Hyperhidrosis occurs in hands,feet,armpits and groin or even under the pendulous female breast. This can be due to the relatively high concentration of sweat glands ( see below)
It is Dr Tiong personal experience that minimally invasive treatment with Curretage with special instrument is an very effective treatment.This is a day procedure, walk in and walk out with minimal down time. You should be able to return to do clarical work or light duty in the next 24 hours.
It is important that you should not do heavy lifting in the next 5-10 days by taking things easy.
Causes of Excessive sweating :
Hyperhidrosis can be congenital or acquired. Primary hyperhidrosis is an autosomal genetic trait start during or around adolescence while secondary hyperhidrosis may be due to a disorder of the thyroid or pituitary gland, diabetes mellitus, tumors, gout, menopaus e The cause of primary hyperhidrosis is caused by sympathetic overactivity.
- Spinal cord injuries & peripheral
neuropathies - Autonomic dysreflexia
- Orthostatic hypotension
- Posttraumatic syringomyelia
- Familial dysautonomia (Riley-Day syndrome)
- Congenital autonomic dysfunction with universal pain loss
- Exposure to cold, notably associated with cold-
induced sweating syndrome
- Associated with systemic medical problems
- Pheochromocytoma
- Parkinson’s disease
- Thyrotoxicosis
- Diabetes mellitus
Treatment options:
- Dr Tiong found treatment with cream and medication most disappointing and not effective.
- Medical Treatment with alumium Chloride or anticholinergic drugs such as ditropan is disappointing
- Although treatment with botulinum toxin such as Botox or Dysport are effective but very expensive. This need to be repeated every 4-6 months.
Other surgical treatment such as Thoracic Sympathectomy is to cut and burn or clamp the thoracic ganglion on the sympathetic chain that run alongside the spine or percutaneous sympathectomy with phenol ( stripping agent) as been tried This is a delicate surgery done only at hospital and with long recovery period and a team of highly trained and skill personals , Despite surgery, there is a risk of recurring in 20% to as high as 80 % as reported in literatures.