Wednesday, February 24, 2010

Warts: Conventional and Unconventional Approaches

How you get them: Warts (Verruca pedis in medical parlance) are actually caused by a virus spread by contact. They are often transmitted in locker room showers. Like unwelcome guests, they sometimes leave on their own, and they sometimes stay with you for years.

How you get rid of them: Since it's a virus causing the problem, the goal is to get your body to recognize the virus and respond with its immune system. So how do we get your body's attention?

  1. Acid. Salicylic acid is the most common ingredient in over-the-counter wart removal treatments, and your doctor can prescribe it in higher concentrations, if needed. If you follow this approach, be prepared to spend the next few weeks applying acid, then rubbing off the dead skin with an emery board, and repeating the next day.
  2. Freezing. Also known as cryotherapy. While over-the-counter remedies exist, consult a podiatrist for best results. By making the area around the wart extremely cold, the blood vessels freeze and shatter, allowing for a large increase in blood flow. This will result in a blood blister. Freezing may require multiple treatments, and it is not advised if you have diabetes.
  3. Electrosurgery. Zap the wart with an electric spark and burn the area. Instant results.
  4. Needling. Many small punctures are made in the area to form a blood blister.
  5. Vitamin A. The research is still undecided on this, though there is evidence to show the importance of Vitamin A in skin health.
  6. Duct Tape. Yes, ordinary duct tape. Though not without its controversy, there is evidence that duct tape is an effective treatment. Just cover the wart with duct tape for a week and then rub with an emery board. Repeat until the wart goes away, probably after two months. While it is not well understood how duct tape does this, the results are not in dispute. In other words, we know it works, we just don't know why.
  7. Laser Surgery. Coming in at the other extreme of the technological spectrum, laser wart removal has proven effective when all other treatment options failed. While painful, it gets results and leaves no scars.
  8. Mind over Matter? Legends tell of a plucky podiatric resident who instructed patients to sit in his "wart room." He turned off the lights, closed the door, and left them alone for a little while before concluding the office visit. Somehow, the warts went away. This leaves you, the reader, the perfect chance to write your own punchline in the comment section below.

For further reading, see www.warts.org.

Saturday, February 13, 2010

Swollen Feet? 3 Things to Help

Do your feet swell? Do your shoes not fit properly? Do your socks leave a deep imprint on your ankles? Depending on how swollen they are, this can be normal or problematic. If you have diabetes, high blood pressure, and/or heart disease, understanding why your feet are swelling is particularly important.

What’s going on? As our blood travels through the body, it has to go all the way down and then all the way up your legs. As you might imagine, getting it back up is the hard part. If fluid can’t climb out, it stays in your feet and ankles, causing them to swell. (The medical term for this is edema.)

Luckily, our legs come equipped with features to help shuttle all that fluid back to our heart. These include one-way valves in our veins and muscular pumps that work as we walk. Unfortunately, these features don’t function as well as we get older.

What can I do? You can take some small steps to minimize this problem. I mean that literally—every now and then, take a short walk. Your leg muscles will pump the blood out of your feet. More ideas:

1. Put your feet up. Fluid has an easier time getting out of your feet when it can work with gravity, not against it.
2. Cut back on salt in your diet. Salt causes your body to retain fluid. Also, your heart and kidneys will thank you.
3. Support Stockings. These will compress your feet and ankles, pushing out the excess fluid and improving your circulation.

Of course, swollen feet might be a sign of something of greater concern. To find out what is happening, call Dr. Reddy or a podiatrist in your area.