Clinical Assessment and DiagnosisTreatment ConsiderationsMultidisciplinary CareUnderstanding Condition Complexityhyperhidrosisexcess sweatingthyroid

Why do some people get hyperhidrosis?

In this video, Mr Usman Jaffer explains why some people get hyperhidrosis and the importance of knowing the difference. In some people, there may be an underlying cause such as a hormonal problem, while in others the cause may be unknown.

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Abbienaya Dayanamby

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.

Abbienaya Dayanamby

How successful is sympathectomy?

Mr Usman Jaffer discusses the success rate of sympathectomy and the risks involved. This procedure is over 90% successful but there are some complications which can occur. A major side effect is compensatory sweating, which is excessive sweating in other parts of the body. As a result, up to 30% regret having sympathectomy done. Therefore, in some cases where the primary symptoms are not severe enough, the benefits of sympathectomy may not outweigh the side effects. Overall, it is a highly effective treatment but the overall benefit must be considered.

Abbienaya Dayanamby