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Palmar Hyperhidrosis Treatment

Palmar Hyperhidrosis Treatments

Hyperhidrosis is the medical term used for excessive sweating, which is an emotionally and socially troublesome condition for patients. Besides the psychological factors, abnormal perspiration can also lead to a permanent dehydrated state and chronic inflammation of the skin.

Sweat glands are located in large numbers in the armpit, palms, feet and groin area and make these body parts especially affected. The sweating of these areas is called focal Hyperhidrosis, whereas, when the whole body is involved, we can talk about generalized Hyperhidrosis.

Palmar Hyperhidrosis

Palmar hyperhidrosis ‘sweaty hands’ is the most common sweating problem. Sweaty palms which cannot be solved with medication, need to be operated. The embasrassment of wet palms cause people social problems; they cannot function well in society and leads them to lack of self-confidence. 

Hyperhidrosis Treatment

It is a complex procedure as diagnosing the root cause of sweating is often essential to the success of the cure. Hyperhidrosis treatment can happen with either systematic or topical medication and through hyperhidrosis surgery.

  1. Medical Hyperhidrosis Treatment

The following topical substances are administered against localized hyperhidrosis:

  • aluminium chloride gel
  • Drysol
  • Boric acid
  • tannic acid
  • potassium permanganate
  • formaldehyde

Localized injections have also been used with success in certain focal hyper-sweating to block sweat gland activity:

  • Botulinum toxin injection
  • Sodium Chloride solution

hyperhidrosis surgical treatments

Some patients are prescribed anticholinergic medication or tranquilizers that need to be systematically taken for a set period of time.  Unfortunately, most of this medication implies some adverse side-effects such as dehydration, dry mouth and constipation. The most widely used drugs in hyperhidrosis cure are:

  • Oxybutynin
  • Propantheline bromide
  • Benztropine
  • Calcium channel blockers
  • Hyperhidrosis Surgery Treatment

When the pharmacologic and alternative means fail to treat the condition, doctors recommend considering one of the following surgical hyperhidrosis treatment:

  • Radiofrequency ablation
  • Sympathectomy – It the surgical, nowadays mostly laparoscopic elimination of the gangalia that causes hyperhidrosis.
  • Surgical removal of the sweat glands in the affected area is a highly effective technique, especially in treating axillary hyperhidrosis.
  • Subcutaneous liposuction is yet another, less drastic way to remove sweat glands.
  • Laser assisted hyperhidrosis cure is a promising up-and-coming method, but further medical data is needed to be a fully applicable option.


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