Verrucae Pedis (Plantar Warts) are very common manifestations of the Human Papilloma Virus (HPV)[1].
Warts affect the stratum spinosum (spiny) layer of the epidermis [3] due to a viral infection of HPV.
Picture A: Highly vascularised wart with thombosed capillaries proliferating on the skin surface.
They can project as a singular wart, multiple satellite warts as well as a clustered mosaic type wart that looks like cauliflower. The best home remedy is prevention and if you already have a wart then observe certain practices to prevent the warts from spreading to other parts of their body or other people.
Individuals who are immunocompromised, have poor circulation or have a complex medical history, who finds themselves with a wart should never self treat, but should seek medical advice immediately. Check all family members for warts, as it is likely to have spread to those closest to you.
Plantar fasciitis is the term used to describe inflammation of the plantar fascia (a multi-layered fibrous band in the arch area of the foot) and it’s prefascial structures. Repetitive strain or stress on the plantar fascia can lead to the development of chronic irritation of the plantar fascia, and in some severe cases even partial rupture. In a minority of cases, steroid injections are considered, but these only provide temporary relief and causes weakening and degeneration of the plantar fascia in the long run. Patients with plantar fasciitis can prevent it from reoccurring by performing adequate muscle stretching before commencing activity. There are many ways to remove plantar warts, such as acid, laser treatment, cryotherapy,curettage and desiccation,oral medication or immunotherapy.


4 treatments to Remove Plantar Warts for Ankle Pain Most of the time, plantar warts can be painful. There are more than 100 subtypes of HPV [4], with types 6,11,16,18,31 and 35 being associated with malignant transformation especially in individuals with genital warts and immune suppression [2]. Lichen planus is a dermatological condition that can cause discoloured lesions that may be pruritic [9] while warts do not tend to ulcerate. While some warts may resolve without any intervention, most that occur on the foot require treatment.
In order to understand the etiology, it is important to understand that the function of the plantar fascia and the important role that it plays in biomechanics. An increase in distance, intensity or duration of activity are among the major causes of plantar fasciitis. Overpronation, flat feet or high arched feet places excessive stain and stress on the plantar facia and leads to overuse of the structure. Surgical release of the plantar fascia is performed in few cases where a conservative approach has failed.
Treatment for corns should involve symptomatic relief, identify the causes of the corn and prevention of recurrence. Long standing plantar warts should also be investigated for verrucous squamous cell carcinoma [5]. Treatment is generally carried out if the wart is on an area of high pressure and friction, causing pain and has been present for a period of time.
Leg-lenght discrepancy and alteration in tibial and femoral angulation can cause alteration to normal running and walking biomechanics ,and by doing  so also increase the stresses exerted on the plantar fascia.


A spur may develop as a result of constant traction on the bone where the plantar fascia originates. It is presumed that inoculation of the skin probably occurs in places likely to be contaminated by others with plantar warts, like communal showers. Most warts are not painful unless they are over a bony prominence or are at an area of friction and pressure. There is a higher incidence of warts when individuals use communal showers at places such as the gym, public swimming pool, spas, saunas on a regular basis [8]. Plantar warts tend to have a layer of overlying callous at pressure and weight bearing areas, and they can be particularly uncomfortable when walking or running.
During the heel-off  phase of gait, the tension of the plantar fascia increases, which acts as a storage of potential energy. The virus that causes warts, the human papillomavirus, infects only the superficial layer of skin, producing a thickened callus-like growth that, if located in an areas subjected to pressure, can become quite tender.
This is not always the case and evidednce suggests that degenerative changes within the plantar fascia may be the cause of pain.



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Category: Warts On Kids


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  3. 151 writes:
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