Wart Home Care Instructions

1. As instructed it is MOST IMPORTANT that the bandage be left intact and kept perfectly dry for ONE FULL DAY.
2. If pain is excessive take Tylenol or Advil as directed by the doctor.  If this is not adequate please call the office for further instructions.
3. Usually the first 48 hours will be the worst in terms of pain.  Please realize this and try to get through it.  Call the office if you develop any red streaks coming from under the bandage or if you develop a low grade fever.  Most of the time there is no pain.
4. After one day the bandage should be removed.  DO NOT be concerned about the color of the blisters as they may be black, bluish, red or dark yellow.  This is normal.   At all other times it is MOST IMPORTANT that the areas ALWAYS BE KEPT COVERED ADEQUATELY with cloth bandaids.  With young children, please keep them from trying to pick the blisters, the longer the blisters are intact the more successful the treatment will be.
5. Office follow up appointment should be kept.
6. Most warts take 2 to 4 treatments.

As you have been instructed please call the office if there are any problems with the treatment.  (845)562-7285

Warts are benign tumors that can occur anywhere on the skin. The Human Papiloma Virus (HPV), a common organism, causes warts.  The virus is often encountered on contaminated surfaces, such as tile floors of public locker rooms, showers and swimming pools.  It invades that body through tiny cuts or scrapes in the skin.  Normally, antibodies in the blood kill the virus.  Some people are more susceptible to HPV than others and HPV takes refuge in the skin. The virus that causes plantar warts is relatively benign and causes few problems but is can spread to other parts of the body.  Blood from a wart contains the virus and can cause a new wart to grow in an area that is touches.  Therefore it is important to eliminate them as quickly as possible.

A plantar wart is similar in structure to an iceberg.  The part on the surface is a small fraction of the entire lesion.  Often the portion of the wart under the skin is at least twice as the part that you can see.  Many of these viruses die within a year or two and the warts that they produce simply disappear. 

Many podiatrists recommend having them removed because they are irritating and painful. There are several different techniques for removing plantar warts.  Acid is one of the most common methods.  It is used to burn off them off with a mild acid applied topically to the lesion.  This disintegrates that the viral cells and allows healthy skin cells to replace them.  Multiple applications over the course of several weeks may be required but the technique is very successful.  Cyrotherapy is freezing the warts with very cold solution (e.g. sodium nitride).  It kills the virus causing the wart to turn black and fall off within a few days.  Cyrotherapy is sometime ineffective on plantar warts because the cold may not penetrate far enough to kill the virus completely.  Doctors can use lasers to kill the virus.  The procedure can be performed in the office and is effective, clean and accurate.  It also is expensive and some physicians do not use laser treatment for warts because the benefits do not warrant the cost.  Debridements are when the physician uses a scalpel to remove the warts under anesthesia.  This is often the procedure of choice for numerous small warts in a limited area.  It can also be used in combination with the acid to ensure the virus is killed and prevent the warts from re-growing. 

Warts can re-grow, indicating that the virus is still growing in the body.