The most important treatment is to know you are treating a wart and not a corn or callus. Our Podiatrists can examine your wart carefully to determine that it is not a corn or a callus. A wart will usually feel painful when a podiatrist squeezes it from side to side. To examine the wart further, the hard skin layer around it may need to be trimmed by our podiatrists. A wart will have certain spots that bleed when trimmed; a callus will not.
How Can Our Podiatrists Treat Warts?
There are many ways to treat warts, depending on their size and location. Medications, needling (please see Dr Naraghi’s research paper in Journal of American Podiatric Medical Association) and surgical removal (curettage) may be effective treatments to remove warts. A few of the possible treatment methods are described below; freezing or burning may also be used to treat warts. Even after warts are removed, they may recur.
Medication– The wart is broken down by applying an acidic medication. Blister-forming medication may also be used such as Cantharidin. Treatment may need to be repeated over several weeks.
Curettage-The wart is surgically removed using sharp technique or by curettage. To lessen pain, a local anaesthetic is used with this surgical procedure (see below example of several mosaic warts that were curettage by Reza Naraghi, our Podiatric Surgeon). Patients who have needle anxiety our podiatric surgeon can administer Penthrox inhaler and/or oral sedation to help with local anaesthetic injections. Alternatively, the excision of wart can be performed under general anaesthesia and or IV sedation at one of the affiliated private hospitals and surgery centres. You may be required to be off your foot for a period of 2 weeks until the area heals.
Needling of warts-This method allows your own immune system to get rid of the warts. This method can be tried when large areas of wart exist. You may be required to visit many times and on average it can take up to 2-3months to get rid of the warts if successful. Please see Dr Naraghi’s research paper published in the Journal of American Podiatric Medical Association.
Laser-The wart is vaporized, using focused light energy produced by a laser. To lessen pain, a local anaesthetic is often used with this procedure.