Plantar warts are caused by the human papillomavirus (HPV), specifically types that infect the soles of the feet. These warts often appear as small, rough growths, sometimes with black pinpoint dots (clotted blood vessels). Because they develop on pressure points like the heels or balls of the feet, they can become painful with every step, making daily activities difficult.
Although many plantar warts eventually go away on their own, some become deeply embedded in the skin and resistant to over-the-counter treatments or freezing therapies. In such cases, surgical removal may be the best option.
When Is Surgery Necessary?
Surgery is typically recommended when:
Warts cause significant pain or discomfort while walking
Over-the-counter treatments and cryotherapy have failed
The wart is spreading or increasing in size
The wart interferes with daily life or athletic performance
Surgical removal is often performed in a clinic setting and generally has a high success rate with minimal downtime.
Types of Plantar Wart Removal Surgery
There are several surgical methods to remove plantar warts:
Excision – The wart is cut out using a scalpel under local anesthesia. This method is quick but may result in a deeper wound that takes time to heal.
Curettage and Electrosurgery – The wart is scraped off, and the base is burned using electric current to destroy residual viral tissue. This method helps prevent recurrence.
Laser Surgery – A focused beam of light burns off wart tissue. This is less invasive and can be an option for patients with multiple or resistant warts.
Each method comes with its own pros and cons, and the best choice depends on the patient's condition, location of the wart, and overall health.
Post-Surgery Recovery and Care
After surgery, patients may experience mild pain, swelling, or redness around the treated area. Doctors often recommend:
Keeping the foot elevated for the first 24 hours
Avoiding walking long distances for a few days
Applying prescribed topical antibiotics to prevent infection
Wearing cushioned shoes or padding to protect the area during healing
Complete healing may take 2 to 4 weeks depending on the depth and size of the wart removed.
Preventing Recurrence
While surgery removes the existing wart, it's important to prevent reinfection by:
Avoiding barefoot walking in public places (e.g., gyms, pools)
Keeping feet clean and dry
Disinfecting shoes and socks regularly
Avoiding sharing footgear or towels
Where to Seek Help
If you’re dealing with stubborn plantar warts, consult a qualified dermatologist or foot specialist. In India, facilities like Dr. Kelkar’s Hospital provide expert evaluation and advanced wart removal techniques tailored to individual needs.
Conclusion
Plantar wart removal surgery is a reliable and effective treatment for persistent foot warts. With proper care and expert medical guidance, you can walk pain-free again and prevent future outbreaks.