Warts on the bottom (PLANTAR) aspect of the foot are usually painful because they are on a weight bearing surface. Warts are caused by the Human Papiloma Virus (HPV) The virus invaded the skin cell of the epidermis and causes a rapid growth of oddly shaped cells. Then this growth presses on the underlying dermis where thesmall blood vessels or capillaries can burst. This is the little dark dots that people often mistake for "seeds" or even a splinter. FYI virus do not form seeds.

To answer your question, there is no one "perfect" cure for warts. Every doctor who treats them has had successes and failures. If there was one way, we would all do the same thing. Having said that, there are pros and cons to every treatment ranging from conservative to surgical. For plantar warts, I do not have a great deal of regard for the Dr. Scholl's wart remover products and others like it. Patient compliance is usually poor and patients do not realize that all this is doing is slowly eating the skin away. It is not specifically targetting the wart. In my office, I offer the oral medication Tagamet which must be dosed according to weight. Over the past 7 years, I have had much success using this. Note that I did not say it works on everyone, but it is about 80% on kids under 18 and 30% successful in adults. I do not know why that is. There are some other treatments that I will try, depending on the patient, and I also will do surgery if all else fails.

You need to discuss all your options withj your doctor. ALso be aware not all doctors utilize every single treatment known for warts. Not all restaurants serve the same food.

Good luck.

Posted By Vivian Abrams DPM on March 29, 2003 at 22:36:15:

In Reply to: planter's wart posted by Mike Burgdorf on March 29, 2003 at 20:29:40:

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