Focal Hyperhidrosis Treatments

focal hyperhidrosis

Focal hyperhidrosis is a common medical condition with several possible treatments. Treatments can include medications and surgical procedures. There are some common side effects associated with some treatments. In addition to medical treatments, there are some non-medical options. Before deciding which one to choose, it is helpful to know about the various types of treatment available.


A proper diagnosis of focal hyperhidrosis is important to ensure effective treatment. Several tests are available to determine the cause of the problem, as well as to determine the best course of treatment. The first step in the diagnosis is the history and physical examination of the patient. In addition, a doctor may suggest iontophoresis or topical agents for treatment.

A medical history is one of the most important factors in determining whether a patient has focal hyperhidrosis or generalized hyperhidrosis. A normal sweat rate for anatomical areas is less than 1 mL per minute, so a patient with a higher sweat rate is considered to have generalized hyperhidrosis. A doctor may measure the sweat rate of discrete anatomical areas, such as the axilla. This measurement is useful for research purposes, but should be done only if excessive sweating interferes with daily activities.

The symptoms of focal hyperhidrosis vary from person to person. Some sufferers experience night sweats. Others experience excessive sweating on the face. In some cases, excessive sweating may be accompanied by facial blushing. It is important to see a doctor as early detection can improve a patient’s quality of life.

Surgery may be necessary in severe cases. Endoscopic thoracic sympathectomy is an effective treatment. However, surgical interventions should only be used when other treatments fail. Patients should be fully informed of the risks and potential benefits of surgery. Further, surgical interventions may result in compensatory hyperhidrosis, which may outweigh the benefits.

In the case of general hyperhidrosis, there are several treatments available. A doctor may prescribe anti-adrenalinergic drugs and anti-cholinergic drugs. Botulinum toxin injections, iontophoresis, and psychotherapy can all be used as short-term solutions.

The first step of treatment involves removing the affected nodules. These are usually the source of significant pain and discomfort. Surgical removal of the nodules and plaques can reduce the disease burden of the patient. It may also eliminate the physical evidence of the disease, allowing the patient to stop taking all medications.

Diagnosis of focal hyperhidrosus requires a thorough medical examination. A physician should check for signs of compensatory sweating and the presence of excessive sweating. The patient should tell the doctor about his or her medical history.


Treatments for focal hyperhidrosis can take a variety of forms, including topical agents that can be applied to the skin, systemic drugs, and surgical procedures. Depending on the severity of the condition, one type of treatment may be more effective than the other. For mild cases, noninvasive topical agents may be enough to relieve symptoms, while more severe cases may require muscle relaxant injections or surgery. The first step in treatment is diagnosis. Doctors will look at your family history and the length of time you’ve experienced episodes.

If you think you have this condition, try to identify the triggers and find ways to relax. You may feel embarrassed to discuss your condition, but it’s important to seek medical advice. Your healthcare provider can prescribe a medication or refer you to a dermatologist for more specific treatment.

If you are not a candidate for a medication, a natural therapy such as botulinum toxin A can be used to treat the problem. This treatment has a very low risk of side effects and is a good alternative. It works by blocking the nerve signals that cause sweating, so it can provide effective relief for many patients.

Treatments for focal hyperhidrosis may involve the use of antiperspirants, iontophoresis, or Botox, which can’t stop the sweating, but can help reduce the severity of the symptoms. Anticholinergic drugs, which block the action of the sweat glands, can also be used to control excessive perspiration. However, these drugs can have side effects, such as blurred vision and heart palpitations. Another option is surgery to remove the sweat glands entirely.

Unlike other treatment options, this procedure can be costly. Antiperspirants, which contain aluminum, are applied to sweaty areas such as the face, feet, and hands. Despite the high cost, they are not suitable for patients with neuromuscular disorders, pregnant women, and people who are on certain medications that interact with antiperspirants.

Hyperhidrosis is a genetic disorder that affects up to 3 percent of the population. It usually starts around puberty.

Side effects

Treatment for focal hyperhidrosis involves a variety of methods, ranging from topical treatments that are applied to the affected area to surgical and systemic procedures. The most effective treatment will depend on the severity of the condition and its impact on the patient’s overall health. For example, mild cases of the disorder can be treated with topical agents, while more severe cases may require surgery and muscle relaxant injections. Regardless of the treatment method, patients with this disorder will need to adhere to a maintenance therapy program to combat the symptoms.

While focal hyperhidrosis is not a serious medical condition, it can negatively impact a person’s quality of life and daily activities. As such, it is important to talk with your doctor to find the best treatment option for you. In addition to addressing the medical condition, patients with this condition may also benefit from social support groups.

The cause of focal hyperhidrosis is unknown. It can be hereditary or acquired due to medications or a medical condition. In both cases, excessive sweating occurs on one or several body sites. It can occur on the face, head, or feet. Often, this condition is associated with some other underlying medical condition or is a result of dysregulation of the neurologic system.

For the most severe cases, doctors may recommend Botox injections to block the nerves that stimulate the sweat glands. However, these treatments can have side effects and may not be suitable for everyone. Other treatments for focal hyperhidrosis include surgery and endoscopic thoracic sympathectomy, which involve cutting the nerves that carry messages to the sweat glands. These treatments can be costly and require multiple sessions.

Systemic treatments for focal hyperhidrosis are controversial and not widely used. However, a small number of patients can benefit from these treatments. Anticholinergic agents may suppress sweating, but these drugs may have numerous side effects. The effects may range from sedation to constipation. In some cases, patients may be prescribed anticholinergic agents as a second or third-line therapy.

Regardless of the medication or treatment used, you should discuss with your doctor about any medications you may be taking. Your doctor can help you determine whether your medication is causing excessive sweating and can alter your medications to prevent further side effects.

Surgical options

There are several surgical options for patients with focal hyperhidrosis. These methods are minimally invasive and can permanently eliminate overactive sympathetic nerves in the torso. However, they are not for everyone, and they are best reserved for patients who have failed to treat their hyperhidrosis using other methods. Regardless of the method chosen, it is important to discuss the risks and benefits with your doctor.

One of the most effective surgical options for people suffering from focal hyperhidrosis is endoscopic thoracic sympathectomy. This procedure removes a malfunctioning underarm sweat gland through an incision. The procedure is performed under local anesthesia and is usually an outpatient procedure.

Other treatment options include medication or surgery to target the underlying cause. Patients with focal hyperhidrosis should seek treatment early on because the condition can lead to poor quality of life. There are psychological and social consequences that can make it difficult to deal with. For instance, a patient may have to change clothes several times a day, which can be embarrassing. Furthermore, the condition may interfere with daily activities and can prevent people from working in jobs requiring detailed work with their hands.

Patients should consider wearing natural clothing with natural fibers. However, if the condition is limiting their ability to do their job, fabrics that wick moisture may be more suitable. In addition to being uncomfortable, people suffering from hyperhidrosis may also experience embarrassment and social isolation. The condition can interfere with social interactions and may even prevent them from enjoying recreational activities. People suffering from this disorder often find it helpful to talk to others who have suffered from it.

Surgical options for focal hyperhidrosis include sympathectomy and RFA. However, the evidence supporting these procedures is limited, especially with regard to their efficacy. Patients should be aware of the risks and benefits associated with each option. The safety of these procedures is dependent on the type of hyperhidrosis and its severity.

The surgical options for focal hyperhidrosis are minimally invasive. Although patients may experience discomfort near the incision sites, they should be able to resume their normal activities within a week. However, healing may take several weeks or months, depending on the severity of their condition and the location of the surgery. Smokers and people with diabetes are at higher risk for slow healing.