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Hi all,

Seeing as though there are hundreds of ways to treat a verruca, I thought i'd ask what the best and most effective/ pain free ways are of getting rid of a plantar wart!:wacko:

What are your thoughts based on clinical practice of the effectiveness of cryotherapy and salicylic acid- or a combination of both.

Also, does anyone prescribe Magicul for the treatment of warts?

Thanks!
Claire

 

I know this makes me unpopular, but the very fact that there is more than one means none of them is perfect. And again, I know that many whom I hold in high regard such as Ivan an Belinda will not like me for saying this - but why are you (routinely) treating in the first place? I accept totally the once-in-a-while painful, recalcitrant wart; but sure most would agree that in the non-immuno-compromised person they will deal with themselves within a moderately short while? This will not be the first time that I have been shot down at this post - and I am sure will not be the last.

 

True words, Rob, except I would never "not like" you! One of the most recent reviews by Sterling et al (2014) looked at 36 different treatments & the British Dermatological Nursing Group concluded, ”There is no single treatment that comes out on top... but there are a range of treatments available to use while we wait for the body to recognise HPV as a virus and deal with it!"

That said, and you knew I would, I do believe that each case should be assessed, individually. Whilst I certainly don`t treat HPV `routinely` I do explain to the pt, and/or the pts parents, the aetiology of the benign sub-types that manifest as hand warts and verrucae and that most asymptomatic lesions respond very well to a "Tincture of Time" - and yes I did steal that from you and give you the credit. However, if the lesion is painful, or interfering with QOL, then they are made aware of treatment options.

Until, THAT vaccine is available. And it will be, but there`s no rush as they are benign, we can only weigh up the risks and benefits of each treatment as we try to initiate an appropriate localised (innate) and, hopefully, subsequent global (adaptive) immune response to eradicate the virus.

Cheers,
Bel

http://www.bad.org.uk/library-media\documents\Warts_2014.pdf

 

Young Lady, I cannot argue at all with what you have said. And "Tincture of Time" was from either my Grandfather or Grandmother, both grads of Queens in Belfast in 1924. She practiced medicine until her 80th birthday. In her early thirties, she delivered a pair of siamese twins - live when starting, dead when finishing by cutting them up (in utero) with a giggly saw under open ether anaesthetic in a Buxton Winter snowstorm - but they bred them tough in those days.