the Effectiveness of Cryotherapy for Plantar Warts - Dermatology

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After cryotherapy?


Hello, I recently discovered several plantar warts on the soles of my feet.
I visited a dermatologist and underwent cryotherapy.
After two or three days, I checked again, and there was hardly any change; the warts looked the same.
The only difference is that the area around the warts, where the cryotherapy was applied, appears white, similar to skin that has been soaked in water for a while, but there are no blisters.
I am very concerned about whether this treatment is effective.

Xiao Zhu, 10~19 year old female. Ask Date: 2016/07/26

Dr. Wu Yuxin reply Dermatology


The treatment of warts requires patience; it cannot be resolved in just one session.

Reply Date: 2016/07/26

More Info


Cryotherapy, or cryosurgery, is a common treatment for plantar warts, which are benign growths caused by the human papillomavirus (HPV). The procedure involves applying extreme cold to the wart, typically using liquid nitrogen, to destroy the abnormal tissue. While cryotherapy can be effective, its success can vary based on several factors, including the size and location of the wart, the individual's immune response, and the specific technique used during the procedure.

After undergoing cryotherapy, it is not uncommon for patients to experience a period of time where the wart appears unchanged. The white appearance you noticed around the treated area is likely due to the freezing process, which causes the skin to become temporarily damaged and can lead to a blister-like appearance. This is a normal response and indicates that the treatment has been applied correctly. However, the absence of immediate visible changes in the wart itself does not necessarily mean that the treatment was ineffective.

Typically, the full effects of cryotherapy may take several weeks to manifest. The wart may initially remain the same size or even appear to be unchanged, but over time, the body's immune system will begin to respond to the damaged wart tissue. This immune response can lead to the wart gradually shrinking and eventually disappearing. In some cases, multiple treatments may be necessary to achieve the desired results, especially for larger or more stubborn warts.

If you are concerned about the effectiveness of the treatment, it is advisable to follow up with your dermatologist. They can assess the treated area and determine whether additional treatments are needed. In some instances, alternative treatments such as topical medications, laser therapy, or even surgical excision may be recommended if cryotherapy does not yield satisfactory results.

In summary, while cryotherapy is a widely used and effective method for treating plantar warts, it may take time to see the full effects. The white appearance around the wart is a normal part of the healing process, and patience is often required. If you have ongoing concerns or if the wart does not show signs of improvement after a few weeks, consulting with your healthcare provider is the best course of action. They can provide guidance on the next steps and explore other treatment options if necessary.

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Hello: Regarding the causes and treatment of viral warts, you can refer to the article on the Dermatology Expert Health Network at http://www.drskincare.com.tw/Qa/Detail.aspx?ID=52. In addition to cryotherapy, you can also choose electrosurgery or surgical excision under local an...

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Without actually seeing the lesion, it is impossible to determine the issue. If it is causing significant distress, please seek medical attention as it can only be addressed after evaluation.

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Due to the continuous infections, it is essential to pursue aggressive treatment. With sufficient aggressive treatment and patience, it is certainly possible to achieve a cure.

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Hello: Based solely on the textual description, it is not possible to accurately diagnose a skin condition. It is recommended to visit a nearby dermatologist for follow-up and to confirm whether there are still plantar warts. Thank you!

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