity he was forced to use alternate
medications. To his pleasure he found out that the medication did not
seem to make much difference. It appeared that almost any medication
would be equally effective for plantar warts. He now believes the
effectiveness of the treatment depends upon the patient's own immune
system for its effect. The treatment has the role of decreasing the
nutrients from the body to the virus colony, thus weakening the
viruses and allowing the body to win the battle. This is Dr. Wagner's
method of treatment:
The wart is injected at its base. What material is used to inject
the wart does not appear to be critical. The treatment has a physical
effect of separating the wart in the upper layers of the skin from
the underlying deeper layers of the skin where the blood supply and
nourishment is found. The amount injected is determined by how much
material can be injected into the lower portion of the upper layers
of skin. A separation occurs between the upper and lower layers of
the skin where the material is being injected. This has the effect of
separating the virus from its nutrient source and weakens the virus
and in over 70% of the time the wart dies and over 90% of the time
there is relief of pain symptoms. The two commonest medications
injected today are local anesthetic agents such as Novocaine or
Lidocaine 1%. The only hazard to this treatment is sensitivity
reaction to the agent injected. In some cases several injections are
necessary for cure.
Yes, rubing a plantar wart with garlic at midnight will likely
help remove a plantar wart. It would work better if you went to bed
early and simply taped the garlic on the wart. Garlic has antiviral
chemicals in it. And yes vitamins will help improve your immune
system and help get rid of plantar warts. The influence of our brains
over our body is so great that anything we believe will help cure
something does have a beneficial effect about in the proportion of
the firmness of our belief in it. Didn't Jesus say "Be it unto
you according to your faith"? Yes, He did and He is right!