plantar wart

Is it More than a Callus on Your Child’s Foot? Lonnie Kaplan DPM

One of the most common conditions we see as podiatrists are plantar warts also known as plantar verruca. These lesions commonly occur in children and parents often misdiagnose them as a callus (thickened skin) Plantar warts are very different than thickened skin and treatment is much different as well. A plantars wart is caused by the Human Papilloma Virus and it commonly affects the outer layer of the skin. It is contagious and commonly acquired by walking barefoot in a public pool, locker room, hotel room etc. Most of the time, children will complain of pain in the area as well as a thickening of skin in the area. If this is experienced, it is important to have your child evaluated by a podiatrist. The longer the delay, the more they can spread and the more warts you can develop.

Your podiatrist will typically trim the thickened tissue (usually not painful), and evaluate the area. It is common to see black dots in the lesion (these are small capillaries). There are multiple treatment options available and your podiatrist will discuss this in detail with you. Unfortunately the Human Papilloma Virus vaccine does not protect against these plantar warts. Treatment usually entails salicylic acid (most podiatry offices use a percentage higher than what you can get in the pharmacy over the counter) as well as trimming the lesion. Another treatment option is a blistering agent that exfoliates the top layer of skin. It is important to remember that warts take a long time to go away but the sooner you treat them the better the outcome. Always also be sure to check everyone in your family as they easily spread to brothers, sisters, and other family members.

Call Quality Foot Care today at 215-230-9707 for an appointment with Doylestown’s community podiatrists. We would be happy to discuss the above with you to keep your entire family on their feet!


A Dirty Four Letter Word: Wart

I’m talking about the viral  “W A R T”.  Warts are a common condition seen by podiatrists.  They are caused by the papilloma virus which can be found almost anywhere.  The virus is found on surfaces that we walk on and will enter your skin through a break.  The break does not have to be large.  It can be a very minor crack in a dry or overused foot.  Often they are neglected because they resemble corns or calluses. Unfortunately since they are caused by a virus warts can start as a single solitary lesion and multiply into many lesions.  When the warts are on the bottoms of your feet, they can become very painful due to compression and deepening from weight bearing forces.

Prevention would include wearing flip flops while in public showers, lockers and pool areas.  Also preventing cracks in your skin by applying emollient creams daily.  If you have a break in your skin make sure it’s covered.

The key is to act early and aggressively.  Given the opportunity your foot could be covered with warts in a very short amount of time.  What makes things worse is the entire family as well as your visitors will be exposed to and more prone to catching the virus.  Some ways to prevent this are to cleanse showers with dilute bleach preparations and to wear shoes and or slippers while walking around the house.

The most common home treatment is drugstore bought salicylic acid preparations.  These are applied daily.  Also store bought freezing kits can be effective although I find they have very poor results on the bottoms of the feet.

If you have a wart and you can’t get it under control then call a specialist.  In our Doylestown podiatrists office, we use a variety of methods to get rid of warts.  Some of these include specially compounded acids, blistering agents and in office excisional procedures.