HOW TO TELL IF YOU HAVE PLANTAR WARTS

Updated 8/12/2023 by the Essex Union Podiatry Team

Plantar warts, while relatively common, can be a source of discomfort and concern for many individuals. These warts, caused by the human papillomavirus (HPV), often appear on the soles of the feet and can cause pain and inconvenience. Recognizing the signs and symptoms of plantar warts is crucial for timely diagnosis and appropriate treatment. 

In this article, we will delve into the various aspects of plantar warts, including their symptoms, causes, contagiousness, prevention, and potential complications. Learn how to identify, treat, and prevent plantar warts below. 

Symptoms of Plantar Warts

Plantar warts are typically small growths that appear on the sole of the foot. These warts can vary in size and may have a rough, grainy texture. One of the distinguishing features of plantar warts is that they can have tiny black dots on their surface, often referred to as "wart seeds." These black dots are actually clotted blood vessels and are not, in fact, seeds.

It's important to note that plantar warts may occur in clusters or individually, and they often develop in areas of pressure, such as the heels or the balls of the feet. While the majority of plantar warts are not painful, they can become tender or cause discomfort, especially when walking or standing. In some cases, the warts may be painful if they grow inward beneath a callus.

When to See a Podiatrist

If you suspect you have plantar warts or experience any unusual growths on your feet, it's advisable to consult a healthcare professional for an accurate diagnosis. While plantar warts are generally harmless, it's important to rule out other conditions and receive appropriate guidance on treatment options.

If you’re already a patient at Essex Union Podiatry, get in touch with us today to schedule. Or, consult your primary physician for a diagnosis and referral for treatment.  

Causes of Plantar Warts

Plantar warts are caused by the human papillomavirus, specifically strains HPV-1, HPV-2, HPV-4, and HPV-63. The virus enters the body through cuts or breaks in the skin, often through direct contact with contaminated surfaces, such as communal shower floors or swimming pool areas. The virus thrives in warm and moist environments, making these places ideal for transmission.

Going barefoot in public spaces like pools and gyms can expose you to the virus. You might experience a higher rate of susceptibility if you have open wounds on your feet, or are immunocompromised.

Transmission of the Virus

Plantar warts can spread through various means. Direct contact with an infected person's warts, as well as sharing personal items like towels or shoes, can lead to transmission of the virus. The virus can also be spread indirectly through contact with surfaces harboring the virus, especially in humid environments.

Are Plantar Warts Contagious?

Yes, plantar warts are highly contagious. The virus responsible for these warts can easily spread from person to person through physical contact or contact with contaminated surfaces. To prevent the spread of plantar warts, it's important to practice good hygiene, avoid sharing personal items, and protect your feet in public areas.

Prevention and Risk Factors

Preventing plantar warts involves taking precautions to reduce your risk of exposure to the virus. These precautions include wearing footwear in communal areas like pools, locker rooms, and public showers, keeping your feet clean and dry, and avoiding direct contact with warts.

Certain factors can increase your risk of developing plantar warts. Individuals with weakened immune systems are more susceptible to HPV infections. Additionally, walking barefoot in public places or having a history of previous warts can also raise your risk.

Complications

While most plantar warts are harmless, they can sometimes lead to complications. If left untreated, they can grow larger and become more painful. In rare cases, plantar warts can spread to other areas of the body or cause changes in gait due to discomfort.

While plantar warts are generally considered benign, there are potential complications that individuals should be aware of. One of the primary concerns is the growth of the wart over time. If left untreated, plantar warts can increase in size and penetrate deeper into the skin, causing discomfort and pain. This can be particularly problematic when the wart is located in an area that experiences pressure, such as the heel or ball of the foot.

In addition, the pressure exerted on the plantar wart during walking or standing can cause the wart to grow inward beneath a callus. This phenomenon, known as "inclusion," can lead to a more intense and localized pain. In severe cases, inclusion may alter a person's gait or the way they distribute weight on the affected foot, potentially causing biomechanical issues that extend beyond the wart itself.

Moreover, because plantar warts are caused by a virus, there is a risk of spreading the infection to other parts of the body or to other individuals. Scratching or picking at the wart can break the skin's surface and create an avenue for the virus to enter the bloodstream. This could potentially result in the development of new warts in different areas, a condition known as "autoinoculation." Similarly, if proper hygiene practices are not followed, the virus can be transmitted to family members or close contacts.

In rare instances, particularly in individuals with compromised immune systems, plantar warts can become persistent and difficult to treat. These cases may require more aggressive treatment approaches, including minor surgery or advanced medical interventions. While such complications are relatively uncommon, it's essential to address plantar warts promptly and appropriately to minimize the risk of these potential issues. Consulting a healthcare professional for accurate diagnosis and tailored treatment guidance is advisable to prevent complications and ensure optimal foot health.

Are There Any Home Remedies for Plantar Warts?

There are several home remedies and plantar wart treatment options that individuals may try, although their effectiveness can vary. Over-the-counter treatments containing salicylic acid can help to remove the top layer of skin from the wart gradually. It's important to follow the instructions carefully and avoid using these treatments on sensitive areas of the skin.

However, it's generally recommended to consult a healthcare professional before attempting home remedies, as improper use can lead to further complications or worsening of the condition. A doctor can provide guidance on the most appropriate treatment approach based on your individual situation.

Recognizing the symptoms and understanding the characteristics of plantar warts is crucial for timely diagnosis and appropriate management. These warts, caused by the human papillomavirus, can be uncomfortable and sometimes painful, but with proper care and treatment, they can be effectively managed. Practicing good hygiene, avoiding direct contact with warts, and seeking medical advice when needed are essential steps in preventing and addressing plantar warts effectively. 

If you think you have plantar warts and want to treat them, reach out to us to schedule a consultation.