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Plantar Warts- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama


Plantar warts are small growths that usually appear on the heels or other weight-bearing areas of the feet. This pressure may also cause plantar warts to grow inward beneath a hard, thick layer of skin (callus). Plantar warts are caused by Human Papilloma Virus (HPV). The virus enters the body through tiny cuts, breaks or other weak spots on the bottom of the feet.

Most plantar warts aren’t a serious health concern and usually go away without treatment eventually. In severe cases, the warts can be removed.

Signs & symptoms

  • A small, fleshy, rough, grainy growth or lesion on the sole of the foot, usually the base of the toes or heel
  • Hard, thickened skin (callus) over a well-defined “spot” on the skin, where a wart has grown inward
  • Black pinpoints, which are commonly called wart seeds but are actually small, clotted blood vessels
  • A lesion that interrupts the normal lines and ridges in the skin of foot
  • Pain or tenderness when walking or standing


Plantar warts are caused by an infection with Human Papilloma Virus (HPV) which enters the body through tiny cuts, breaks or other weak spots on the bottoms of the feet.


Human papillomavirus can survive months to years on surfaces. Infection of a host requires direct contact with viral particles, which can occur through either direct contact via a plantar wart or indirect contact via fomites, such as flooring, socks, shoes, towels, and sports equipment. There is no systemic dissemination or viraemic phase to HPV infection. As such, contact with body fluids, except those directly from the plantar wart itself, does not transmit HPV. Pre-existing microtrauma of the epidermal barrier of the plantar aspect of the foot allows entry of the virus on contact. Once in contact with a host, HPV gains entry to the basal epithelial layer, where actively dividing stem cells are located. In the basal epithelium, the virus binds with cellular receptors and is subsequently taken up by the now-infected cell. After an incubation period of 1 to 20 months, viral DNA is then established within the host cell, usually without integration into the host cell genome.

Once infection occurs, 3 outcomes are possible: clearance of the infection with resultant immunity to that particular HPV type, latent infection, or clinically manifested infection as a plantar wart. After infection, if the virus is not cleared, the host basal keratinocyte is stimulated to divide and replicate viral DNA via HPV E1 and E2 proteins. This process produces numerous stem cells that each contain 20 to 100 copies of the viral DNA. The basal stem cells contain very low levels of viral proteins, which enhances the virus’s ability to evade the host’s immune response. As the basal cells undergo normal differentiation into keratinocytes, they progress towards the outer surface of the epithelium. At the same time, the viral genome promoter region is activated, leading to increased production of viral proteins that enhance HPV genome amplification within each differentiating cell. It is thought that E5, a membrane protein produced via the viral DNA template, serves to enhance signaling from growth factor, which in turn maintains the cell’s capacity for DNA replication. Once viral DNA copies are sufficient, L1 and L2 viral coat proteins are expressed by surface keratinocytes. Protein E2 recruits viral DNA copies to the host cell nucleus, where the viral DNA is packaged into capsids composed of proteins L1 and L2. The infectious viral particles can then be released in high numbers from desquamated keratinocytes on the surface of the plantar wart to infect other sites or hosts.

The induction of cellular replication throughout the process of viral genome amplification leads to the hyperkeratinized papule that constitutes a plantar wart. Plantar warts tend to develop at areas of increased pressure on the sole of the foot, including the heel and metatarsal heads. Such pressure points are regions of increased microtrauma to the epidermal barrier, which increases the likelihood of HPV invasion. Owing to the pressure exerted on the forming plantar wart, the lesion tends to progress deeper into the skin (creating an “iceberg effect”) as opposed to forming a rounded papule, which can contribute to their resistance to therapy. As a result of normal sloughing of the epithelium, viral particles are released and may be transmitted to surfaces where the virus will lie until picked up by a new host or spread to adjacent sites (autoinoculation). Thus, once a plantar wart develops, the host is susceptible to additional warts developing.


  • Examining the lesion
  • Tearing the lesion with a scalpel and checking for signs of dark, pinpoint dots — tiny clotted blood vessels
  • Removing a small section of the lesion (shave biopsy) and sending it to a laboratory for analysis


Most plantar warts are harmless and go away without treatment, though it may take a year or two. If the warts are painful or spreading, treatment is needed such as:

Stronger peeling medicine (salicylic acid).

Freezing medicine (cryotherapy).

Surgical or other procedures

If salicylic acid and freezing medicine don’t work, following treatments can be done:

  • Other acids like trichloroacetic acid
  • Immune therapy.
  • Minor surgery – by using an electric needle (electrodesiccation and curettage).
  • Laser treatment.
  • Vaccine


Most plantar warts are harmless and go away without treatment, though it may take a year or two.


Normal posture or gait can be altered due to pain caused by pressure on the warts. This change can cause muscle or joint discomfort.

Disease & Ayurveda



        Not mentioned separately.

Causative factors of kushtha can cause the same

Vitiated doshas are Vyaanavaayu and Kapha


        Not mentioned.


        When the vitiated Vyaanavaayu taking along the Kapha dosha gets lodged in skin, it causes rough, firm & hard skin lesion externally resembling a nail.


A chronic black/skin-coloured lesion which is rough & hard on touch, elevated, and resembling a nail.


Not mentioned





Lepanam with Rookshana dravyas




Then treatment of wound should be done

Commonly used medicines

Aragwadhadi kashayam


Jathyadi ghrutam

Varanadi kashayam

Rasothamadi lepam

Brands available

AVS Kottakal

AVP Coimbatore

SNA oushadhasala

Vaidyaratnam oushadhasala

Home remedies

  • Non-prescription wart removal products are available as a patch or liquid containing peeling medicine (salicylic acid).
  • Freezing medicine (cryotherapy) include Compound W Freeze Off and Dr. Scholl’s Freeze Away.
  • Application of duct tape


  • To be avoided

Heavy meals and difficult to digest foods – cause indigestion.

Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine

Carbonated drinks – makes the stomach more acidic and disturbed digestion

Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)

Milk and milk products – increase kapha, cause obstruction in channels and obesity

Curd – causes vidaaha and thereby many other diseases

  • To be added

Light meals and easily digestible foods

Green gram, soups, sesame oil. Fresh fruits and vegetables

Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc


Protect yourself from cold climate.

Better to avoid exposure to excessive sunlight wind rain or dust.

Maintain a regular food and sleep schedule.

Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc.

Avoid sedentary lifestyle. Be active.

Avoid walking on rough & uneven surface.


Yoga is not advised in conditions of severe pain & inflammation.

But emotional health and skin diseases are directly related and Yoga for calming mind is recommended in plantar warts. Regular stretching and mild cardio exercises are also advised. A specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.

Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.

Yoga can maintain harmony within the body and with the surrounding system.


Nadisudhi pranayama


Simple exercises for lungs and heart health

All the exercises and physical exertions must be decided and done under the supervision of a medical expert only.

Research articles

These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake.

Dr. Rajesh Nair, the co-founder and chief consultant of Ayurvedaforall.Com, is a graduate of prestigious Vaidyaratnam Ayurveda College (affiliated with the University of Calicut), Kerala, India. Additionally, he holds a Postgraduate Diploma in Yoga Therapy from Annamalai University.

Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage.

Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India.

Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him-

Whatsapp – +91 9446918019, +91 8075810816


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Dr. Rajesh Nair
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with as senior consultant, Ayurveda.

Dr. Rajesh Nair

Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with as senior consultant, Ayurveda.

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