Plantar Warts: Cause
Warts are caused by a viral infection. The virus penetrates through
the skin and may often enter through traumatized or damaged skin or areas that
are under repetitive stress. Warts are often spread in moist areas which have
remnants of infected skin such as locker room floors or the surfaces surrounding
swimming pools. Warts can appear on any skin surface. On the sole of the foot
they are called "plantar warts". Plantar is the scientific term for
undersurface or the bottom of the foot. The virus that causes warts is the Human Papilloma Virus (HPV) of which more than 100 types exist. The subtypes of HPV most often associated with plantar warts are: 1,2,4,27 and 57.
The HPV (Wart Virus) is spread by direct contact. Quite often a moist area that has "skin residue" is an area at risk for spreading warts. This includes gym locker rooms, showers and swimming pools. Protective sandals can be helpful in prevention.
According to the American Podiatric Medical Association children and teenagers
tend to be more susceptible to warts than adults. Some individuals are immune
to warts and those with conditions which cause immunosuppression are more susceptible to warts.
Many corns or calluses on the foot are mistaken for warts and
the converse is also true. Occasionally a more serious problem will appear on
the skin of the foot. This may include certain types of carcinomas and melanomas.
These conditions can sometimes be mistakenly identified to be a wart. The American
Podiatric Medical Association and the American Academy of Dermatology believe
it is wise to consult a specialist when any suspicious growth or eruption is
detected on the skin of the foot in order to ensure a correct diagnosis.
Warts, corns, and calluses are all hard and flat. The wart generally has a better
defined peripheral boundry.Warts on the hands, fingers or top of the foot or
toes are usually more raised. Plantar warts differ in color but are often gray.
The center frequently has pinpoint black spots that represent areas of bleeding
within the wart. This is one of the hallmarks of a wart. A wart will also often
have pinpoint bleeding when it is debrided (trimmed) by a physician.
Untreated warts can grow to more then an inch in diameter and
spread to clusters of warts or even to the other foot. Warts are spread by touch
or contact with skin that may shed from another wart which includes either your
own or someone elses wart infected skin.
On the bottom of your foot warts can be painful. Atheletes should have these
professionally treated, since altered gait from pain in your foot can throw
off your normal stride and lead to injuries elsewhere in your foot, legs, or
Tips for Prevention
- Avoid walking barefoot in locker rooms, pools, gyms, and most other public areas.
- Use protective slippers or sandals in public areas.
- Avoid direct contact with warts from yourself with other body parts or from other people.
- Check children's feet regularly.
- Keep your feet clean and dry. Use Coolmax or other socks made of wicking material.
- Do not ingnore changes in your skin.
Self treatment is not usually advisable. It is too easy, even for
professionals to misdiagnose warts. Plantar warts are more difficult then other
warts to diagnose since they are mishapen by the pressure of walking. Over-the-counter
preparations usually contain acids that damage, destroy and kill skin cells.
These preparations are caustic to the skin and may be even more caustic to normal
skin then to the hardened skin of the wart itself. Self treatment should always
be avoided by diabetics and in individuals with cardiovascular or circulatory
A variety of options exist for in office treatment of warts. Acids
in combination with periodic careful trimming of the wart is a frequently used
option. Other medications are also used. Surgical removal, electrical destruction,
freezing and laser are all options that may be used to treat your wart. Salicylic Acid is the one of the most often used therapies. Bleomycin, Aldara, and a variety of other topical and injectable agents have been used. The Cochrane Medical Database indicates that for the most part insufficient evidence exists to favor one method over another.
Seek professional evaluation and assistance with the treament
of your warts if they have persisted, cause pain, or spread.
Diabetics and other patients with circulatory, immunological
or neurological problems should not self-treat their warts.
Warts may spread and are catching. Make sure you have your warts
evaluated to protect yourself and those close to you.
Gibbs S, Harvey I. Topical treatments for cutaneous warts. Cochrane Database of Systematic Reviews 2001, Issue 2. Art. No.: CD001781. DOI: 10.1002/14651858.CD001781.pub2 (online at: Cochrane Medical Database Cochrane Medical Library 2007. Accessed October 18, 2007.)
de Villiers, E.M., Fauquet, C., Broker, T.R., Bernard, H.U., & zur Hausen, H. (2004). Classification of papilloma viruses. Virology, 324, 17-27.