Warts in 2025: Causes, Treatments & Removal Options Americans Should Know
Warts are common skin growths caused by certain strains of human papillomavirus (HPV). In 2025, treatment options range from proven over‑the‑counter acids to in‑clinic procedures such as cryotherapy and laser sessions. Understanding what causes warts, how they spread, and the latest removal methods can help you choose safe, practical steps that fit your needs and budget.
Warts remain a frequent skin issue for adults and children in the United States, appearing on hands, feet, and other areas where tiny skin breaks allow HPV to enter. While most warts are harmless, they can be uncomfortable, spread to other sites, or persist for months. Knowing what they are, how they spread, and which treatments are most effective in 2025 helps you make informed choices with local services or at home. This article is for informational purposes only and should not be considered medical advice. Please consult a qualified healthcare professional for personalized guidance and treatment.
What Exactly Are Warts — And Why Do They Appear?
Warts are benign skin growths caused by human papillomavirus (HPV) infecting the top layer of skin. The virus enters through small cuts, hangnails, or abrasions, then triggers extra keratin production, forming a rough bump. Factors that raise risk include frequent handwashing or wet work that dries and cracks skin, nail biting or picking, walking barefoot on shared wet surfaces, and having a weakened immune system. Different HPV types favor different body areas, which is why plantar warts tend to appear on soles and common warts on hands and fingers. Although many warts resolve spontaneously, that process can take months to years.
Types of Warts Americans See Most Often
Several wart types show up frequently in primary care and dermatology clinics: - Common warts: Dome‑shaped, rough bumps with black pinpoint dots (clotted capillaries), usually on hands and fingers. - Plantar warts: Grow into the skin on weight‑bearing areas of the feet; may feel like a pebble in the shoe and show a thick callus. - Flat warts: Small, smoother, and often appear in clusters on the face, forehead, or backs of hands. - Filiform warts: Long, thread‑like stalks on eyelids, lips, or face. - Periungual warts: Around fingernails or toenails; can distort nail growth. Note: Genital warts are caused by different HPV types and need clinician evaluation for diagnosis and management.
Are Warts Contagious?
Yes. Warts spread through direct skin contact and indirectly via shared surfaces or objects, especially in damp environments like pool decks and locker rooms. Micro‑trauma from shaving or biting cuticles can seed new lesions. Autoinoculation—touching or picking a wart and then another area—can create new warts nearby. Not everyone exposed develops warts; a person’s immune response matters. To lower risk in your area, avoid sharing nail tools, gloves, or socks, keep skin moisturized and intact, and wear protective footwear on wet communal surfaces. Covering existing warts during sports or work that involves frequent hand contact also helps reduce spread.
Top Wart Removal Methods in the U.S. (2025 Update)
Evidence‑supported options range from home care to in‑clinic procedures. For many common and plantar warts, salicylic acid (17–40%) is a first‑line approach available over the counter as liquids, gels, or medicated pads. Daily or near‑daily application after soaking and gentle filing helps break down thick skin and exposes the virus‑infected tissue. OTC cryotherapy kits (dimethyl ether/propane) can be useful for select small warts but are generally less potent than in‑clinic liquid nitrogen.
Clinician‑directed treatments include liquid nitrogen cryotherapy, cantharidin application (a blistering agent), electrosurgery with curettage, pulsed‑dye or other lasers, and immunotherapy for recalcitrant cases (such as intralesional antigens). Prescription topicals like imiquimod may be considered for certain sites and patient profiles. Choice depends on location, thickness, pain tolerance, medical history, and access to local services. Seek prompt evaluation for facial lesions, periungual warts threatening nail growth, rapidly changing lesions, lesions in people with diabetes or poor circulation, and any growths that bleed easily or do not match a typical wart pattern.
What do removal options cost in practice?
| Product/Service | Provider | Cost Estimation |
|---|---|---|
| Salicylic acid pads/gel (OTC 17–40%) | Compound W, Dr. Scholl’s, Curad | $7–$25 per package |
| OTC cryotherapy kit | Compound W Freeze Off, Dr. Scholl’s Freeze Away | $15–$35 per kit |
| Cryotherapy (liquid nitrogen, in‑clinic) | Board‑certified dermatologist | $130–$350 per session |
| Cantharidin application (in‑clinic) | Dermatology clinic | $100–$225 per visit |
| Electrosurgery/curettage (in‑clinic) | Dermatology clinic | $200–$500 per lesion |
| Laser therapy (e.g., pulsed‑dye) | Dermatology clinic | $250–$600 per session |
| Prescription imiquimod 5% cream | Generic via pharmacy | $30–$150 for typical pack; insurance varies |
| Duct tape occlusion | Pharmacy/hardware brands | $3–$7 per roll |
Prices, rates, or cost estimates mentioned in this article are based on the latest available information but may change over time. Independent research is advised before making financial decisions.
How to Prevent Warts From Coming Back
Reducing recurrence centers on skin protection and consistency. Keep skin moisturized to prevent cracking, and wear flip‑flops or shower shoes in shared wet areas. Do not pick or shave over warts; cover them with a bandage during activities that involve friction or contact. For plantar warts, keep soles dry with breathable footwear and change socks after workouts; consider an antiperspirant powder if feet sweat heavily. If using salicylic acid, continue a few weeks after the wart appears flat to reduce residual virus. Disinfect or discard pumice stones and emery boards used on affected areas. Families should avoid sharing nail clippers and ensure nail salons in your area follow strict instrument sterilization. People with impaired circulation or neuropathy should ask clinicians about safe options before self‑treating.
In 2025, effective wart care blends patience with methodical treatment. Many warts clear with diligent home therapy, while persistent or painful lesions benefit from professional evaluation and targeted procedures. Matching the approach to wart type, location, tolerance for discomfort, and access to local services can shorten the course and limit spread, while sound hygiene habits help prevent new lesions over time.