Hyperhidrosis or excessive sweating is caused by an over production of sweat from eccrine glands within the skin. These glands are found in high concentrations on the palms, soles and arm pits reflecting the parts of the body commonly effected by hyperhidrosis. Hyperhidrosis can be divided into primary and secondary.
Primary hyperhidrosis is common affecting 1-2% of the population. The cause of primary hyperhidrosis is thought to arise through increased cortical stimulation within the hypothalamic thermoregulatory centre in the brain leading to increased stimulation of the sympathetic nervous system supplying the sweat glands. This process is only occurs during waking hours. Excessive sweating at night can be normal (physiological) but should prompt a medical review to ensure an underlying medical ailment is not the cause.
Hands and feet sweating (palmer hyperhidrosis)
Excessive, uncontrollable sweating of the hands or palms, is called palmar hyperhidrosis. This condition is extremely embarrassing and can wreck lives. Topical treatments can be tried but are often irritating and rarely fully work. Dr Nelson can injected botulinum toxin A (botox) into your hands and or feet every six months to stop this life distroying condition. This can be very painful therefore Dr Nelson works with a consultant anesthetist to inject anaesthetic into the nerves in the wrist to complete numb the effected area temporarily.