Plantar Warts: Treatment Duration and Prevention Tips - Dermatology

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Viral warts are contagious?


I am currently being treated for plantar warts and have been undergoing treatment for over a year.
I feel like they are almost healed, but the doctor says they are not.
I would like to know how long it typically takes to treat plantar warts that are about the size of a pinhead.
I have also had viral warts on my hands, feet, and eyelids, so I would like to know how to prevent reinfection.
Additionally, if I am in a public place and someone with viral warts has touched something, can I get infected by touching that same object? Lastly, I would like to know if viral warts that have undergone cryotherapy but are not yet healed are still contagious.

Liu Xiaojie, 30~39 year old female. Ask Date: 2023/05/26

Dr. Li Yufen reply Dermatology


Hello: For a detailed introduction to viral warts, you can refer to the article on Care Online at https://www.careonline.com.tw/2017/08/warts.html.
The treatment duration for viral warts varies depending on the individual, the lesions, and the treatment method.
Some people respond well, while others may take longer.
Since human papillomavirus (HPV) is contagious, it is recommended to seek early and complete treatment of the lesions.
Thank you!

Reply Date: 2023/05/26

More Info


Plantar warts, also known as verrucae plantaris, are benign growths caused by the human papillomavirus (HPV) that typically appear on the soles of the feet. They can be quite persistent and may take a long time to treat effectively. The duration of treatment for plantar warts can vary significantly depending on several factors, including the size and location of the wart, the individual's immune response, and the treatment method used.

In general, treatment for plantar warts can take anywhere from a few weeks to several months. For smaller warts, such as those the size of a pinhead, treatment may be quicker, often resolving within a few weeks with appropriate therapy. However, larger or deeper warts can take much longer to treat, sometimes requiring multiple sessions of treatment. Common treatment options include cryotherapy (freezing), topical treatments like salicylic acid, laser therapy, and immunotherapy. Each method has its own timeline for effectiveness, and some may require repeated applications or sessions.

Regarding prevention, it is essential to maintain good foot hygiene and avoid direct contact with warts, whether on your own body or someone else's. Here are some tips to help prevent the recurrence of plantar warts and avoid new infections:
1. Avoid Walking Barefoot in Public Areas: Warts thrive in warm, moist environments, such as locker rooms, swimming pools, and communal showers. Always wear flip-flops or water shoes in these areas.

2. Keep Feet Dry: Moisture can encourage the growth of warts. Make sure to dry your feet thoroughly after bathing, especially between the toes.

3. Do Not Share Personal Items: Avoid sharing towels, socks, or shoes with others, as HPV can spread through these items.

4. Use Antiviral Creams: If you have a history of warts, consider using over-the-counter antiviral creams or treatments as a preventive measure, especially after exposure to public areas.

5. Boost Your Immune System: A strong immune system can help your body fight off the virus. Maintain a healthy diet, exercise regularly, and manage stress.

6. Avoid Picking at Warts: Picking at warts can spread the virus to other areas of your body or to other people.

As for your concern about touching surfaces that may have been in contact with someone else's warts, it is theoretically possible to contract the virus this way, but it is not very common. HPV requires a break in the skin for infection to occur, so healthy skin is generally resistant to the virus. However, if you have cuts or abrasions on your feet, you may be at a higher risk.

Regarding the contagiousness of plantar warts, even if you have undergone cryotherapy or other treatments, the wart may still be contagious until it is completely resolved. It is crucial to follow your doctor's advice regarding treatment and to avoid close contact with others until the wart is fully healed.

In summary, the treatment duration for plantar warts can vary widely, and prevention strategies are essential to avoid recurrence. If you have concerns about the effectiveness of your current treatment or the possibility of spreading the virus, it is advisable to consult with a healthcare professional for personalized guidance and recommendations.

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