Wart Cryotherapy: What to Expect After Treatment - Dermatology

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Cryotherapy for warts


Hello doctor, I have developed warts on the sole of my foot.
I underwent cryotherapy at the clinic twice, and the doctor said it was fine.
After my second treatment, the area around the wound was very itchy, and when I scratched it, I felt some swelling nearby, which also turned red for a few days.
Is this normal? It has been 10 days since the second treatment, and the itching has stopped, but the treated area feels hard to the touch, although it is not a single lump.
It looks a bit like a scab.
Is this a normal phenomenon? Thank you.

Melodi, 20~29 year old female. Ask Date: 2016/08/04

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to determine the condition.
If you are very concerned, please seek medical attention as soon as possible.
You should consult the physician who is examining you.

Reply Date: 2016/08/04

More Info


Cryotherapy, or cryosurgery, is a common treatment for warts, particularly those on the feet, known as plantar warts. This procedure involves freezing the wart with liquid nitrogen, which causes the wart tissue to die and eventually fall off. After undergoing cryotherapy, it is normal to experience a variety of sensations and changes in the treated area, and your observations align with typical post-treatment experiences.

After the second cryotherapy session, the itching and redness you experienced around the treatment site can be considered a normal reaction. The freezing process can cause inflammation and irritation of the surrounding skin, leading to symptoms such as itching, redness, and swelling. These symptoms are often temporary and should resolve within a few days to a week. The fact that the itching has subsided after ten days is a positive sign, indicating that your skin is healing.

The hardness you feel in the treated area is also a common occurrence. After cryotherapy, the skin may form a protective scab or crust as part of the healing process. This scab is a natural response to injury and serves to protect the underlying tissue as it heals. It is essential to avoid picking at or scratching the scab, as this can lead to infection or scarring. Instead, allow it to fall off naturally as the skin underneath heals.

In terms of the appearance of the treated area, it is not unusual for it to look slightly different than the surrounding skin. The area may appear darker or lighter, and the texture may feel different due to the healing process. If the area remains hard or changes in appearance significantly over time, it is advisable to follow up with your healthcare provider to ensure that the healing process is proceeding as expected.

It is also important to monitor the area for any signs of complications, such as increased redness, swelling, pus, or persistent pain, which could indicate an infection. If you notice any of these symptoms, it would be prudent to seek medical advice.

In summary, the symptoms you are experiencing after cryotherapy for your wart are generally normal and part of the healing process. The itching, redness, and hardness are common reactions to the treatment. As the area continues to heal, these symptoms should gradually improve. However, if you have any concerns or if the symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. They can provide reassurance and ensure that your recovery is on track.

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