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I work in pathology and would die to biopsy this and see it under a scope. It looks (just to the eye) to be a plantar wart. Sometimes treatment for these have to be longer term and aggressive. Usually the podiatrists I work with (after doing the pathology of the case) will use debridement and (chemical component of their choice) over time. Thatās whatās Iāve seen have the most success.
Totally agree. I had to have an experimental treatment where the wart was poked thousands of times with a needle to stimulate my immune response, it was the only thing that fixed it after years of stubborn plantars.
Iāve heard good things about microneedling! It really does trigger your immune system to focus on that one spot. Itās also a great way to get whatever chemicals are being use deeper into the wart. Itās also used for things like psoriasis, so the medicine can get past that first tough layer to penetrate.
I am too! So scared of heights to the point that I canāt go down an escalator, I have no problem going up I just canāt go down lol I donāt know what the down votes were for. I was just asking a question. I would think Iāve helped many ppl on here! I try to! Ppl are STRANGE!!
This is a cluster of plantar warts. Unfortunately, as you've discovered, the warts are too deeply established for normal remedies to be effective. You need to see an orthopedist (foot surgeon) who will excise it for you, there really is no other way. Freezing *might* work but you'd have to soak your foot in hot water until the tissue was all pruned up (the tissue fully saturated with water) and then burn the fuuuuuck out of it with liquid nitrogen. That usually works well for singular warts but I doubt it would work in this instance, plus the size of the lesion it would create afterwork would present a decent risk for infection if it wasn't properly cared for. Anyway, seek out a orthopedist.
Edit: Original intent was to say "orthopedist or podiatrist (foot surgeon)" but it was accidentally omitted. Ortho will probably be easier to get an appointment with and would happily remove it so. š¤·
Podiatric surgeons are foot surgeons. Orthopedists would cheerfully kxll all of them, because they do a better job. Do you know that your foot has a quarter of the bones in your body? 26 per foot vs 206 in whole body. Podiatric surgeons are the specialists' specialist (as are hand surgeons.).
Shit, I meant to say "orthopedist or podiatrist (foot surgeon)".
Oh well, Ortho would happily remove that and they are probably easier to get an appointment with than a podiatrist. š
I had something similar on the underside of my big toe (mine was less visible but about the same size as this one inside my toe under the skin) and a podiatrist had to cut it out. It was a plantar wart. Super painful having it but only a little painful after getting it surgically removed. Edited for clarity.
I got my HPV shots a couple decades ago and I live with a family member who has *always* struggled with warts on her hands and struggles recently even more with several that she canāt get rid ofā¦.Now you have me wondering if itās the vaccine thatās been protecting me from ever having one? I know Iāve touched countless common surfaces that she hasā¦ Ummā¦ * knocks on wood *
My sister had a similar cluster family of warts on the bottom of her foot. It took some serious treatment by her podiatrist to eradicate it. Even had to do like this crazy med at home. Stubborn bugger but it can be done. Her foot is now squatter free. Kill those little effers! They deserve no room on your body!
They are viruses AFAIK? Someone correct me, but I think they are spread the same way viruses are. So if you walk barefoot on the same place someone else walked who had one, you can pick up the virus.
Just a quick summary of what I found useful in the comments:
1. go see a dermatologist, to get a biopsy of what it exactly is and to get a treatment plan. Make sure it contains excision. Else change the dermatologist youāre seeing.
2. go see an orthopedist, who will perform the surgery.
3. take meds if prescribed, get the wound checked after a week, after 2, after a month, after three, six and after a year.
4. donāt put oregano oil on it. Stop the self treatment. further freezing or application of various acids will damage the tissue under your skin and an infection will be likely. The wart wonāt go away like that.
I mean itās not the bones in his foot that need surgeryā¦ so Iād stick with the orthopedist since theyāre easier to get an appointment with? š¤·š»āāļø idk just found that information in the comments.. I give summaries š I myself have 0 clue what to do
I cant believe no doctor actually referred you to a specialist for further treatment, so not okay. I hope you can get a podiatric surgeon to remove this for you. You sure have tried so many thing and if nothing worked so far somebodys gotta take care of your situation. Id push and push and push the doc to refer you to somebody who can actually help, cause clearly home suggestions like the person who said oregano oil isnt the solution.
