Non-Surgical Treatment Options For Hyperhidrosis
Originally published Summer 2000


Conservative, non-surgical treatment is often suggested and recommended before considering surgical intervention for hyperhidrosis. Non-surgical treatment options include:


Antiperspirants
This is the simplest of all treatment options and works for patients with light to moderate hyperhidrosis. The most effective antiperspirant agent is aluminum chloride.


Iontophoresis

If antiperspirants fail, Iontophoresis is sometimes recommended. This treatment consists of applying low intensity electric current to the hands or feet immersed in an electrolyte solution. Patients must repeat this procedure regularly several times a week. The results vary, and many patients believe Iontophoresis is too time consuming and expensive. It is difficult or impossible to treat axillary or facial hyperhidrosis with this method.


Anticholinergic Drugs
Various drugs may reduce sweating. But because of side affects that include dry mouth, blurred vision and sedation, most patients prefer not to use these medications to treat their hyperhidrosis.


Botulinum Toxin Injections
Botulinum toxin is a poison that interferes with nerve conduction and is often used in low doses to prevent wrinkles by paralyzing muscles in the face or neck. It may also be used to treat hyperhidrosis by paralyzing the sympathetic nerves that cause sweating by injecting the toxin in the axilla or hands. Botulinum toxin is often beneficial for axillary and palmar hyperhidrosis. However, the treatment is temporary and has to be repeated two or more times a year. Over time, some patients feel Botulinum toxin injections are too expensive.


For more information about an effective surgical treatment for hyperhidrosis, click here. To contact Carolina Neurosurgery & Spine Associates call 800-344-6716 or click here.




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