To gauge how much the sweating problems affect your day to day life have a look at some questions we regularly ask our patients to see if they qualify for medication or BOTOX® injections.
- How many times per day do you think or worry about sweating?
- How many times per day do you change clothes? Bathe?
- Do you carry “supplies” (such as pads, extra clothes, napkins, powders, antiperspirants, or towels) to help you manage your sweat?
- How often do you have to purchase new clothing or shoes? Do you find that you make such purchases more frequently than other people?
- How many minutes or hours per day do you spend “dealing” with sweat?
- Have you tried any topical solutions (antiperspirants, powders, or deodorants) designed to control sweating? If yes, how many different types?
- Do you ever change your social plans due to excessive sweating or fear of excessive sweating?
- Have you ever damaged reading or writing material, artwork, paperwork, a musical instrument, or an electric or metallic device due to sweating?
- Does excessive sweating affect your work performance or career choices?
- Have you experienced skin irritation or infections due to excessive sweating or your attempts to manage excessive sweating?
- Does sweating in public cause you distress?
- When you are in a situation involving contact with other people, or when you think about such a situation, do you experience sweating?
- Have you ever lost friends or a job due to excessive sweating?
If you suffer from excessive sweating, chances are that you suffer every day.
- You may constantly worry about how much you’re sweating.
- You may spend hours each day dealing with sweat – changing clothes, “freshening up”, wiping, placing napkins or pads under your arms or in your pockets, bathing, and hiding under dark-colored, bulky clothes.
- You may have lost friends and opportunities because of extremely sweaty palms, feet, or armpits.
- Afraid of what people will think, you may even make excuses to stay home, or choose careers in which you don’t have to interact with people, shake hands, or give presentations.
Emotional problems, including depression, social isolation, and decreased confidence, can result.
The most common methods for stopping sweating in the armpit or underarm area are antiperspirants and deodorants. Products such as Mitchum based can be helpful. Stronger aluminium hydroxide preparations like Driclor are applied at night. These can be helpful in stopping sweat for a few months. However, a tolerance can be generated in which case the effectiveness diminishes. Also, patients can be put off by the skin irritation that can quite often occur. Other home treatments such as iontophoresis are effective but again expensive and time-consuming and need to be done 2-3 times a week. It is the preferred method of choice for sweaty hands and feet.
BOTOX® stops the nerve endings sending messages to the sweat glands and temporarily reduces the sweating. BOTOX® is also commonly used to treat wrinkles by relaxing certain muscles of the face. It is best known for BOTOX® wrinkle injections.
Botulinum toxin can also be used for a variety of different medical procedures given its unique properties. These unique elements allow the toxin to target specific neuromuscular junctions in the acetylcholine pathway. This pathway is only used by muscle and sweat gland receptors. This means the action can be so specific to the molecular level.
Certain areas where botox injections are now used are, muscle spasms in neck and eye areas, bladder instability by relaxing the detrusor muscle to help alleviate an overactive bladder, back pain to help ease the accessory muscles, jaw bruxism to aid the relaxation of lockjaw and some cases it has been known to help plantar fasciitis on the soles of the feet. It has also been shown to help in the treatment of migraines.
Normal sweating is a way to help keep the body temperature steady in hot weather, during a fever or when exercising. Excessive sweating/hyperhidrosis means that you sweat much more than considered normal. Even when you are not hot, anxious or exercising. you produce a lot of sweat. Excessive sweating is classified as either focal or generalized.
You can repeat the treatment as and when you need it. After successive treatments, the results last longer and are often not required as frequently.
The rest of the body compensates and ensures an even distribution so no other areas become affected.
Botox for hyperhidrosis is a life-changing treatment that enables people to have confidence in wearing normal clothes and not having to wear padding or change their shirts during the day.
The Hyperhidrosis Disease Severity Scale (HDSS) grades the sweating problem according to how it affects your life.
- Not affect day to day living
- Sweating is tolerable
- Sweating is a problem but struggling to cope
- Always interferes with daily activities
We would recommend treatment for anyone whose symptoms are disrupting their daily lives.
Ideally, the treatment is for people who:
- constantly worry about the problem
- have to carry supplies (medication, deodorants, extra clothes, powder or pads)
- find it affects confidence and social interaction
- have stained clothing and uncontrollable odour
For further information https://www.sweathelp.org/ and https://hyperhidrosisuk.org/.
Treatments only take about 20 minutes and you can resume normal activities immediately. Rarely some patients who are very large or have a severe problem require a bigger dose which carries a supplemental fee which can be discussed with the doctor
The cost is £500.