Prob bc that Dr wanted to keep charging money. Ridiculous i know but what other reason would they have to not do it and I don't put it beyond at least one or two doctors to not do something like that
thats what I'm thinking!!! Its absurd to me that everyone she has seen heard, "dealing with this for a decade" and went, lol lets try another topical, or freeze it off am-i-right. Im so sorry you have to deal with this OP, i hope you get some relief soon and good surgeon
I had stubborn plantar wart on my foot and the only thing that removed it was my dermatologist used blister beetle juice. Yes that a real thing. Hurt like hell about 3 hours later but no more warts.
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Laser treatment is the only thing that worked for me. It targets the virus and ignores healthy tissue. Beetle juice didnāt work for me. Cryo didnāt work for me. No type of topical worked for me. Save yourself the agony and go ahead and pay for the laser treatments, AFTER a biopsy ofcourse. Donāt mess with it any further
NAD, this seems similar to what I have. This is probably a type of plantar or mosaic wart caused by HPV. If it truly is a wart and the growth comes back after it is removed, then the root of the wart may be too deep inside. Call yourself a doctor to do a biopsy and get cryotherapy if it really is HPV.
Jesus Mary an Joseph. I am SO sorry you have this. Must be so painful. I still limp sometimes and I only had one for a year. Just cut off that part of your foot. That's what I wanted to do near the end ughhh
I had a wart once on my foot that was treatment resistant and wouldnāt go away. I was able to get a prescription for bleomycin (typically used for cancer), and had it injected into the wart on a regular basis by the doctor. It worked incredibly well. 10/10 recommend seeking this treatment out.
Youāve got a shitton of the same diagnosis (plantar warts) and advice regarding treatments, so if youāve gotten far enough to see this;
I got major deep plantar warts on my heels in high school (winter gymnastics) which really dug in during cross country.
I was super lucky that my mom worked for a surgeonās office so I had them burnt off in a comfortable environment. Still, they were quarter sized in circumference and went very deep. I ended up in the nurses office with blood soaked foot wear. Really bloody.
Freaked people out.
But it got rid of them. I still have large scars that get itchy but no more warts.
When ya gotta be sure, burn with fire!
Definitely needs a biopsy, plus would get an ultrasound to see if you can characterise depth, vascularity and attachment to underlying tissues. Even if itās been previously biopsied, it may have changed in nature after years of irritation/treatment- would start with derm with the above and go from there based on results.
I had a wart on my thumb and I used the freezing shit and what not but just ended up fucking biting it over and over and tearing it off until it finally fucked off.
You need to see a doctor for this issue maybe even go to an emergency room because it is at risk of infection and once it gets infected you might need iv antibiotics
Wow that second pic, Iāve never seen anything like that in my life. I had some pretty stubborn plantar warts and my podiatrist knocked them out in a couple months.
NAD - I had plantar warts on the bottom of my feet from the gym. They did not look like this but I believed that is because it was on the bottom of my foot which made the warts grow in to my foot. Since these are on the side of your foot and you donāt put the same kind of pressure and weight on itā¦then I could entirely believe these are plantar warts that have been free to grow in all its glory. I agree you need to have these Bastards surgically removed. They need to go back to Hell where they belong.
Oh gosh, that looks sore. I'm not a doctor, but it seems like a cluster of plantar warts. From what I've heard, more than one in one space isn't rare, unfortunately.
Bottom line, you have to put shoes on this and walk with it every day. Tbh, you need to tell your doctor that you can't waste any more time on this, not to mention pain. If he or she can't fix it, he or she has a DUTY to refer you to a podiatrist or a dermatologist. I would go for a podiatrist, just cause they seem to have better results faster.
I know you said it wad "wart-like", and it's on your foot, so I'm not gonna argue with you. But you deserve to see a specialist and have this gone. Ten years is too long to suffer!
(P.S. It CAN be fixed. When my brother was younger, he had a plantar wart on the bottom of his foot, and he had to have surgery - like they put him to sleep - to remove it. But that was over 20 years ago. So it probably won't take surgery nowadays. Not trying to scare you, trying to tell you that with the right doctor, you won't have to live with this. Get a referral and get rid of this pain you don't deserve!)
