Warts are raised bumps on your skin caused by the human papillomavirus (HPV). Warts have plagued humans for thousands of years — they have been discovered on 3,000-year-old mummies and were mentioned by Shakespeare. Although warts generally aren’t dangerous, they are ugly, potentially embarrassing, and contagious. They can also be painful.

Important information about genital warts

There are more than 100 types of HPV, the virus that causes warts*. Almost all types of HPV cause relatively harmless warts**that appear on your hands or feet. However, there are a few strains of HPV that cause warts* on, in, and around your genitals. In women, these warts* — called “genital warts” — can eventually lead to cervical cancer, a potentially fatal disease.If you think you have genital warts* or think you have been exposed to them, you should see a doctor right away.

What are the types of warts?

There are five major types of warts*. Each type appears on a different part of the body and has a distinct appearance.

Common warts

Common warts* usually grow on your fingers and toes, but can appear elsewhere. They have a rough, grainy appearance and a rounded top. Common warts are grayer than the surrounding skin.

Plantar warts

Plantar warts grow on the soles of the feet. Unlike other warts*, plantar warts* grow into your skin, not out of it. You can tell if you have a plantar wart if you notice what appears to be a small hole in the bottom of your foot that is surrounded by hardened skin. Plantar warts can make walking uncomfortable.

Flat warts

Flat warts usually grow on the face, thighs, or arms. They are small and not immediately noticeable. Flat warts* *have a flat top, as if they’ve been scraped. They can be pink, brownish, or slightly yellow.

Filiform warts

Filiform warts* grow around your mouth or nose and sometimes on your neck or under your chin. They are small and shaped like a tiny flap or tag of skin. Filiform warts are the same color as your skin.

Periungual warts

Periungual warts* grow under and around the toenails and fingernails. They can be painful and affect nail growth.

Symptoms

Common warts usually occur on your fingers or hands and may be:

  • Small, fleshy, grainy bumps
  • Flesh-colored, white, pink or tan
  • Rough to the touch
  • Sprinkled with black pinpoints, which are small, clotted blood vessels

Fast facts on warts

  • A wart is a small growth on the skin that may look like a solid blister or a small cauliflower.
  • Types of wart include common warts, flat warts, pigmented warts, and plantar warts.
  • Black dots in the wart are blood vessels that can lead to bleeding.
  • Most warts disappear in 1 to 5 years without medical treatment, but treatment is available for warts that are large, numerous, or in sensitive areas.
  • Treatments include salicylic acid, duct tape, cryotherapy, surgery, laser treatment, electrocautery, photodynamic therapy, chemical treatments, topical creams, cantharidin, and antigen shots.
  • Warts or verrucae should be covered up with a waterproof Band-Aid when swimming.

What treatments are available?

All wart treatments are designed to irritate the skin and get the body’s own infection-fighting cells to clear the warts.

Salicylic acid

Most over-the-counter creams, gels, paints, and medicated Band-Aids contain salicylic acid.

It is important to protect the skin around the wart before applying this treatment because salicylic acid may destroy healthy skin. Do not apply to the face.

Applying petroleum jelly or a corn plaster to the skin around the wart can protect it from damage.

Some tips can enhance the effectiveness of this treatment.

  • Soften the wart by rubbing dead tissue from the surface of the wart weekly using a pumice stone or emery board. Make sure that the pumice stone or emery board is not used on any other part of the body or by another person.
  • Before applying the medication, soak the wart in water for about 5 minutes.

Treatment is normally applied daily for about 3 months. If the skin becomes sore, treatment should be stopped.

There is a selection of salicylic acid available for purchase online.

Cryotherapy

Freezing liquid, often nitrogen, is sprayed onto the wart, destroying the cells. A blister develops, which eventually scabs and falls off a week or so later.

This treatment must be carried out by a healthcare professional. If the wart is large, this may require a local anesthetic and several sessions.

Pharmacies sell dimethyl-ether or propane spray for self-administration. These should not be used on the face, and they are less effective than cryotherapy that is carried out by a qualified professional.

When should I see a doctor?

You should see your doctor if:

  • you have warts on your face or another sensitive part of your body (e.g., genitals, mouth, nostrils)
  • you notice bleeding or signs of infection, such as pus or scabbing, around a wart
  • the wart is painful
  • the color of the wart changes
  • you have warts and diabetes or an immune deficiency, such as HIV/AIDS

Can I treat warts at home?

Although warts* usually go away on their own, they are ugly and uncomfortable, so you may want to try treating them at home. Many warts respond well to treatments available at the drugstore.

Some things to remember:

  • You can spread warts* to other parts of your body, and they are contagious to others. If a treatment requires that you rub the wart with a fingernail file or a pumice stone, don’t use that utensil on any other part of your body, and don’t allow anyone else to use it.
  • Don’t try to treat warts* on your feet if you have diabetes. See your doctor. Diabetes can cause loss of sensation in your feet, so you can easily injure yourself without realizing it.
  • Don’t try to remove warts* on your face or another sensitive part of your body (such as your genitals, mouth, or nostrils) with at-home treatments.

Freezing treatments

These over-the-counter treatments spray concentrated cold air (a mixture of dimethyl ether and propane) onto your wart. This kills the skin and allows you to scrape away the surface of the wart. These treatments are a good choice if you want to try to remove a wart quickly, but they aren’t strong enough to remove all warts*.

Treatments and patches containing salicylic acid

You must use these products every day, often for a few weeks. They’ll work best if you soak the wart in water for about 15 minutes before you apply the treatment.

Shop for salicylic acid treatments.

Duct tape

Some people have had success treating warts with duct tape. The process involves covering the wart with a small piece of duct tape for several days, then soaking the wart, and, finally, rubbing the wart to remove the dead skin. This approach can take several rounds of treatments to work.

What can my doctor do about warts?

If your wart doesn’t respond well to at-home treatments, your doctor may be able to help. Remember, always see your doctor if you have diabetes and have warts* on your feet.

Liquid nitrogen

Your doctor may freeze your wart with liquid nitrogen. This can be a bit painful, but usually works well. More than one treatment may be required. Freezing causes a blister to form under and around your wart. This lifts the wart away from the skin within about a week.

Surgery

Surgery is usually only considered if a wart hasn’t responded to other treatments. Your doctor can cut away your wart with a surgical knife or burn it with electricity. You’ll need to receive a shot of anesthetic first, and these shots can be painful. Surgery may also cause scarring.

Can warts be prevented?

There are ways to prevent warts* and keep them from spreading to other parts of your body if you already have one. Follow these simple guidelines:

  • Wash your hands regularly, especially if you’ve been in contact with someone with warts*.
  • Don’t pick at your warts*.
  • Cover warts with a bandage.
  • Keep your hands and feet dry.
  • Wear shower shoes (flip-flops) when in a locker room or communal bathing facility.