Plantar warts
Hello, doctor.
I previously had my viral warts removed using electrosurgery, and the local anesthesia during the procedure was extremely painful! The recovery period was about a month, after which I returned for a follow-up to have the stitches removed.
I thought the issue was resolved, but unfortunately, not only did the viral warts not improve, but they also became larger due to the surgical wound.
Starting in mid-October, I began receiving cryotherapy every two weeks.
The doctor’s treatment method involves spraying a canister directly onto the viral warts.
After the spray, I experienced significant pain that day, but it subsided by the next day.
There was some bruising at the site, and I applied an ointment at night while sleeping.
After a few days, I was able to scrape off the scabs and see the new skin underneath, but I could still see small viral warts.
I continued this treatment for about 3 to 4 months.
The doctor then started using a cotton swab to apply the cryotherapy, and I believe I have undergone this treatment about 10 times now.
Later, the doctor suggested that after the blisters healed and I scraped off the old skin, I should apply garlic slices to the affected area as a folk remedy.
I’m really feeling a bit skeptical.
Can cryotherapy truly eradicate these viral warts?
A-Gang, 20~29 year old female. Ask Date: 2016/01/19
Dr. Li Yufen reply Dermatology
Hello: Regarding the causes and treatment of viral warts, you can refer to the article by Dr.
Lin Chi-bin on the Dermatology Expert Health Network at http://www.drskincare.com.tw/Qa/Detail.aspx?ID=52.
Indeed, there are very few patients who experience poor results from cryotherapy.
Additionally, options such as surgical excision, electrosurgery, laser treatment, and topical medications (such as wart solutions and immunomodulators like Imiquimod) can be considered.
Thank you!
Reply Date: 2016/01/19
More Info
Cryotherapy, or cryosurgery, is a common and effective treatment for plantar warts, which are benign growths caused by the human papillomavirus (HPV). This method involves freezing the wart tissue using liquid nitrogen, which leads to the destruction of the wart cells. The process can be uncomfortable, as you have experienced, but many patients find it to be a viable option for wart removal.
Your journey with plantar warts has been quite challenging, especially after the initial electrosurgery treatment that did not yield the desired results. It's not uncommon for warts to recur or even worsen after surgical interventions due to the nature of the virus and how it can spread. The fact that your wart increased in size post-surgery is a known risk, as any trauma to the skin can potentially exacerbate the condition.
Cryotherapy is generally performed in a series of sessions, often spaced two to three weeks apart, which aligns with your treatment schedule. The freezing process causes the wart to blister and eventually fall off, revealing new skin underneath. However, it’s important to note that while cryotherapy can be effective, it may not always eliminate the virus entirely. Some patients may require multiple treatments, and even then, there is a possibility of recurrence.
The pain you experienced after the cryotherapy sessions is a common side effect. The initial discomfort typically subsides within a day or two, and the bruising you noticed is a normal reaction to the freezing process. The application of topical ointments and the care you are taking to manage the area post-treatment are essential for promoting healing and preventing infection.
As for the use of garlic as a folk remedy, while some anecdotal evidence suggests that garlic may have antiviral properties, scientific support for its effectiveness against warts is limited. It’s always advisable to consult with your healthcare provider before trying alternative treatments, especially if you are already undergoing a medical regimen.
In terms of whether cryotherapy can completely eradicate the virus causing your plantar warts, the answer is that it can significantly reduce the warts and may eliminate them, but it does not guarantee that the virus will be completely eradicated from your system. HPV can remain dormant in the skin, and warts can recur even after successful treatment.
If you continue to see small remnants of the warts after multiple cryotherapy sessions, it may be worth discussing additional treatment options with your dermatologist. Other methods include topical treatments like salicylic acid, laser therapy, or even immunotherapy, which can help stimulate the body’s immune response to fight the virus.
In conclusion, while cryotherapy is a well-established method for treating plantar warts, its effectiveness can vary from person to person. It’s crucial to maintain open communication with your healthcare provider about your treatment progress and any concerns you may have. They can help tailor a treatment plan that best suits your needs and may suggest alternative therapies if necessary. Remember, patience is key in dealing with warts, as they can take time to resolve completely.
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