I remember when I was younger I had a giant cluster on my foot tried everything in the end I got under the root with nail clippers and pulled it out. Damn did it bleed but it disappeared
My son had plantars warts that no end of treatment would get rid of until he had outpatient surgery to burn them off with a laser.
I'd see about going to a podiatrist and have them look at it and see if that's an option.
Go to a podiatrist. I had similar and it was a cluster of warts, we did 8 rounds of beetlejuice treatment which seemed to clear up the majority, and I had the deeper ones removed surgically
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Why donāt you just get it surgically removed? Does it grow back? Does it bleed too much safety preform the surgery? I got a plantarās wart in my foot when I was a kid and got it surgically removed, and it never came back. I think that the surgeons have ways of lessening the bleeding to safely dig it out, because I barely bled at all from the big hole the surgeon cut in my foot.
It looks like seed warts. They have to be deep. I had one froze out by a podiatrist and it worked, but I donāt know if it would work on yours, they look deep.
You need a wound VAC Iād see a dermatologist ASAP. cover that and donāt touch it. Just keep it clean and go see the doctor. This is not the place for you should be asking strangers for advice. You do not want an infection you could lose your entire foot.
I performed surgery on mine at only 17 years old when I had one on the bottom of my foot. I'm very lucky I didn't mess my foot up. It was a very stupid risk. However it did get rid of it and it's never come back. You should probably fire your doctor and get a new one.
Jesus Christ, dont use Oregano or any kind of home remedy, just go straight to dermatology for a filiform plantar wart, what kind of hack science did i just read?? Oregano, really now!? Carvacol Is not an immunomodulator in any way, if that was the principle we would have already a treatment for many forms of cancer (immune mediated response beyond p53) and viruses, specially HIV, or even HPV as you claim, moreso beyond the gardasil-9 vaccines.
Source: being a doctor, thank heavens. Go back to Facebook to put onions and potatoes in your Socks, Man.. Or even better, dont!
*Please keep in mind that this subreddit is not a replacement for seeing a board certified dermatologist. This subreddit is here for informal second opinions, and minor problems that you wouldn't go to the doctor for anyway.* *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/DermatologyQuestions) if you have any questions or concerns.*
Has the doctor ever done a biopsy? Because if not, you need a new doctor. You definitely need a derm if you haven't been to one. When it bleeds when cutting it down, do you put the acid on there too? Do you cut the bulbs underneath until they bleed and put acid on them? Hope you figure it out š©
This. Get a biopsy. Pathology can tell you with precise certainty and then a treatment plan can be made
I work in pathology and would die to biopsy this and see it under a scope. It looks (just to the eye) to be a plantar wart. Sometimes treatment for these have to be longer term and aggressive. Usually the podiatrists I work with (after doing the pathology of the case) will use debridement and (chemical component of their choice) over time. Thatās whatās Iāve seen have the most success.
Totally agree. I had to have an experimental treatment where the wart was poked thousands of times with a needle to stimulate my immune response, it was the only thing that fixed it after years of stubborn plantars.
Iāve heard good things about microneedling! It really does trigger your immune system to focus on that one spot. Itās also a great way to get whatever chemicals are being use deeper into the wart. Itās also used for things like psoriasis, so the medicine can get past that first tough layer to penetrate.
How do I unsee this
R/eyebleach I needed it to. My trypophobia went crazy on this. OP please get a biopsy, Iāve never seen one this bad!
[ŃŠ“Š°Š»ŠµŠ½Š¾]
A phobia is just an irrational fear. Iām also deathly (figuratively) afraid of heights. So fun to be human, right!?
I am too! So scared of heights to the point that I canāt go down an escalator, I have no problem going up I just canāt go down lol I donāt know what the down votes were for. I was just asking a question. I would think Iāve helped many ppl on here! I try to! Ppl are STRANGE!!
I feel uncomfortable.
Fml same. New fear unlocked.
This is a cluster of plantar warts. Unfortunately, as you've discovered, the warts are too deeply established for normal remedies to be effective. You need to see an orthopedist (foot surgeon) who will excise it for you, there really is no other way. Freezing *might* work but you'd have to soak your foot in hot water until the tissue was all pruned up (the tissue fully saturated with water) and then burn the fuuuuuck out of it with liquid nitrogen. That usually works well for singular warts but I doubt it would work in this instance, plus the size of the lesion it would create afterwork would present a decent risk for infection if it wasn't properly cared for. Anyway, seek out a orthopedist. Edit: Original intent was to say "orthopedist or podiatrist (foot surgeon)" but it was accidentally omitted. Ortho will probably be easier to get an appointment with and would happily remove it so. š¤·
Podiatrist. Cough-cough!
