03 October 2018

THEAL Therapy in the treatment of warts

Theal Therapy is the innovative laser technique effective from the first session also in Podiatry, which allows you to cure warts quickly and without pain.

The plantar wart is a common cutaneous lesion caused by the human papilloma virus (HPV). There are more than 150 species of viruses, depending on their DNA sequences. The types of HPV that have been isolated from plantar warts include HPV-1,-2,-3,-4,-27,-29,-57,-60,-63,-65,-66 and-69; However, most plantar warts are attributed to HPV-1.
hpv
A guest’s infection requires direct contact with the viral particles, which can occur through direct contact through a plantar wart or indirect contact through fomites such as floors, socks, shoes, towels and sports equipment. In the post-incubation period - which can reach 20 months - the viral DNA is established within the host cell, usually without integration into the genome of the host cell. 
piedi piscina
Once the infection occurs, three outcomes are possible: elimination of the infection resulting in immunity to that particular type of HPV, latent infection or clinically manifested infection as a plantar wart. The induction of cellular replication through the process of amplification of the viral genome leads to the hyperkeratinized papule which constitutes a plantar wart.
verruche
 
Fundamental features of plantar warts are the rupture of normal skin lines, dermatoglyphs, and the presence of small black dots, formed by thrombosed capillaries within the lesion, which show a punctual bleeding when the wart is discovered. Plantar warts are usually diagnosed clinically. In cases of diagnostic uncertainty or resistance to treatment, biopsy with histopathologic evaluation may be indicated. Plantar warts have morphologic features that are recognizable by ultrasound examination. This technique can define their extent, exact positions and blood flow, providing a coarse anatomical description of the physiological processes implicated by the pathology in real time.
ecografia
 
THEAL Therapy (Temperature controlled High Energy Adjustable multi-mode emission Laser) is the laser therapy with modulated and thermo controlled energy, the point of arrival after years of research, technology and innovation that has established a new standard in the sector, which is proposes to help the patient with warts.  THEAL Therapy, thanks to the possibility to create personalized mixes of wavelengths and emission modes, allows to treat the warts specifically based on their morphic-structural characteristics in considerably reduced time.    
theal therapy
 
“The use of THEAL Therapy with the help of ultrasound in the treatment of warts has allowed us to monitor the pathological changes in real time in each session obtaining good feedback. The therapy is well tolerated by patients of all ages with appreciable reduction in painful symptomatology. The therapeutic compliance has allowed us to treat in less time this pathology compared to the previous methods of treatment.”

Dr. Angela Ravisato - Ferruccio Montesi Podiatry clinic
 
 
CLINICAL CASE 1:
Girl, age 18 - wart 3rd plantar intermetatarsal space, extremely sore during walking.
verruca1eng
Sonographic imaging is performed for morphological and flowmeter analysis.
eco1eng
We administer five THEAL Therapy treatments at a distance of one week from each other. Following a mechanical debridment with scalpel of hyperkeratotic layer, we delimit the contours of the wart with black coloration through dermatographic pencil so as to ensure the absorption of laser radiation superficially to the tissue and to the virus. Surgical terminal is used with 3W 810nm, 3W 980nm and 2W 1064nm with patented stochastic emission E²C for 150J total, this protocol is only implementable with THEAL Therapy. The patient already after two sessions reports that she no longer has the initial painful symptomatology. In the short-term follow up, ultrasound examination is repeated: there is no vascularization and the subetatarsal tissue is normally ecogenic.
eco2eng
The patient’s healed.
guarita eng
CLINICAL CASE 2:
Man, age 42 - calcaneal wart treated a few days before with a salicidic acid-based patch.
caso clinico 2
Sonographic imaging is performed for morphological and flowmeter analysis.
eco 3 engù
Five THEAL Therapy treatments are administered at a distance of one week from each other; After a mechanical debridment with scalpel of hyperkeratotic layer, delimit the contours of the wart with black coloration through dermatographic pencil so as to ensure the absorption of laser radiation superficially to the tissue and to the virus. Surgical terminal is used with 4W 810nm, 4W 980nm and 2W 1064nm with patented stochastic emission E²C for 250J total. In the short-term follow-up, ultrasound examination is repeated: The Hypo-vascularization is present and the epidermal bilaminar leaflet is physiologically reshaped.
 
eco 4eng
The patient’s healed.
guarito eng
 
 
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