Warts: Treatment Progress and Healing Signs - Dermatology

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Distressing warts


Hello! Over a month ago, I developed a bump on my left heel that was diagnosed as a "wart." Following my doctor's instructions, I have been applying "wart treatment solution" twice daily and regularly trimming it.
The wart, which was initially very raised, has now flattened, but it has turned into a red sore and still hurts when touched.
Should I continue applying the medication? What conditions indicate that it is completely healed?

ERIN, 30~39 year old female. Ask Date: 2004/12/06

Dr. Zheng Lizhen reply Dermatology


Hello: If the wound is already red and painful to the touch, you may temporarily stop applying medication and observe for one to two months.
If there is no recurrence, it means it has completely healed.
Sincerely, Dr.
Cheng Li-Chen, Dermatologist.

Reply Date: 2004/12/06

More Info


Warts, medically known as verrucae, are benign epithelial tumors caused by the human papillomavirus (HPV). They can appear on various parts of the body, including the feet, where they are often referred to as plantar warts. Your experience with a wart on your left heel, which has been treated with a topical wart solution, is quite common. It’s encouraging to hear that the wart has flattened, indicating that the treatment is having a positive effect.

When treating warts, it is essential to understand the healing process and the signs that indicate whether the treatment is effective. The fact that the wart has flattened is a good sign, as it suggests that the virus is being effectively targeted. However, the presence of redness and pain indicates that there may still be some inflammation or irritation in the area. This is not uncommon, especially if the wart was particularly large or deep before treatment began.

In terms of continuing treatment, it is generally advisable to follow your doctor's instructions. If your doctor recommended applying the wart solution twice daily, you should continue to do so unless advised otherwise. The redness and pain you are experiencing could be part of the healing process, but they could also indicate that the skin is irritated or that there is still some active virus present. If the pain becomes severe or if the redness worsens, it would be prudent to consult your healthcare provider for further evaluation.

Complete healing of a wart typically involves the wart disappearing entirely, with the skin returning to its normal color and texture. Signs that indicate the wart is healing include:
1. Flattening of the Wart: As you mentioned, the wart has become flatter, which is a positive sign.

2. Reduction in Size: Over time, the wart should continue to shrink.

3. Change in Color: The wart may change from a darker color to a lighter shade as it heals.

4. Decreased Pain and Sensitivity: As the wart heals, you should notice a reduction in pain and sensitivity in the area.

5. Skin Texture Normalization: The skin around the wart should return to its normal texture and appearance.

If you notice that the wart is not improving or if it begins to grow again, it may be necessary to consider alternative treatments. These can include cryotherapy (freezing the wart), laser treatment, or other topical therapies.
In conclusion, continue applying the treatment as directed by your physician, monitor the wart for any changes, and maintain communication with your healthcare provider regarding your symptoms. If you have any concerns about the healing process or if the wart does not show signs of improvement, do not hesitate to reach out for further medical advice. Healing can take time, and patience is often required in the treatment of warts.

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