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Sympathectomy or Botox for palmar hyperhidrosis?
compensatory sweatingtreatment adherencepaindiscomforttreatment compliance

Sympathectomy or Botox for palmar hyperhidrosis?

Mr Usman Jaffer discusses both sympathectomy and Botox in the context of treatment for palmar hyperhidrosis. Sympathectomy is a highly effective procedure but there is a risk of compensatory sweating, i.e. excessive sweating in other body parts. This procedure is often more beneficial in those with more severe symptoms. Botox is also a very effective treatment but may need to be repeated, sometimes as often as every 3-6 months. Furthermore, Botox injections can be painful and may weaken or paralyse small muscles in the hand. A third option is tap water iontophoresis, which is effective but requires multiple treatments. Therefore, this option may have lower compliance but is worth considering.


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Sympathectomy or Botox for palmar hyperhidrosis?

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