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I was diagnosed with posterior tibial tendonitis during my first three days playing college soccer. I was put in a cast for a month, and it helped, temporarily. It had hurt for about a year before it hurt constantly, and now a year after treatment and icing before almost all physical activity, it has started to act up again… ANY ADVICE?? I want my foot normal, sometimes the pain is unbearable… Thank you
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Vivian Abrams DPM
The black spots you note on the plantar (bottom) aspect of your foot are actually thrombosed capillaries. The wart virus causes the epidermal skin cells to grow rapidly and in an irregular manner which pushes on the nerves and capillaries in the dermis causing the appearance you see. There is no single treatment for warts that works on everyone unfortunately. I am not particularly fond of using the topical salicylic acid. I discuss the options available with the patient and depending on them sometimes we will try Tagamet, sometimes Aldara, sometimes surgical excision. I always advise my patients ther is no guaranteed success with any treatment.