
Plantar warts are small growths that usually appear on the heels or other weight-bearing areas of the feet. This pressure may also cause plantar warts to grow inward beneath a hard, thick layer of skin (callus). Plantar warts are caused by Human Papilloma Virus (HPV). The virus enters the body through tiny cuts, breaks or other weak spots on the bottom of the feet.
Most plantar warts aren’t a serious health concern and usually go away without treatment eventually. In severe cases, the warts can be removed.
Signs & Symptoms
- A small, fleshy, rough, grainy growth or lesion on the sole of the foot, usually the base of the toes or heel
- Hard, thickened skin (callus) over a well-defined “spot” on the skin, where a wart has grown inward
- Black pinpoints, which are commonly called wart seeds but are actually small, clotted blood vessels
- A lesion that interrupts the normal lines and ridges in the skin of foot
- Pain or tenderness when walking or standing
Verursacht
Plantar warts are caused by an infection with Human Papilloma Virus (HPV) which enters the body through tiny cuts, breaks or other weak spots on the bottoms of the feet.
Pathophysiologie
Human papillomavirus can survive months to years on surfaces. Infection of a host requires direct contact with viral particles, which can occur through either direct contact via a plantar wart or indirect contact via fomites, such as flooring, socks, shoes, towels, and sports equipment. There is no systemic dissemination or viraemic phase to HPV infection. As such, contact with body fluids, except those directly from the plantar wart itself, does not transmit HPV. Pre-existing microtrauma of the epidermal barrier of the plantar aspect of the foot allows entry of the virus on contact. Once in contact with a host, HPV gains entry to the basal epithelial layer, where actively dividing stem cells are located. In the basal epithelium, the virus binds with cellular receptors and is subsequently taken up by the now-infected cell. After an incubation period of 1 to 20 months, viral DNA is then established within the host cell, usually without integration into the host cell genome.
Once infection occurs, 3 outcomes are possible: clearance of the infection with resultant immunity to that particular HPV type, latent infection, or clinically manifested infection as a plantar wart. After infection, if the virus is not cleared, the host basal keratinocyte is stimulated to divide and replicate viral DNA via HPV E1 and E2 proteins. This process produces numerous stem cells that each contain 20 to 100 copies of the viral DNA. The basal stem cells contain very low levels of viral proteins, which enhances the virus’s ability to evade the host’s immune response. As the basal cells undergo normal differentiation into keratinocytes, they progress towards the outer surface of the epithelium. At the same time, the viral genome promoter region is activated, leading to increased production of viral proteins that enhance HPV genome amplification within each differentiating cell. It is thought that E5, a membrane protein produced via the viral DNA template, serves to enhance signaling from growth factor, which in turn maintains the cell’s capacity for DNA replication. Once viral DNA copies are sufficient, L1 and L2 viral coat proteins are expressed by surface keratinocytes. Protein E2 recruits viral DNA copies to the host cell nucleus, where the viral DNA is packaged into capsids composed of proteins L1 and L2. The infectious viral particles can then be released in high numbers from desquamated keratinocytes on the surface of the plantar wart to infect other sites or hosts.
The induction of cellular replication throughout the process of viral genome amplification leads to the hyperkeratinized papule that constitutes a plantar wart. Plantar warts tend to develop at areas of increased pressure on the sole of the foot, including the heel and metatarsal heads. Such pressure points are regions of increased microtrauma to the epidermal barrier, which increases the likelihood of HPV invasion. Owing to the pressure exerted on the forming plantar wart, the lesion tends to progress deeper into the skin (creating an “iceberg effect”) as opposed to forming a rounded papule, which can contribute to their resistance to therapy. As a result of normal sloughing of the epithelium, viral particles are released and may be transmitted to surfaces where the virus will lie until picked up by a new host or spread to adjacent sites (autoinoculation). Thus, once a plantar wart develops, the host is susceptible to additional warts developing.
Diagnose
- Examining the lesion
- Tearing the lesion with a scalpel and checking for signs of dark, pinpoint dots — tiny clotted blood vessels
- Removing a small section of the lesion (shave biopsy) and sending it to a laboratory for analysis
Behandlungen
Most plantar warts are harmless and go away without treatment, though it may take a year or two. If the warts are painful or spreading, treatment is needed such as:
Stronger peeling medicine (salicylic acid).
Freezing medicine (cryotherapy).
Surgical or Other Procedures
If salicylic acid and freezing medicine don’t work, following treatments can be done:
- Other acids like trichloroacetic acid
- Immune therapy.
- Minor surgery – by using an electric needle (electrodesiccation and curettage).
- Laser treatment.
- Vaccine
Prognose
Most plantar warts are harmless and go away without treatment, though it may take a year or two.
Komplikationen
Normal posture or gait can be altered due to pain caused by pressure on the warts. This change can cause muscle or joint discomfort.
Krankheit & Ayurveda
Charmakeela
Nidana
Not mentioned separately.
Causative factors of kushtha can cause the same
Vitiated doshas are Vyaanavaayu and Kapha
Purvaaroopa
Not mentioned.
Samprapti
When the vitiated Vyaanavaayu taking along the Kapha dosha gets lodged in skin, it causes rough, firm & hard skin lesion externally resembling a nail.
