A 28-year-old female presents to the clinic with painful growths on the soles of her feet, particularly on the heel and ball of her foot. She reports that the lesions have been present for several months, gradually increasing in size. Walking and standing for long periods have become uncomfortable, and she describes a sensation as if she is "walking on pebbles." She denies any itching, fever, or systemic symptoms.

On examination, there are multiple rough, thickened, and calloused plaques with black pinpoint dots on the pressure-bearing areas of her feet. When compressed from the sides, the lesions elicit pain. The surrounding skin shows signs of hyperkeratosis. Given the characteristic features, a diagnosis of plantar warts (verruca plantaris) caused by human papillomavirus (HPV) is made.

The patient is counseled on treatment options, including salicylic acid therapy, cryotherapy, and lifestyle modifications to reduce reinfection risk. She is reassured that while plantar warts can be persistent, they often resolve over time with appropriate management.