warts, corns, calluses

Question 1

Don’t self treat warts

Answer 1

-less than 3 for salicylic acid products
-less than 4 for cryotherapy products
pregnant/breastfeeding/immunocompromised
-chronic conditions
-large and/or multiple in 1 area
-bleeding/painful
-on sensitive area of body
little improvement after 12 weeks self treatment

Question 2

Follow up recommendations for warts

Answer 2

-self treat max 12 weeks
-should see improvement 1-2

Question 3

When to avoid salicylic acid

Answer 3

-less than 3
-salicylate allergy
-immunosuppressive medications
-pregnant/lactating

Question 4

Counseling pearls for salicylic acid

Answer 4

-soak in warm water for 5 min before application
-keep away from eyes/healthy skin
-combine with cryotherapy or duct tape
-may apply petroleum jelly to healthy tissue around wart to protect healthy skin

Question 5

salicylic acid dosing

Answer 5

-apply 1-2 per day(17% liquid/gel)
-every 48 hours(40% plaster/pad/strip/stick)

Question 6

Cryotherapy dosing

Answer 6

can repeat after 2 weeks(max 3 treatments or for up to 12 weeks)

Question 7

Cryotherapy counseling pearls

Answer 7

-soak in warm water for 5 min
-keep away from heat sources
-only use applicator once

Question 8

Cryotherapy cautions

Answer 8

-one wart at a time
-apply to wart only
-do not use for moles or birth marks
-AVOID in pregnancy/lactation

Question 9

duct tape dosing

Answer 9

-cut to lesion size(slightly larger okay)
-apply and leave on for 6 days
-remove on evening of 6th day
-soak in water and debride with pumice stone
-replace next morning with a new piece

Question 10

don’t self treat corns and calluses

Answer 10

-less than 3(salicylic acid)
chronic conditions
-fault in body weight distribution
-bleeding or oozing purulent material
-painful or extensive in nature
-self-care ineffective

Question 11

non pharma corns and calluses

Answer 11

-soak for 5 min a day then remove dead skin with callus file or pumice stone
-foam/cushioning pads
-wear appropriately-fitted shoes
-arch support
-surgical correction
-avoid trimming issue

Question 12

Soft corn treatment

Answer 12

-salicylic acid in collodion vehicle 1-2x day for 3-6 days

Question 13

Hard corn/calluses treatment

Answer 13

-salicylic acid in collodion vehicle(17%) 1-2x/day OR
-plaster/pad(40%) every 48 hours for 14 days