A Porokeratosis is not caused by a viral infection, and it does not have the additional blood vessel growth that is classically seen with a plantar verruca. Often, these lesions will be on a weightbearing portion of the foot such as underneath one of the five metatarsal heads.  In the case of lesions with a weight bearing location, prescription orthotics can help.   When a pathologist looks at a sample of the plantar verruca there are distinct differences compared to a porokeratosis.

These lesions also can be in a non weightbearing portion of the foot such as the heel. These lesions can be challenging to treat.  There is some preliminary data that the Swift treatment (Microwave Verrucae treatment) can help reduce the pain from these lesions and in some cases, there can be reduction or resolution of the lesions.  Surgical excision of the porokeratosis lesions is another treatment option.  Larger lesions can be surgically removed, and a plastic surgical technique called a rotational flap is utilized to repair the deficit left after removal of the larger lesions.

If you are experiencing foot or ankle pain, give us a call at 425-391-8666 or make an appointment online today.