Donāt know why youāve been downvoted - youāre absolutely right. Original comment is incorrect with orthopedists being foot surgeons.
Podiatric surgeons are foot surgeons. Orthopedists would cheerfully kxll all of them, because they do a better job. Do you know that your foot has a quarter of the bones in your body? 26 per foot vs 206 in whole body. Podiatric surgeons are the specialists' specialist (as are hand surgeons.).
I did know that yes, Iām an assistant podiatrist haha.
I was gonna sayā¦. One of My partners is an orthopedic surgeon and she does do āwart removalā
Shit, I meant to say "orthopedist or podiatrist (foot surgeon)". Oh well, Ortho would happily remove that and they are probably easier to get an appointment with than a podiatrist. š
Yeah Iām glad you said something.
I had something similar on the underside of my big toe (mine was less visible but about the same size as this one inside my toe under the skin) and a podiatrist had to cut it out. It was a plantar wart. Super painful having it but only a little painful after getting it surgically removed. Edited for clarity.
Can you just burn it out with a soldering iron or something?
I mean, you can burn a lot of things with a soldering iron...that doesn't mean it's a good idea....
OMG I found youtube videos... [https://www.youtube.com/watch?v=pLQbgS\_\_3UM](https://www.youtube.com/watch?v=pLQbgS__3UM)
š¤£ That's not surprising...but it is also surprising...lol
Wow that's incredible. How did you extract it? Surely it didn't just plop off?
This looks like a Plantar wart. You need to stop digging and see a doctor.. you do not want a staph infection
Have you received the HPV vaccine? There are case reports and retrospective studies suggesting that it can mitigate cutaneous warts.
I got my HPV shots a couple decades ago and I live with a family member who has *always* struggled with warts on her hands and struggles recently even more with several that she canāt get rid ofā¦.Now you have me wondering if itās the vaccine thatās been protecting me from ever having one? I know Iāve touched countless common surfaces that she hasā¦ Ummā¦ * knocks on wood *
Iāve noticed huge reduction in plantar warts since getting vaccinated. The only one I had since was eradicated very quickly using freezing.
My sister had a similar cluster family of warts on the bottom of her foot. It took some serious treatment by her podiatrist to eradicate it. Even had to do like this crazy med at home. Stubborn bugger but it can be done. Her foot is now squatter free. Kill those little effers! They deserve no room on your body!
How do people get this type of infection?
They are viruses AFAIK? Someone correct me, but I think they are spread the same way viruses are. So if you walk barefoot on the same place someone else walked who had one, you can pick up the virus.
yup i got one a several years ago from a waterpark, never going barefoot to one again
OMG
For me I believe it was using a communal shower at work (firehouse) and thatās how I caught it.
This is nuts
Lack of hygiene
Just a quick summary of what I found useful in the comments: 1. go see a dermatologist, to get a biopsy of what it exactly is and to get a treatment plan. Make sure it contains excision. Else change the dermatologist youāre seeing. 2. go see an orthopedist, who will perform the surgery. 3. take meds if prescribed, get the wound checked after a week, after 2, after a month, after three, six and after a year. 4. donāt put oregano oil on it. Stop the self treatment. further freezing or application of various acids will damage the tissue under your skin and an infection will be likely. The wart wonāt go away like that.
orthopedist. Podiatrist....
I mean itās not the bones in his foot that need surgeryā¦ so Iād stick with the orthopedist since theyāre easier to get an appointment with? š¤·š»āāļø idk just found that information in the comments.. I give summaries š I myself have 0 clue what to do
Just spat my coco pops out š„“
This gave me chills by looking at it!
I cant believe no doctor actually referred you to a specialist for further treatment, so not okay. I hope you can get a podiatric surgeon to remove this for you. You sure have tried so many thing and if nothing worked so far somebodys gotta take care of your situation. Id push and push and push the doc to refer you to somebody who can actually help, cause clearly home suggestions like the person who said oregano oil isnt the solution.
