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

What is Horner's syndrome and why do you sometimes get it in sympathectomy?

In this video, Horner's syndrome is explained by Mr Usman Jaffer. Horner's syndrome has many different causes, and involves drooping of the eyelid and dilated pupils. It occurs when sympathetic outflow to the eye is disrupted and can occur as a complication of sympathectomy. However, this risk is reduced by ablating the sympathetic chain lower down.

Abbienaya Dayanamby

What does sympathectomy involve?

In this short video, Mr Usman Jaffer gives a background on sympathectomy, explains the symptoms which can be treated by sympathectomy and what the procedure involves.

Abbienaya Dayanamby

Are there any topical therapies for hyperhidrosis?

In this video, Mr Usman Jaffer shares the different topical therapies available for hyperhidrosis, which is usually recommended as first-line therapy. This includes antiperspirants and topical agents with aluminium compounds. However, sometimes they may cause skin irritation but there are ways to reduce this.

Abbienaya Dayanamby

Why do some people get hyperhidrosis?

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.

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