Lakshana
A chronic black/skin-coloured lesion which is rough & hard on touch, elevated, and resembling a nail.
Abteilungen
Nicht erwähnt
Prognose
Krichhrasadhyam
Chikithsa
Samana
Lepanam with Rookshana dravyas
Sodhana
Sastrachedanam
Dahanam
Then treatment of wound should be done
Commonly used Medicines
- Aragwadhadi kashayam
- Thriphalakwatham
- Jathyadi ghrutam
- Varanadi kashayam
- Rasothamadi lepam
Also check out:
- Chripoex– an Ayurvedic foot cream
- Chirattai Thailam – an Ayurvedic oil to help manage warts
Verfügbare Marken
- AVS Kottakal
- AVP Coimbatore
- SNA oushadhasala
- Vaidyaratnam oushadhasala
Hausmittel
- Non-prescription wart removal products are available as a patch or liquid containing peeling medicine (salicylic acid).
- Freezing medicine (cryotherapy) include Compound W Freeze Off and Dr. Scholl’s Freeze Away.
- Application of duct tape
Diät
- Zu vermeiden sind
Schwere Mahlzeiten und schwer verdauliche Lebensmittel - verursachen Verdauungsstörungen.
Junk Food - stört die Verdauung und verringert die Bioverfügbarkeit des Medikaments
Kohlensäurehaltige Getränke - erhöhen den Säuregehalt des Magens und stören die Verdauung
Gekühlte und gefrorene Lebensmittel - verursachen eine schwache und träge Verdauung durch Schwächung von Agni (Verdauungsfeuer)
Milch und Milchprodukte - erhöhen Kapha, verursachen Verstopfung in den Kanälen und Fettleibigkeit
Quark - verursacht Vidaaha und damit viele andere Krankheiten
- Noch zu ergänzen
Leichte Mahlzeiten und leicht verdauliche Lebensmittel
Green gram, soups, sesame oil. Fresh fruits and vegetables
Frisch gekochte und warme Speisen, verarbeitet mit Kreuzkümmel, Ingwer, schwarzem Pfeffer, Ajwain usw.
Verhaltensweisen:
Protect yourself from cold climate.
Vermeiden Sie übermäßige Sonneneinstrahlung, Wind, Regen oder Staub.
Halten Sie einen regelmäßigen Essens- und Schlafplan ein.
Vermeiden Sie es, Triebe wie Urin, Stuhlgang, Husten, Niesen usw. zurückzuhalten oder zu erzwingen.
Vermeiden Sie eine sitzende Lebensweise. Seien Sie aktiv.
Avoid walking on rough & uneven surface.
Yoga
Yoga is not advised in conditions of severe pain & inflammation.
But emotional health and skin diseases are directly related and Yoga for calming mind is recommended in plantar warts. Regular stretching and mild cardio exercises are also advised. A specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.
Regelmäßige Bewegung trägt dazu bei, die Bioverfügbarkeit der eingenommenen Medikamente und Nahrungsmittel zu verbessern, und führt zu einer positiven Gesundheit.
Yoga kann die Harmonie im Körper und mit dem umgebenden System aufrechterhalten.
Pavanamuktasana
Nadisudhi Pranayama
Bhujangasana
Einfache Übungen für die Gesundheit von Lunge und Herz
Alle Übungen und körperlichen Anstrengungen dürfen nur unter der Aufsicht eines medizinischen Experten durchgeführt werden.
Research Articles
https://pubmed.ncbi.nlm.nih.gov/27215155/
Diese Aussagen wurden nicht von der Food and Drug Administration der Vereinigten Staaten bewertet. Dieses Produkt ist nicht dazu bestimmt, Krankheiten zu diagnostizieren, zu behandeln, zu heilen oder zu verhindern. Bitte konsultieren Sie Ihren Hausarzt vor der Einnahme.
Autorin:
Dr. Rajesh Nair, der Mitbegründer und Hauptberater von Ayurvedaforall.Com, ist Absolvent des renommierten Vaidyaratnam Ayurveda College (angegliedert an die Universität von Calicut) in Kerala, Indien. Außerdem hat er ein Postgraduierten-Diplom in Yogatherapie von der Annamalai University.
Dr. Nair bietet Beratungen in zwei vielbeschäftigten Kliniken in und um Haripad, Alleppey, Kerala, dem südlichen Staat, der weltweit für authentische ayurvedische Behandlungen und Ärzte bekannt ist. Neben der Beratung zu allen Aspekten ayurvedischer Behandlungen hat Dr. Nair ein besonderes Interesse an Panchkarma, Yoga und Massage.
Über Ayurvedaforall bietet Dr. Nair Patienten weltweit Online-Konsultationen an und hat in den letzten 20 Jahren Hunderte von Patienten betreut. Zusätzlich zu seiner ayurvedischen Praxis ist er Chefredakteur von ayurveda-amai.org, dem Online-Portal der Ayurveda Medical Association of India, und Mitglied des Landesausschusses der Ayurveda Medical Association of India.
Dr. Nair ist ein regelmäßiger Redner auf Ayurveda-bezogenen Konferenzen und hat Deutschland besucht, um Ayurveda zu propagieren. Sie können direkt an ihn schreiben.
rajesh@ayurvedaforall.com
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