1. Plantar Warts (Caused by HPV – Human Papillomavirus)

📋 Symptoms:

• Thickened skin on the soles of the feet

• Black dots (“wart seeds” = clotted blood vessels)

• Pain when walking or standing

💊 Medical Treatments:

• Salicylic acid (OTC or prescription): Softens the wart over time.

• Cryotherapy (freezing): Performed by a doctor every 2–3 weeks.

• Cantharidin: Causes blistering under the wart to lift it off.

• Laser therapy: Destroys blood vessels feeding the wart.

• Immunotherapy (e.g., imiquimod): Stimulates the immune system to attack the virus.

• Minor surgery: Curettage under local anesthesia (not first-line due to scarring risk).

Home Care:

• Keep feet clean and dry

• Use pumice stone to remove dead skin (if advised by doctor)

• Wear sandals in public showers

2. Herpetic Whitlow or HSV on Feet (Less common, but possible)

📋 Symptoms:

• Painful blisters or ulcers

• Burning, tingling sensation

• May occur on toes or soles

💊 Medical Treatments:

• Antiviral drugs (oral):

  • Acyclovir 400 mg 3–5x/day

  • Valacyclovir 500–1000 mg 1–2x/day

  • Famciclovir 250 mg 3x/day

• Topical antivirals (less effective alone)

• Keep area clean, dry, and covered to avoid spreading

⚠️ Important Considerations

• See a doctor for a diagnosis. Many conditions (like fungal infections, bacterial cellulitis, or eczema) can mimic viral infections.

• Avoid self-treatment with strong acids or freezing if you’re unsure of the cause—this can worsen the condition.

• If diabetic or immunocompromised, foot infections can escalate quickly. Medical attention is critical.