Most common warts go away without treatment, though it may take a year or two and new ones may develop nearby.
Some people choose to have their warts treated by a doctor because home treatment isn't working and the warts are bothersome, spreading or a cosmetic concern.
Your doctor may suggest one of the following approaches, based on the location of your warts, your symptoms and your preferences. These methods are sometimes used in combination with home treatments, such as salicylic acid.
The goals of treatment are to destroy the wart, stimulate an immune system response to fight the virus, or both. Treatment may take weeks or months. Even with treatment, warts tend to recur or spread. Doctors generally start with the least painful methods, especially when treating young children.
April 09, 2015
- Stronger peeling medicine (salicylic acid). Prescription-strength wart medications with salicylic acid work by removing layers of a wart a little bit at a time. Studies show that salicylic acid is more effective when combined with freezing.
Freezing (cryotherapy). Freezing therapy done at a doctor's office involves applying liquid nitrogen to your wart. Freezing works by causing a blister to form under and around your wart. Then, the dead tissue sloughs off within a week or so. This method may also stimulate your immune system to fight viral warts. You may need repeat treatments.
Side effects of cryotherapy include pain, blistering and discolored skin in the treated area.
- Other acids. If salicylic acid or freezing isn't working, your doctor may try bichloroacetic or trichloroacetic acid. With this method, the doctor first shaves the surface of the wart and then applies the acid with a wooden toothpick. It requires repeat treatments every week or so. Side effects are burning and stinging.
- Laser treatment. Pulsed-dye laser treatment burns (cauterizes) tiny blood vessels. The infected tissue eventually dies, and the wart falls off. The evidence for the effectiveness of this method is limited, and it can cause pain and scarring.
- Goldstein BG, et al. Cutaneous warts. http://www.uptodate.com/index. Accessed Feb. 18, 2015.
- Ferri FF. Warts. In: Ferri's Clinical Advisor 2015: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2015. http://www.clinicalkey.com Accessed Feb. 16, 2015.
- Kwok CS, et al. Topical treatments for cutaneous warts. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001781.pub3/abstract. Accessed Feb. 16, 2015.
- AskMayoExpert. Nongenital warts (adult and pediatric). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
- Bruggink SC, et al. Natural course of cutaneous warts among primary schoolchildren: A prospective cohort study. Annals of Family Medicine. 2013;11:437.
- Warts. American Academy of Dermatology. http://www.aad.org/dermatology-a-to-z/diseases-and-treatments/u---w/warts. Accessed March 2, 2015.
- Lunch MD, et al. Management of cutaneous viral warts. BMJ. 2014;348:g3339.
- Kellerman RD. Diseases of the skin. In: Conn's Current Therapy 2015. Philadelphia, Pa.: Saunders Elsevier; 2015. https://www.clinicalkey.com. Accessed March 2, 2015.
- Some wart removers are flammable. U.S. Food and Drug Administration consumer update. http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm381429.htm?source=govdelivery&utm_medium=email&utm_source=govdelivery. Accessed March 16, 2015.
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