If you’re looking for an axillary hyperhidrosis treatment, you have several options. Various medical therapies are available, such as laser treatments, iontophoresis, and Botulinum toxin. But which one is the best option for you?
Iontophoresis
Iontophoresis is a nonsurgical treatment for axillary hyperhidrosis. The treatment takes 15 to 40 minutes per session and may require multiple treatments over the course of several weeks. It can be painful and uncomfortable, and requires a prescription from a physician. The device itself can be costly, so you may wish to use an insurance-approved device. The treatment requires that you use soft water and may require the use of baking soda to make it effective.
The treatment is effective in approximately 85 percent of patients. It is also easy to perform and is considered safe. The device consists of electrodes that conduct a mild electrical current through the skin. The electrodes are placed on the hands or feet. The treatment is administered every two to five days.
The most common device is plugged into an electrical outlet, but there are also portable models available that can be used anywhere. Iontophoresis has a positive impact on sweating because it disrupts normal sweat duct flow by blocking sweat glands in the outer layer of the skin. While iontophoresis is highly effective, it does have some side effects, including temporary blisters, itching, and dry skin. In addition, it is important to ensure that the treatment is done by a trained health care professional.
The treatment is relatively expensive, but its benefits have been reported in numerous studies. The cost-effectiveness ratio for axillary hyperhidrosis was PS9304 per QALY. Patients and clinicians rated the treatment as effective and cost-effective. The cost-effectiveness ratio was also better than other tools used in hyperhidrosis research.
In the United States, iontophoresis for axillary is generally considered experimental. In addition to this, intra-operative near-infrared imaging during sympathectomy is considered investigational. Topical Glycopyrronium Tosylate, known as Qbrexza, is another option. While iontophoresis for axilary hyperhidrosis is not a cure, it can be an adjunctive treatment.
Surgery for axillary hyperhidrosis should only be used as a last resort. Surgical removal of the axillary sympathetic nerve is not recommended for treating axillary hyperhidrosis. In addition to surgery, thoracic sympathectomy should only be used for severe cases.
While iontophoresis is an effective treatment for axillary hyperhidrosis, it is not without risks. Pneumothorax is a complication that may occur in about 1% of patients. Fortunately, this condition is usually temporary. Other complications that may occur include infections and puncture of the chest wall.
In the study, patients underwent repeated sessions of iontophoresis. The majority of patients needed treatments once per week for six to 24 hours. Most patients experienced dry mouth for six to 24 hours after therapy. Patients also reported urinary and GI problems.
One iontophoresis study examined 50 patients with palmar hyperhidrosis who had undergone phenol injections into sympathetic ganglia and trunks. The volume injected varied from 0.6 to 1.2 ml on average. The procedure was performed using local or general anesthesia under fluoroscopic guidance. Overall, 40 patients were treated successfully. The success rate was 83.7 percent on the left side and 91.8 percent on the right side.
Laser
Laser treatment for axillary hyperhidroses can be performed to relieve the symptoms of excessive underarm sweating. This treatment works by inserting a laser fiber into the affected area. This laser delivers energy to the underarm sweat glands and destroys them. Typically, the procedure requires just a single session.
Laser treatment for axillary hyperhidroses has been shown to reduce sweating in both the treatment area and the control axilla. This treatment also provides subjective and objective improvements in sweating. However, it is important to note that the treatment does not cure axillary hyperhidrosis.
Laser treatment for axillary hyperhidroses is considered a safe and minimally invasive procedure. This procedure does not involve a long recovery period and does not cause scarring. The procedure is performed under local anesthesia in a physician’s office. The patient can return to work and normal activities after the procedure.
The procedure begins with a local anesthetic to ensure that you are comfortable throughout the procedure. A small incision is made in the armpit area and a laser fiber is inserted through the incision. The procedure usually takes between 15 minutes per armpit. After the procedure, there may be some swelling or bruising at the treated area, but this will subside within a few days.
Treatments for axillary hyperhidrosis can be customized to the patient’s needs. Traditional antiperspirants are no longer effective for axillary hyperhidrosis. A laser treatment for axillary hyperhidrosis can relieve symptoms while preventing further deterioration of the condition. This type of treatment can also be combined with other treatments to improve quality of life.
Excessive sweating can cause embarrassment and hinder social activities. Many patients are embarrassed to go out in public because of excessive underarm sweating. The problem can also affect your personal relationships and even hinder work and business interactions. Treatment options for axillary hyperhidrosis include laser treatment and Botox injections.
Laser treatment for axillary hyperhidroses can be very effective in reducing the need for antiperspirant or deodorants. The costs of this procedure depend on the size of the affected area and the severity of hyperhidrosis. The procedure is often performed at a private clinic and can cost up to $ 4400. Most patients recover from the procedure within a couple of days. However, patients should expect some swelling following the procedure.
Botulinum toxin
Botulinum toxin type A has been shown to be a safe and effective treatment for primary axillary hyperhidrosis. It can be safely administered and produces high patient satisfaction. The procedure is available at the Department of Neurology at Bayerische Julius-Maximilians-Universitat Wurzburg, Josef-Schneider Strasse 11, 97080 Wurzberg, Germany.
In a single study, patients with severe primary axillary hyperhidrosis were enrolled and given a standard pre-treatment counselling session. After topical local anaesthesia, the patients underwent bilateral intradermal injections of botulinum toxin A. Following the treatment, the patients were followed for 24 months. If their symptoms recurred, they were invited to self-refer for further treatment. A symptom-free interval of six to nine months was achieved for most patients.
The injected area was covered with ice packs. The patient was then told to wait for 15 minutes. At this time, the doctor could observe whether the toxin has caused an immediate reaction. The procedure was safe, effective, and long-lasting.
The treatment was effective for 94% of patients. The efficacy was sustained after three to eight months. The duration of efficacy was increased in 62% of patients who received repeated injections. Overall, the treatment improved patient satisfaction. Only 27 patients in the botulinum toxin group suffered adverse effects. In contrast, only four patients in the placebo group experienced an adverse reaction.
Injections of botulinum toxin can be safely administered to patients who have persistent hyperhidrosis. One FDA-approved treatment is onabotulinum toxin A. While this treatment is safe and has little to no side effects, it is not without some potential complications. Although the results of this treatment are preliminary, further studies are required to confirm the effectiveness of the treatment.
Moreover, this treatment is not suitable for all people who suffer from excessive underarm sweat. Botulinum toxin can be effective for treating severe underarm sweating, but it has not been proven to be safe for severe cases. The toxin does not spread away from the injection site.
Botulinum toxin injections in the groin are less effective than those in the face or feet. Additionally, the procedure is more painful and can result in side effects. However, an experienced dermatologist can effectively use botulinum toxin injections in these areas.