Wart Treatment Toronto

Warts

The medical term for this lesion is Verruca. Specifically on the foot it is a Verrucae Pedis. The specific virus that causes this Human Papillomavirus.Warts can be located anywhere on the body. The virus infected the skin, specifically a layer called the Stratum Spinosum, which causes thickening and possibly, pain. Common places one may pick up a wart is from a communal location, such as a pool, public change room or a pedicure salon. The virus can spread to other areas of the body. 

Epidermis | Biology for Majors II

 

 

Here are a few different strains that cause warts. 

  • HPV 1 – single / deep plantar warts
  • HPV 2 Mosaic warts 
  • HP2 , 4 , 60 are raised warts

What are Deep  and Single Plantar Warts ?

These can sometimes be mistaken for corns on the feet. They usually have a layer of skin that is cauliflower like in presentation and can have black dots located in them. The black dots are the capillaries in the skin being interrupted by the virus. When pinched there is pain and can throb when first standing 

Mosaic Warts

These are warts that are a bit more superficial but coalesce to form a mass of warty tissue. These tend to be quite painful and people are often concerned about their appearance. 

How to Treat Plantar Warts 

Pain and appearance are reasons people come to our Downtown Chiropody and Podiatry office. Normally how we go about deciding the best treatment options for our patients is by giving them all the options, conservative and aggressive and allowing the patient to pick what treatment they would like.

 

Treatment Options Conservative 

Cryotherapy– this is where liquid nitrogen burns the wart by using very cold temperatures. It aches and hurts for a short period of time. This is the most commonly used in doctors offices. 

This can be a lengthy process. 

Salicylic Acid – Is found to be more successful than cryotherapy in Cochrane reviews. This treatment can come in various strengths, but does take time to resolve. It also requires frequent check ups with your foot specialist, every 2 weeks so they can debride and expose the virus. This medication should be applied weekly. Sometimes this is combined with other treatments and is one of the more painless treatment options for athletes. 

Laser Treatment- This is where the area is burned off with a laser. It can be quite a painful treatment, however does not require much downtime. 

Needling – this is a procedure that requires a local anaesthic to the area. Then the area is punctured multiple times to penetrate the virus into the bloodstream. The downtime feels like a bruising but not as painful  as surgical removal. 

Aggressive Treatment Options 

Canthacur – I place this one in aggressive as it does cause downtime for the patient. It causes a blister to form on the area that can be quie debilitating. Patients need to be aware of how painful this treatment option is. From patient feedback, I have heard the excision of the wart to be less painful than the cathacur treatment. 

Surgical Excision- This is where the warty tissue is surgically excised. The base of the wart will be burned with a chemical or a hyfrecator . 

All of these treatment options should be done with some home care to help prevent complications such as infections. Soaking the area in salt or some antibacterial soap will help drain and clean the area. Sterile bandage with appropriate antibiotic ointment will also help the healing process. 

 

I, chiropodist Laura Desjardins, enjoys discussing treatment options that best suit a patient’s needs and lifestyle. However, it is known the longer a wart has been on the foot, the more resistant it is. The more resistant warts do respond better to aggressive treatment options.

What It Mean When The Balls of Your Feet Hurt and What to Do!

Foot Pain On the Ball of the Foot (Metatarsalgia).

Covid 19 has lead to people walking around barefoot more often. Underlying foot injuries when walking barefooted can worsen the severity of the condition. 

Metatarsalgia 

What is it?  Now there are different types of of conditions categorized as metatarsalgia. 

The main sign and symptom pain at the end of one or more of the metatarsal bones. Those are the bones located near or on the balls of your feet!

  • The pain is typically worse  when you walk or run.
  • You may feel tingling or numbness in your toes. 
  • Athletes who take part in high-impact activities and also have an inflammatory condition like bursitis often have more widespread pain in the ball and middle of the foot.
  • The pain can be sharp, a dull ache, or a burning feeling.
  • You may feel like you’re stepping on a pebble.

Most often, the pain comes on gradually, opposed to all of the sudden. 

