in case of multiple lesions
try systemic retinoides - Accutane cap
do a shave biopsy of a verruca.
put it in formalin.
now do a punch biopsy in thigh and remove material till deep dermis.
now put the shave biopsy material in that wound and take a stitch to securely keep that material of verruca in dermal region in thigh.
that is it.
Consider to order an ultrasound examination for checking the thickness and associated inflammatory changes to the plantar wart.
You can check these references:
1-Sonography of Plantar Warts, J Ultrasound Med. 2009 Jun; 28 :787-93,
2-Anatomical detection of inflammatory changes associated to plantar warts, Dermatology 2010;220:213-217
Dear colleagues.,happy NY'2012.,nice to be connected with all.,a gentle reminder.,plantar warts are planted deep into the plantar sole of feet usually by some form of pointed punctre which is the reason why you have to pare or scale the wart before you can see the nest of warty cells which typically appears as black dots'',
If you want to hit this you have to expose this site before you attempt to treat this with what ever ablative procedure.,physical or chemical.,so please try to expose the nest of black dots the next time around and you can expect better results.,reminder again the virus sticks to an epidermal cell at the top and cannot stimulate the pts.immune system to fight back-I was indeed impressed by one of our colleagues suggestions to implant some of the viral particles put into formalin'into the thigh skin for this indeed could serve to stimulate the pts own defence,,,seenikatty malaysia.
In maximum cases, your health practitioner can diagnose a plantar wart with one or greater of these techniques:
analyzing the lesion
Paring the lesion with a scalpel and checking for symptoms of dark, pinpoint dots — tiny clotted blood vessels
removing a small segment of the lesion (shave biopsy) and sending it to a laboratory for evaluation
maximum plantar warts are innocent and leave with out treatment, though it may take a yr or . In case your warts are painful or spreading, you can want to strive treating them with over-the-counter (nonprescription) medications or home remedies. You may need many repeated treatments before the warts depart, and they'll return later.