Posts for: February, 2016
Plantar warts are benign growths that develop on the bottom of your feet, and are caused by direct contact with the human papilloma virus (HPV). This is the same virus that causes warts on other areas of the body. Some people are more susceptible than others to HPV, and not everyone will develop plantar warts if they come into contact with the virus. Individuals with weak immune systems or damaged skin on the feet are at a higher risk for plantar warts.
Plantar warts most often develop on the weight-bearing areas of the foot - the heel or the ball of the foot - causing sharp, burning pain. They can appear as a single wart (solitary) or a cluster of warts (mosaic). Common symptoms may include:
- Pain or discomfort when walking or standing
- Thick, scaly skin that often resembles a callus
- Hard, flat growths with well-defined boundaries
- Tiny black specks (clotted blood vessels) that often appear on the surface of the wart
Most warts disappear with home care and do not require medical treatment. You can take steps to prevent and treat plantar warts, which include:
- Changing your shoes and socks daily
- Keeping your feet clean and dry
- Avoid picking at warts as the virus may spread
- Avoid direct contact with an individual who has plantar warts
- Checking your child's feet periodically
- Refrain from walking barefoot, especially in public areas like showers, swimming pools and locker rooms
- Never ignore skin growths or changes in your skin
You should always seek care from a podiatrist when warts interfere with your daily life, aren't responding to home treatments, or if you have circulatory disorders. Contact us if your warts:
- Change color or shape
- Cause unbearable pain and discomfort
- Interfere with activities
- Multiply or reappear
Without treatment, plantar warts can grow, spread and prompt new warts to grow as fast as the old ones disappear. If you can't confidently identify a growth on your foot, visit your podiatrist to ensure a correct diagnosis. Early diagnosis and treatment can decrease the risk of the wart spreading and multiplying.
Heel pain is most often caused by plantar fasciitis, an inflammation of the long, dense band of connective tissue (the plantar fascia) that runs from the heel to the ball of the foot.
Repeated strain on the plantar fascia can cause tiny tears in the ligament. As tension and tearing increases, so does inflammation and irritation of the affected area. Risk factors of plantar fasciitis include foot arch problems (flat foot and high arches); excess weight; running; and a tight Achilles tendon.
The most common symptom of plantar fasciitis is gradually developing pain on the bottom of the heel. The pain is usually worst in the morning and after sitting or standing for a long period of time. For some, the pain subsides after walking or stretching.
To reduce pain associated with plantar fasciitis:
- Rest. Limit and/or avoid activities that make your heel hurt.
- Ice. Reduce pain and swelling by icing the affected area each day.
- Stretch. Stretch your heel throughout the day, especially when you first wake up in the morning.
- Footwear modifications. Wear shoes that provide good arch support and a cushioned sole. Ask your podiatrist about pads and shoe inserts to relieve your heel pain.
When conservative treatments aren't effective, or your pain persists for more than a few weeks, schedule an appointment to discuss your symptoms and treatment options. A podiatrist can recommend an appropriate treatment plan for your individual needs. This may include stretching exercises, shoe padding, orthotic devices, night splints or therapy. Most patients respond to non-surgical treatments, but for pain that won't go away, surgery may be required.
With proper rest and treatment, recovering from plantar fasciitis can take just a few months. Visit us when you first experience pain for a diagnosis and an appropriate treatment plan for your individual needs.