Cryotherapy
Hello doctor, I would like to ask about a wart that developed on my toe.
After undergoing cryotherapy, it is currently scabbed and has formed a hard crust.
How long does it usually take for it to fall off on its own? If it does not fall off, will I need to have it surgically removed, and will that be painful? Will there be a wound?
Ms. Chen, 20~29 year old female. Ask Date: 2020/11/01
Dr. Wu Yuxin reply Dermatology
Generally, it falls off in 2-3 weeks.
If there is any residue, it can be re-frozen without the need for excision.
Reply Date: 2020/11/01
More Info
Cryotherapy, or cryosurgery, is a common and effective treatment for viral warts, which are caused by the human papillomavirus (HPV). This procedure involves applying extreme cold to the wart, typically using liquid nitrogen, which destroys the wart tissue. After undergoing cryotherapy, it is normal for the treated area to develop a scab or hard crust, which is part of the healing process.
Typically, after cryotherapy, the scab will begin to fall off within 1 to 3 weeks. The exact duration can vary depending on the individual's healing process and the size and depth of the wart. During this time, it is crucial to keep the area clean and dry to prevent infection. You may notice some redness or swelling around the treated area, which is also normal.
If the scab does not fall off after a few weeks, or if the wart appears to be returning, it is advisable to consult your healthcare provider. In some cases, additional treatments may be necessary. If surgical removal is required, it is usually performed under local anesthesia to minimize discomfort. The procedure may involve cutting out the wart and some surrounding tissue, which can lead to a small wound.
Post-surgery, the area will need proper care to promote healing and prevent infection. Your doctor will provide specific aftercare instructions, which may include keeping the area clean, applying antibiotic ointment, and covering it with a bandage. Pain levels can vary; some individuals report mild discomfort, while others may experience more significant pain, especially if the wart was large or deeply rooted.
In terms of aftercare following cryotherapy, here are some general recommendations:
1. Keep the Area Clean: Gently wash the area with soap and water. Avoid scrubbing the scab, as this can cause irritation or lead to infection.
2. Avoid Picking at the Scab: It is essential to let the scab fall off naturally. Picking at it can lead to scarring or infection.
3. Monitor for Signs of Infection: Watch for increased redness, swelling, pus, or worsening pain, which could indicate an infection. If you notice these symptoms, contact your healthcare provider.
4. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. Always follow the dosage instructions on the package.
5. Follow-Up: If the wart does not resolve or if you have concerns about the healing process, schedule a follow-up appointment with your healthcare provider.
In conclusion, cryotherapy is a generally safe and effective treatment for viral warts, with a straightforward healing process. If you have any concerns about the healing of your wart or the aftercare instructions, do not hesitate to reach out to your healthcare provider for personalized advice and support.
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