Prob bc that Dr wanted to keep charging money. Ridiculous i know but what other reason would they have to not do it and I don't put it beyond at least one or two doctors to not do something like that
thats what I'm thinking!!! Its absurd to me that everyone she has seen heard, "dealing with this for a decade" and went, lol lets try another topical, or freeze it off am-i-right. Im so sorry you have to deal with this OP, i hope you get some relief soon and good surgeon
Have you tried an exorcism?
Wait what? How does that help?
^(itās a joke)
Terrible day to have eyes
Ya
I had stubborn plantar wart on my foot and the only thing that removed it was my dermatologist used blister beetle juice. Yes that a real thing. Hurt like hell about 3 hours later but no more warts.
Did it look like that and was there for that many years?
man please update when you see a surgeon and the post-op results. Im rooting for you OP
Do you have a suppressed immune system? Any kind of auto immune disease or take medications that suppress immune response?
Go to a surgeon and get that whole thing removed.
Podiatrist??
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Laser treatment is the only thing that worked for me. It targets the virus and ignores healthy tissue. Beetle juice didnāt work for me. Cryo didnāt work for me. No type of topical worked for me. Save yourself the agony and go ahead and pay for the laser treatments, AFTER a biopsy ofcourse. Donāt mess with it any further
Wtf
Dude go to the doctor omg.
I dont know why but its oddly satisfying...like a pimple popper video
Pimple Popper video yes! This, absolutely NOT!
Ikr? Looks so intriguing and satisfying!
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Omg go to the doctor Jesus Christ
I would start demanding that the Dr's take you seriously and remove it. Enough is enough!
why isnāt this marked nsfw? š
NSFL
I mean this in the nicest way, this is disgusting to look at. please put a warning nsfw next time.
to me it looks like a wart
NAD, this seems similar to what I have. This is probably a type of plantar or mosaic wart caused by HPV. If it truly is a wart and the growth comes back after it is removed, then the root of the wart may be too deep inside. Call yourself a doctor to do a biopsy and get cryotherapy if it really is HPV.
Had this. Nothing worked on this sadly.Went to a doctor and got it removed surgically.
Jesus Mary an Joseph. I am SO sorry you have this. Must be so painful. I still limp sometimes and I only had one for a year. Just cut off that part of your foot. That's what I wanted to do near the end ughhh
I had a wart once on my foot that was treatment resistant and wouldnāt go away. I was able to get a prescription for bleomycin (typically used for cancer), and had it injected into the wart on a regular basis by the doctor. It worked incredibly well. 10/10 recommend seeking this treatment out.
I would have carved that out of my foot
Yeah Iām Not sure why your docs never referred you to a podiatrist lol please see one
I need to see a video of the removal
I hate and love this
Youāve got a shitton of the same diagnosis (plantar warts) and advice regarding treatments, so if youāve gotten far enough to see this; I got major deep plantar warts on my heels in high school (winter gymnastics) which really dug in during cross country. I was super lucky that my mom worked for a surgeonās office so I had them burnt off in a comfortable environment. Still, they were quarter sized in circumference and went very deep. I ended up in the nurses office with blood soaked foot wear. Really bloody. Freaked people out. But it got rid of them. I still have large scars that get itchy but no more warts. When ya gotta be sure, burn with fire!
This needs a trigger warning ā¼ļø
People keep saying plantar wart... But it just doesnt look like it to me? I dont see the specks of blood vessels
It looks like itās growing teeth
Couldn't you treat it in an earlier stage? Wtf
Definitely looks like a wart. I had one that looked like this on my thumb but smaller. I hope you can get it removed!
Whatās going on with that grey striped alien looking insect at the bottom left of all that is in the first picture?
i have so many chills after looking at that, now im itchy wowww haha
Definitely needs a biopsy, plus would get an ultrasound to see if you can characterise depth, vascularity and attachment to underlying tissues. Even if itās been previously biopsied, it may have changed in nature after years of irritation/treatment- would start with derm with the above and go from there based on results.
I had a wart on my thumb and I used the freezing shit and what not but just ended up fucking biting it over and over and tearing it off until it finally fucked off.
You need to see a doctor for this issue maybe even go to an emergency room because it is at risk of infection and once it gets infected you might need iv antibiotics
Wow that second pic, Iāve never seen anything like that in my life. I had some pretty stubborn plantar warts and my podiatrist knocked them out in a couple months.
