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Use of images for any purpose including but not limited to research, commercial, personal, or non-commercial use is prohibited without prior written consent. Mosaic warts establish satellite plantar warts (a wart around the original wart) and these just get bigger and bigger and eventually coalesce to form a single lesion which can be quite large in size. Verruca Pedis or as they are more commonly known Plantar Warts they are caused by the human papilloma virus. A Verruca Pedis or plantar wart is a small  lesion which appears on the plantar surface of the foot when looked at closely it resembles a cauliflower with tiny black spots or petechiae in the middle. Common treatments include acids and pastes there is currently no vaccine to treat warts, Cryotherapy is a very common form of treatment.
Plantar warts are caused by the HPV Virus they result in lesions on the feet which may spread and form large areas of warts. Dr Bastin recently presented a paper at the 17th Annual Dermatology meeting in Xian China, great interest was shown in this technique of Laser Plantar Wart Treatment the results are excellent. Patient is a 16 year old male who developed one Plantar Wart on his Right Hallux (big toe) he tried over the counter treatments with no luck, he noticed more and more warts developing.
Most patients tend to ignore the existence of a single plantar wart, they don’t realize that they can spread and literally infect the whole bottom of the foot hence the name plantar warts.
Some are quite painful and patients will often seek advice very early as the pain becomes very annoying to them, fortunately these are often the easiest to treat if they are treated properly.


Treatment of these can be very difficult and can be painful for the patient simply due to the large amount of tissue that is involved. The virus gains entry to the skin through micro trauma and abrasions to the skin more correctly the stratum corneum which is the outer layer of the skin. They can be differentiated from common corns by observing the skin straie (like fingerprints) with a verruca the straie run up to the wart and then diverge around the wart, with corns the straie run straight through the corn. At Brighton Podiatry we are using the latest form of treatment to eradicate Verruca Pedis  (plantar warts) that is laser. The skin will form a mild Blister and over the next few weeks the tissue including the wart will slough off. These are typically very difficult to get rid of easily, treatments like freezing often do not work successfully and we will often see the wart returning some months later.
If you suffer Plantar warts and have tried to treat them without success give the clinic a call I am sure we will be able to help you. We carried out one Laser Plantar Wart Treatment and after 2 months the Plantar Warts were all gone. Other plantar warts cause absolutely no pain whatsoever unfortunately this type of plantar wart is often a mosaic wart. We have found that freezing with liquid nitrogen is a very in efficient way to treat plantar warts, it is also painful to the patient and often requires multiple treatments (which often don’t work).


There is minimal pain to the patient most (dependent on size of the wart) say they feel minor discomfort for only a few days. Dr Greg Bastin has developed a new protocol to treat these with the CoolTouch Cool Breeze Laser. The patient is very happy with Laser Plantar Wart Treatment  and said he felt a little discomfort post treatment for 3-4 days apart from this he had no problems. These can be the worst wart to have as they spread slowly but surely and because of the lack of pain most patients never bother to have them checked out. We have been dealing with plantar warts for over twenty years and now treat most of them with laser, we find that this causes minimal pain to the patient and results in a very high success rate in resolving plantar warts. We have refined this protocol to the point where we can use just one Laser Plantar Wart Treatment and the plantar wart will be destroyed.



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