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Warts

Warts - Overview

Warts are benign tumors that can occur anywhere on the body but are most common on hands and feet. The common wart is asymptomatic; it is skin colored and has a slightly raised rippled surface. Plantar warts on the soles of the feet often cause pain if near pressure points. If many plantar warts grow together, they are referred to as a mosaic wart. Warts on the face tend to appear flat but may easily spread through shaving or waxing. Genital warts are skin colored or brown and pose a significant health problem as some of the subtypes cause cervical cancer. Almost all warts are caused by the human papilloma virus (HPV), with many different subtypes being responsible for warts forming in various areas of the body. An individual can acquire warts from any object that harbors the virus such as dirty towels or shoes, but commonly people infect others through touch.

Warts - Diagnosis

In most instances, the diagnosis is made through recognition of characteristic features on physical examination. Rarely, a biopsy is needed especially if a cancerous transformation is suspected.

Warts - Treatment

Asymptomatic warts in non-genital areas do not need to be treated as the body will resolve them within 2-5 years. When warts are painful, bleeding or even spreading, treatment is recommended. Unfortunately, there is no iron-clad treatment known to eradicate human papilloma virus. Younger warts seem to respond to treatment faster than long standing warts. Most methodologies aim at triggering the body to recognize the causative virus as a foreign object and resolve it with its own immune response. Treatment can be performed at home with keratolytic agents such as daily application of salicyclic acid solution or tape, as well as duct tape. In addition, there are immune-system stimulating agents such as imiquimod or toxic agents such as podophyllin or glutaraldehyde. If at home treatments are ineffective, in-office treatments can booster the effects. They include monthly application of liquid nitrogen, podophyllin, cantharidin, trichloracetic acid or pulsed dye laser. Rarely, chemotherapeutic or immune modifying substances are injected into the wart or sensitization with DNCB or squaric acid is performed. Simple excision is as ineffective as any of the other methods yet may leave virus behind in a scar, complicating treatment further. Therefore it has largely been abandoned for warts on hands and feet.

Coping with Warts

Fortunately, warts are fairly inconspicuous and most people will not notice them even while in public. Warts on the feet are usually concealed by shoes and even warts on the hand are not large enough to draw attention. Seeking immediate treatment can eliminate the wart in as little as two weeks. Genital warts often pose a strain on any relationship. Recurrences of warts are common as human papilloma virus is not always eliminated at the time of clinical resolution of warts.

Warts - Prevention

Since the wart is caused by a virus, eliminating sources will prevent contracting the disease. Also, if a wart is spotted, avoid frequent touching or picking because the virus can shed from the skin and then pass to surrounding skin or other people. Open wounds and moist skin promote contraction of the virus so bandage all wounds and avoid wearing wet socks. Since the virus is most commonly transmitted from person to person, wearing sandals in public locker rooms decreases the risk of contracting plantar warts. Condoms should be used if genital warts are present.

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SKIN

# of surveys: 3749
Last updated: 05/18/2017 4:45 PM,

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
0%

Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
very poor
0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%

Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
0.05%
very poor
0.05%

Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
0.05%
very poor
0%

What WE DID WELL

(Answers:674)

It's great that you're using electronic means to capture patient information. Everyone is very friendly and competent and the doctor was wonderful to talk to.

#12017-10-01

I liked the modern office look, and how the doctor was very friendly and listened to everything I said.

#22017-01-30

very informative about everything

#32017-06-29

Everyone was friendly, yet professional

#42017-03-20

efficiency, carefulness, thoroughness very much in evidence.

#52017-01-14

My visit was very professional. I walked in and was assisted with emmediately. I am very happy with the service that was given to me today. I will gladly return.

#62017-03-27

Everything was explained to me in detail; the doctor especially was very thorough both during and after her examination.

#72016-12-20

Having Alana accompany me from start to finish of the appt. It was comforting.

#82011-04-28 17:24:05

VERY efficient.I loved that.

#92011-05-09 10:24:13

Everyone was incredibly kind, informative and helpful. It was one of the best doctor office experiences I've ever had.

#102017-02-18

What can we do better?

(answers:373)

I really am not sure how you could improve. The visit was actually relaxing.

#12017-08-18

less waiting time in the room

#22017-09-28

please change the paintings in the reception area....

#32011-02-02 11:01:42

shorter wait time for new patient appointment.

#42017-10-17

My only complaint is that I work and live (1 mile from) Center City, PA and I wish the office (Dr. Ringpfield) had weekend or later hours. Dr. Heckman was great but she cannot assist me with my cosmetic issues. Overall - like the office and professionalism.

#52011-08-10 18:44:27

keep on what you are doing because you are doing a good job

#62017-03-02

No changes recommended at this time.

#72017-03-01

More appointment availability either early or later (before or after the normal 9-5 workday)

#82010-08-23 16:22:28

I was feeling a bit thirsty the whole stay in the office, maybe making some water available during waiting time would make the stay more comfortable.

#92017-01-11

This was my first visit and although i was uncomfortable with my problem which was addressing I was truly happy with everything else.

#102011-07-28 15:11:23
Customer Rating : 4.2

Based on 35 ratings