Hyperhidrosis of palms and armpits? See how to deal with it!

Hyperhidrosis, also known as excessive sweating, is a dermatological disorder affecting 1-3% of the population. The issue lies in the excessive production of sweat by the body, beyond the amount necessary for temperature regulation. This condition, which most commonly affects the armpits or hands, has a negative impact on many areas of sufferers' lives. How to deal with hyperhidrosis in the spring?

What is Hyperhidrosis

Hyperhidrosis is the excessive secretion of sweat. Specialists distinguish between two types of hyperhidrosis – secondary (resulting from an illness, condition, or medication) and primary (so-called idiopathic, not related to any underlying disease). In the majority of cases, primary hyperhidrosis occurs on both sides of the body and is limited to one or several areas. It most commonly affects the armpits or hands.

Hyperhidrosis of Palms and Armpits and Its Consequences

Hyperhidrosis of armpits or palms significantly hinders the functioning of those suffering from it. Daily activity in clothes soaked with sweat or with dripping hands is troublesome and embarrassing. As a result, the condition affects the psychological state of the sufferers and complicates social and professional contacts. Moreover, hyperhidrosis of palms can interfere with performing routine tasks, e.g., preparing meals. Excessive sweating also promotes skin infections and exacerbation of existing diseases (e.g., psoriasis).

How to Treat Hyperhidrosis

Therapy for excessive sweating is chosen individually and depends on its type. In the case of secondary hyperhidrosis, the illness or condition causing it is treated.

Treatment of hyperhidrosis primarily starts with deodorants, gels, creams, or powders (mainly with aluminum salts). Their action is based on mechanically blocking the sweat gland ducts. If the use of topical preparations does not bring satisfactory results, specialists implement oral treatment. In the next stage of therapy, procedures and operations are recommended.

Procedures for Hyperhidrosis of Armpits and Palms

Hyperhidrosis of armpits and palms can be treated with procedural and surgical methods, such as:

• injections of botulinum (neuromodulator),
• microneedling radiofrequency,
• laser therapy,
• iontophoresis,
• microwaves,
• ultrasound,
• sympathectomy (disruption of the sympathetic trunk continuity),
• surgical removal of sweat glands.

Botulinum for Excessive Sweating of Armpits and Palms

In Dr Parda clinic, patients with hyperhidrosis are most often offered therapy with botulinum injections. It is the most effective of the minimally invasive procedures for excessive sweating. Treatments using the preparation are also safe to use. Unlike oral medications, botulinum does not affect the entire body. The procedure using it also does not pose a risk of complications that may occur after surgery.

How Hyperhidrosis is Treated with Botulinum

Before the procedure, an iodine-starch test (so-called Minor test), which indicates the area of hyperhidrosis, is performed. The procedure is carried out under local anesthesia. For excessive sweating of the palms, a block may also be used.

During the procedure, the doctor injects botulinum into the sweat glands. Depending on the area, a different number of injections is needed. The procedure lasts 10-30 minutes and is well tolerated by patients.

Effects of Using the Neuromodulator in Hyperhidrosis

The treatment provides a quick and satisfying effect. It results in the temporary blocking of the sweat glands' function, so the skin stops sweating. As a result, the patient experiences relief and a significant improvement in quality of life.

The results of the procedure last about 6-12 months. It has been shown that after subsequent treatments, the effect of the neuromodulator lasts longer.

Contraindications to Procedures for Hyperhidrosis of Palms and Armpits

Contraindications to the botulinum procedure include:

• myasthenia,
• allergy to albumin,
• pregnancy and breastfeeding,
• diseases with fever,
• use of certain antibiotics.

Procedures for hyperhidrosis of palms, due to the possibility of botulinum affecting surrounding muscles, are also not performed on individuals engaged in precise manual work.