What is hyperhidrosis?
This condition is characterized by abnormally increased perspiration (sweating), in excess of what is required for regulation of body temperature, which is noticeable or causes discomfort.
What causes hyperhidrosis?
Although sweating is a normal bodily function, some people may have overactive sweat glands. Typically, people with hyperhidrosis have excessive sweating of their armpits, hands and feet, but it can sometimes affect other parts of the body. Hyperhidrosis can occur whether exposed to normal triggers such as heat, physical activity or exertion, embarrassment, stress or it can occur in the absence of these triggers.
How do we effectively treat hyperhidrosis?
There are various treatments for excessive wetness and sweating, including:
- Botox® injections: This botulinum toxin A injection treatment is FDA approved for treatment of excessive sweating of armpits. Injections to the underarm area temporarily block the nerves that stimulate sweating, providing relief for several months. We also use it off-label for excessive sweating on the palms of hands and soles of feet.
- Myobloc® injection: This botulinum toxin B treatment is used off-label in many Botox-resistant patients. We also use it off-label for excessive sweating on palms and soles of feet.
- Prescription antiperspirants: Stronger prescription-grade antiperspirants can also help reduce excessive sweating.
What can I expect?
After a consultation and thorough evaluation of your problem, we will create a treatment plan for your particular situation. Injection treatments for hyperhidrosis are not permanent, and are usually repeated every six to nine months to maintain results. Topical anesthetic cream is applied for 20-30 minutes prior to injections for hyperhidrosis to reduce any pain associated with the procedure.
Have a question about your treatment? We have a dedicated triage nurse (RN) who answers patient questions during office hours. If you have a problem or question about a procedure or a prescribed medication, please call our office and ask to speak to our nurse. If she is unable to answer your question, she will consult with your practitioner and return your call.