Managing Post-Freezing Treatment for Plantar Warts: What to Do Next - Dermatology

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Plantar warts?


Hello, Doctor.
Last week, I underwent cryotherapy for plantar warts at the clinic.
For the first three days, I applied the ointment prescribed by the doctor, and for the following days, I applied the wart treatment solution on the lesion before bed.
After taking a shower just now, I noticed that the epidermis has been torn off, and it appears very red.
I'm not sure if I have removed the entire layer of skin, and there is some fluid coming out, but I can't tell if it's tissue fluid or shower water.
Additionally, there is a raised area in the middle that I'm unsure if it's a blister or part of the lesion.
It hurts a bit when I touch it with a cotton swab.
I haven't been able to visit the clinic immediately due to other commitments.
How should I manage this over the next few days? Here is the photo link: https://im.ge/i/EHNCWX.
Thank you, Doctor.

A Bu, 20~29 year old female. Ask Date: 2023/12/18

Dr. Li Yufen reply Dermatology


Hello: The photo link: https://im.ge/i/EHNCWX is not displaying the image properly.
If the lesion becomes red and painful, it is recommended to discontinue the use of the wart treatment solution and continue using the wound ointment.
Please schedule a follow-up appointment as soon as possible during your available time.
Thank you!

Reply Date: 2023/12/18

More Info


Managing post-freezing treatment for plantar warts can be a delicate process, especially after experiencing some complications like skin peeling and redness. Here’s a comprehensive guide on what to do next, along with some medical insights.


Immediate Care Steps
1. Keep the Area Clean: After any treatment, it’s crucial to maintain cleanliness to prevent infection. Gently wash the area with mild soap and water. Pat it dry with a clean towel; avoid rubbing the area to prevent further irritation.

2. Avoid Picking or Scratching: It’s essential not to pick at the area, even if it looks red or if there are blisters. Picking can lead to infection and may worsen the condition. If the skin has peeled, it’s a natural part of the healing process, but it should be monitored closely.

3. Moisturize: If the area is dry, applying a thin layer of a non-irritating moisturizer can help soothe the skin. However, avoid applying any ointments or creams that are not recommended by your healthcare provider, especially those that contain harsh chemicals.

4. Monitor for Signs of Infection: Keep an eye out for increased redness, swelling, warmth, or pus, which could indicate an infection. If you notice any of these symptoms, seek medical attention promptly.

5. Pain Management: If you experience pain, over-the-counter pain relievers like ibuprofen or acetaminophen can be taken as directed. However, consult with your healthcare provider if you have any underlying health conditions or are taking other medications.

6. Blister Care: If you notice a blister, it’s generally best to leave it intact, as the blister serves as a natural barrier against infection. If it breaks, clean the area gently and cover it with a sterile bandage.


Follow-Up Care
1. Return to the Clinic: Since you mentioned you have been unable to visit the clinic, it’s advisable to schedule an appointment as soon as possible. The healthcare provider can assess the healing process and determine if further treatment is necessary.

2. Continue Treatment as Directed: If your doctor prescribed a wart treatment solution to apply at home, continue using it as directed unless advised otherwise by your healthcare provider.

3. Avoid Tight Footwear: Wearing tight shoes can irritate the area further. Opt for open-toed shoes or sandals until the area has healed completely.


Understanding Plantar Warts and Freezing Treatment
Plantar warts are caused by the human papillomavirus (HPV) and can be quite stubborn. Cryotherapy, or freezing treatment, is a common method used to remove these warts. The freezing process destroys the wart tissue, which can lead to a blister forming underneath the wart. This is a normal part of the healing process.

After treatment, it’s typical for the area to be sensitive, and some redness or swelling may occur. The healing process can take several weeks, and it’s not uncommon for the wart to require multiple treatments.


Conclusion
In summary, managing the post-freezing treatment for plantar warts involves keeping the area clean, avoiding irritation, monitoring for signs of infection, and following up with your healthcare provider. If you have any concerns about the healing process or if symptoms worsen, do not hesitate to seek medical advice. Your health and comfort are paramount, and timely intervention can prevent complications.

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