Wart Treatment Options: What Actually Works

Warts are one of the most common skin conditions seen in podiatry and primary care offices. While they are generally harmless, they can be painful, persistent, and frustrating.

If you have a wart on your foot or elsewhere, you may be wondering what treatment actually works and how long it takes to get rid of it.

This guide explains your options and what to expect.

What Causes Warts?

Warts are caused by the human papillomavirus (HPV). The virus enters through small breaks in the skin and causes thickened, rough growths.

Common types include:

• Common warts (hands and fingers)

• Plantar warts (bottom of the feet)

• Flat warts (face, legs, or arms)

• Periungual warts (around nails)

Plantar warts can be especially uncomfortable because pressure from walking pushes them inward.

Do Warts Go Away on Their Own?

Sometimes.

In children, warts may disappear within one to two years as the immune system clears the virus. In adults, they often last longer and may require treatment.

If the wart is painful, spreading, or not improving, treatment is recommended.

At-Home Wart Treatments

Salicylic Acid

This is the most commonly recommended first-line treatment.

How it works:
Salicylic acid gradually removes layers of the wart and stimulates the immune system.

Pros:

• Affordable

• Available over the counter

• Effective with consistent use

Cons:

• Requires daily application

• Can take several weeks

• May irritate surrounding skin

Most patients need six to twelve weeks of consistent use.

Over-the-Counter Freezing Kits

These products freeze wart tissue.

Pros:

• Faster than topical acids in some cases

Cons:

• Less powerful than medical freezing

• May require repeat treatments

• Can cause blistering

Results vary.

In-Office Wart Treatments

If home treatments fail, professional care may be more effective.

Cryotherapy (Liquid Nitrogen)

This treatment freezes the wart at a much lower temperature than over-the-counter products.

Benefits:

• Often faster results

• Effective for many patients

Multiple treatments may be needed.

Cantharidin

A topical medication applied in the office that creates a controlled blister under the wart.

Benefits:

• Commonly used in children

• Typically painless during application

Follow-up may be required.

Laser Therapy

Laser treatment targets the blood vessels supplying the wart.

Best for:

• Resistant or recurring warts

This option is usually reserved for stubborn cases.

Surgical Removal

Surgery is rarely the first choice due to potential scarring and recurrence. It may be considered in severe or persistent cases.

Why Do Warts Come Back?

Warts can recur because:

• The virus remains in nearby skin

• Treatment was stopped too early

• The immune system has not fully cleared the infection

• The growth was misdiagnosed

In some cases, combination therapy provides better results.

When Should You See a Doctor?

Schedule an evaluation if:

• The wart is painful

• It is spreading

• It bleeds

• You have diabetes or poor circulation

• Home treatment has not worked after two to three months

Some skin cancers can resemble warts, so persistent growths should be evaluated.

What Is the Most Effective Treatment?

There is no instant cure.

Evidence supports starting with:

• Consistent salicylic acid therapy

• Professional cryotherapy if faster results are desired

Persistent warts may require combination treatment.

The most important factor is consistency and appropriate follow-up.

Final Thoughts

Warts are common and treatable, but they often require patience. Early treatment can reduce discomfort and prevent spread.

If your wart is not improving or continues to return, a medical evaluation can help determine the best treatment plan for you.

If you have concerns about a painful or persistent wart, contact our office to schedule an appointment. Contact our office today with Dr. Gireesh Reddy or Dr. Sirisha Pokala by calling (469) 573-3427 or by booking an appointment online.