Metatarsalgia Causes

This is an overuse problem where, for some reason, there is a lot of load on one focal point on the forefoot. Such activities that pound the metatarsals  like, running, sprinting, plyometrics, jumping , skipping or dancing, result in impact forces leading to pain in the forefoot. Or you may have a predisposition to this injury due to your current anatomy such as:

  • Weak foot intrinsic (muscles)
  • Hammertoes
  • Hypermobile first foot bone
  • Tight calf muscles 
  • A short first metatarsal bone or a long second metatarsal bone 
  • Tight muscles that extend your toes, placing more downward pressure on the balls of the feet. 

Other things that can cause metatarsalgia include:

  • Pronation issues
  • Being overweight
  • Stress fractures in your toes or metatarsals
  • Bunions 
  • Torn ligaments in your feet
  • Tight calf muscles

Morton’s Neuroma is also a condition that is under the metatarsalgia term. This is when the nerve has extra tissue growth around it. It is usually located in the area between third and fourth toes, but can also happen in other web spaces of the feet. People with webbed toes also experience an increased likelihood of this issue. People may say it feels like they are stepping on a pebble or a stone. 

Medical Treatment

To relieve metatarsalgia pain, your downtown Toronto Foot Chiropodist or Foot Doctor may have you

  • Rest the foot. 
  • Orthotics with metatarsal support. Orthotics help control abnormal movement of the foot, as over pronation was mentioned as one the causes of the injury,  and also help with protecting those painful areas of the feet. 
  • Icing the foot 
  • Use compression bandaging
  • Wear cushioned pads, arch supports or other orthotics in your shoes.
  • Do gentle stretching and strengthening exercises.
  • Sometimes callusing can cause pain the foot, so having the callous removed, that can help
  • Sometimes surgery may be required or steroid injections to the area. 

Recovery 

I, Chiropodist Laura Desjardins, suggests If you are an athlete you may want to cross train or do activities that does not require pounding on the feet. 

Gradual return to activity is also recommended. One way to prevent this injury is to wear proper footwear, or orthotics if needed during high impact activity, stretch and strengthen your feet as well as keeping the hips strong. 

If you have any other questions or concerns with your foot pain, our Chiropodist, Laura Desjardins, would be happy to help you!

Causes of Foot Pain-Bruised and Thick Toe Nails

Causes of Foot Pain-Bruised and Thick Toe Nails 

 

 

How Do You Get A Bruised Toe Nail

One of the many reasons people seek a chiropodist or podiatrist for foot pain, include bruised toenails. Bruised toenails can happen from repetitive trauma to the nails. This injury is commonly found in runners or hikers. This toenail injury  can also happen to those who wear tight fitting shoes like high heels, to those who kick a ball like soccer or football or even rock climbers. 

 

This type of injury is a repetitive foot injury where the toenails hit the end of the shoe over and over. This causes a subungual hematoma, which is a blood blister under the nail. The nail also responds to trauma by thickening. When the nail thickens, that can become a perpetual issue.  A thick nail can dig into the sides of the skin around your nail, pinching and causing pain. If the nail continues to become injured, skin can become hard around the nail. That can stunt the growth and also contribute to the thickening of the nail. 

What to Do About A Bruised Toenail

Not only can footwear cause issues with toenails, but if socks that are too tight, that can also lead to microtrauma of the  nails. That is why I suggest slightly tugging the end of the sock, to make sure the sock does not pull back on the toes and toenails when you put your shoe on and while running. Some sport medicine textbooks advise a met pad to help prevent the toes from hyperextending. 

Buying footwear that properly fits, is also very important. Toe caps can help blunt the pain, but sometimes I find it takes up more room and can add more pressure onto the nail. 

In very painful conditions, you may need to have the nail gently drilled from a foot specialist to alleviate the pressure from the blood under the nail. In cases where the toe nail injury has been there for a while, the blood will be dried and drilling is not needed. Thinning the nail out will help in this situation. 

 

What really helps to prevent this issue, is to keep  the nails neat and tidy! Another important factor is wearing footwear that has enough room in the toe box. That means keeping them trimmed and filed. If you have troubles cutting the nails, seeing a podiatrist or chiropodist will help you. Filing the nails as thin and best as best as you can will help. If you cannot cut the nails. Not only is the thickness the issue, but getting the corners and nail sulus neat and tidy is also important! 

 

Keeping regular appointments to keep the nails growing properly will help reduce pain and prevent thickening of the nails. From personal experience, as a runner, the regular upkeep of nails was the only thing that helped me!