Warts are like tiny icebergs. What you see on the surface is just a small part of the story, as they often extend deeper beneath the skin, making them challenging to treat and eliminate completely.
What Are Warts?
Warts are small, rough skin growths caused by the human papillomavirus (HPV).
On the feet, they are commonly known as plantar wwarts. Because they grow on weight-bearing areas, they are often pushed inward by pressure, which can make them painful and sometimes mistaken for corns or calluses.
They may appear as:
- Thickened rough skin
- Small black pinpoint dots (clotted capillaries)
- Areas of tenderness when squeezed from the sides
Warts are contagious and can spread through direct contact or moist communal environments such as pools and gyms.
Why Do Warts Take So Long to Resolve?
Unlike bacterial infections, the body must mount an immune response to clear the virus. This can take time.
Resolution may be slow due to:
- The body not recognising the virus immediately
- Thick overlying callused skin protecting the wart
- Repeated pressure on the area (especially on the soles)
- Individual immune variability
Even with treatment, multiple sessions are often required. Patience and consistency are key to successful outcomes.
Our Approach at DC Podiatry
1. Clinical Assessment & Diagnostic Debridement
This serves two purposes:
- Relieves pressure and discomfort
- Allows us to clearly visualise characteristic wart features to confirm the diagnosis
Accurate diagnosis is essential before initiating advanced treatment.
2. Treatment Options
Cryotherapy (Freezing Therapy)
A controlled application of cold therapy to destroy infected tissue and stimulate the immune response.
- Smaller lesions
- Early-stage warts
- Patients preferring conservative therapy
Multiple sessions are typically required.
Immunotherapy
Designed to stimulate the body’s immune system to recognise and fight the virus more effectively.
- Persistent warts
- Recurrent cases
- Multiple lesions
This approach targets the viral cause rather than just the surface lesion.
Laser Therapy
A targeted treatment that uses focused energy to destroy wart tissue and blood supply.
- Resistant or long-standing warts
- Larger lesions
- Patients seeking a more aggressive treatment option
This option may reduce the number of sessions required in selected cases.
What To Expect After Treatment?
It is important to understand that wart treatments are designed to trigger an immune response.
As a result:
A controlled wound or blister may form after treatment
Mild discomfort, redness, or swelling can occur
The treated area will require time to heal
This local inflammatory response is intentional — it helps your body recognise and fight the virus.
Healing time varies depending on:
- The treatment method used
- Wart size and depth
- Individual healing capacity
Dressings & Aftercare
- Appropriate sterile dressings after treatment
- Clear written aftercare instructions
- Advice on hygiene and reducing spread
- Guidance on pain management if required
Proper wound care is essential for healing and treatment success.
Follow-Up & Review Schedule
Patients are typically reviewed every 2 weeks to:
- Reassess response to treatment
- Perform further debridement if required
- Continue therapy as indicated
- Adjust treatment strategy based on progress
Consistency significantly improves outcomes.
Treatment Commitment
- Patience
- Regular follow-ups
- Proper aftercare
- Realistic expectations
Our goal is not just removal — but complete resolution with reduced recurrence.
Frequently Asked Questions
Question: How do you get rid of a wart quickly?
Answer: The fastest options are cryotherapy, Electrocauterization, or immunotherapy – sometimes combined with debridement to remove thickened overlying skin first. The right choice depends on the wart’s location and thickness.
Question: Is it okay to leave a wart untreated?
Answer: Most warts clear on their own within 2 years as the immune system fights off the virus. However, warts are contagious and can spread to other parts of the body – or to people you live with – if left untreated.
Question: What is the best treatment for warts?
Answer: There’s no single best treatment for every wart. Plantar warts typically need 5–7 sessions of cryotherapy, immunotherapy or electrocauterization, with progress reviewed at each visit.
Question: What causes warts?
Answer: Warts are caused by the Human Papillomavirus (HPV), which has over 100 strains. Different strains cause different wart types on different parts of the body. Warts are most common in children, young adults, and people with weaker immune systems.
Question: Does immunotherapy work for warts?
Answer: Yes. Immunotherapy stimulates the immune system to fight the HPV virus causing the wart. It’s typically used when cryotherapy treatment hasn’t worked, and generally has a higher success rate.
Question: How much does immunotherapy for warts cost?
Answer: Plantar wart immunotherapy typically costs $800-$1,200 over 5-7 sessions. Warts on other parts of the body usually need fewer sessions and range from $300-$500.
Question: What are the side effects of immunotherapy for warts?
Answer: Redness, swelling, and mild bleeding at the treatment site are common and usually resolve within a few days. Pain is also expected. Less common effects include mild fever, flu-like symptoms, and fatigue.
Question: Is immunotherapy effective for warts?
Answer: Yes. Studies report complete wart clearance rates of “approximately 60–85% with intralesional MMR immunotherapy” (Nofal et al., 2015; Shaheen et al., 2015). “Unlike destructive treatments, MMR works by stimulating the body’s immune response against the wart virus and may also help clear untreated warts elsewhere on the body” (Nofal et al., 2015).
Question: Is it worth removing warts?
Answer: Yes, in most cases. Warts are contagious and can spread to other areas of the body or to people around you. While some clear on their own within 2 years, treatment lowers the risk of spreading and shortens the time you’re dealing with them and prevents the spread of it to family members cohabiting in the same household.
Question: How much does wart removal cost in Singapore?
Answer: Cryotherapy costs around $120 per session,immunotherapy from $150 per session and electrocauterization $250 per session
Question: Can a GP remove a wart?
Answer: Yes, GPs can remove warts. A podiatry clinic offers a wider range of options – including cryotherapy, immunotherapy and electrocauterization – along with more detailed assessment of the wart.
Question: Which wart treatment works best?
Answer: For common warts, cryotherapy generally works better than salicylic acid. Prolonged salicylic acid use can whiten and thicken surrounding skin, masking the wart underneath instead of clearing it. The right treatment, applied consistently, clears warts more effectively.
Question: Does cryotherapy permanently remove warts?
Answer: Cryotherapy clears plantar warts in roughly 45-70% of cases, depending on wart size, treatment protocol, and number of sessions. Multiple sessions are often needed for full clearance.
Question: How long does it take for a wart to fall off after cryotherapy?
Answer: A treated wart typically falls off within 7-21 days. Superficial or finger warts usually drop off in 7-10 days; thicker plantar warts can take 14-21 days.
Question: What kills warts permanently?
Answer: No single treatment guarantees permanent removal, it depends on the wart’s depth, size, and location. Plantar warts often need 5-7 sessions, with size and appearance reassessed at each visit.
Question: What is Electrocauterization for warts?
Answer: It uses a high frequency electrical current to generate intense heat to burn and destroy wart tissue while simultaneously seals any bleeding during the procedure. Depending on the size of the wart but for larger plantar warts, it might require 2 rounds for it to be cleared off. This procedure is performed under Local Anesthesia and the success rate is higher than other treatments especially for plantar warts.
Common conditions
Here are some common conditions we can treat. Chat to us if your issue is different / more complicated.
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