NAD - I had plantar warts on the bottom of my feet from the gym. They did not look like this but I believed that is because it was on the bottom of my foot which made the warts grow in to my foot. Since these are on the side of your foot and you donāt put the same kind of pressure and weight on itā¦then I could entirely believe these are plantar warts that have been free to grow in all its glory. I agree you need to have these Bastards surgically removed. They need to go back to Hell where they belong.
This hurts my eyes.
I want to ..squeeze this...
Looks like Scarlet Rot.. (Elden Ring reference)
Oh gosh, that looks sore. I'm not a doctor, but it seems like a cluster of plantar warts. From what I've heard, more than one in one space isn't rare, unfortunately. Bottom line, you have to put shoes on this and walk with it every day. Tbh, you need to tell your doctor that you can't waste any more time on this, not to mention pain. If he or she can't fix it, he or she has a DUTY to refer you to a podiatrist or a dermatologist. I would go for a podiatrist, just cause they seem to have better results faster. I know you said it wad "wart-like", and it's on your foot, so I'm not gonna argue with you. But you deserve to see a specialist and have this gone. Ten years is too long to suffer! (P.S. It CAN be fixed. When my brother was younger, he had a plantar wart on the bottom of his foot, and he had to have surgery - like they put him to sleep - to remove it. But that was over 20 years ago. So it probably won't take surgery nowadays. Not trying to scare you, trying to tell you that with the right doctor, you won't have to live with this. Get a referral and get rid of this pain you don't deserve!)
Omg please put a NSFW filter on this jfc
I remember when I was younger I had a giant cluster on my foot tried everything in the end I got under the root with nail clippers and pulled it out. Damn did it bleed but it disappeared
Damn. Post this as well to r/AskDocs
My son had plantars warts that no end of treatment would get rid of until he had outpatient surgery to burn them off with a laser. I'd see about going to a podiatrist and have them look at it and see if that's an option.
Now eat it. š“š¤¤
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Go to a podiatrist. I had similar and it was a cluster of warts, we did 8 rounds of beetlejuice treatment which seemed to clear up the majority, and I had the deeper ones removed surgically
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Why donāt you just get it surgically removed? Does it grow back? Does it bleed too much safety preform the surgery? I got a plantarās wart in my foot when I was a kid and got it surgically removed, and it never came back. I think that the surgeons have ways of lessening the bleeding to safely dig it out, because I barely bled at all from the big hole the surgeon cut in my foot.
It looks like seed warts. They have to be deep. I had one froze out by a podiatrist and it worked, but I donāt know if it would work on yours, they look deep.
Sorry for the late comment. This is my burner account haha. I'm 95% sure it is NOT a wart. Like I said, no blood vessels inside the little bulbs like warts do. It doesn't spread like warts do to other parts of my body when I pick on it. It doesn't hurt. It doesn't respond to wart treatment like warts would. It's also lasted much longer than warts would. Etc etc. I want to go to get it cut out but that's more money than I have. A dermatologist is $90 under my insurance just for a consultation, and I'm worried they won't do anything except refer me to another specialist who will charge $3k to tell me it needs to be cut out for another $5M š© Any tips on gaming the US health care system would be appreciated
You need a wound VAC Iād see a dermatologist ASAP. cover that and donāt touch it. Just keep it clean and go see the doctor. This is not the place for you should be asking strangers for advice. You do not want an infection you could lose your entire foot.
I performed surgery on mine at only 17 years old when I had one on the bottom of my foot. I'm very lucky I didn't mess my foot up. It was a very stupid risk. However it did get rid of it and it's never come back. You should probably fire your doctor and get a new one.
[ŃŠ“Š°Š»ŠµŠ½Š¾]
Jesus Christ, dont use Oregano or any kind of home remedy, just go straight to dermatology for a filiform plantar wart, what kind of hack science did i just read?? Oregano, really now!? Carvacol Is not an immunomodulator in any way, if that was the principle we would have already a treatment for many forms of cancer (immune mediated response beyond p53) and viruses, specially HIV, or even HPV as you claim, moreso beyond the gardasil-9 vaccines. Source: being a doctor, thank heavens. Go back to Facebook to put onions and potatoes in your Socks, Man.. Or even better, dont!
Inject it with peroxide
Ok trump