Excessive sweating or perspiration (hyperhidrosis) can be extremely embarrassing and affect your self-confidence and social interactions. Having surgical or non-surgical treatment can help alleviate this condition.
A referral letter from a consultant or GP is required before booking any diagnostic investigation.
Although excessive sweating doesn't usually impact on your health, it can be embarrassing and affect your quality of life. It may stop you doing things you'd like to, such as exercising or from making physical contact with other people, because you're worried about sweating. You may find you have to shower or change your clothes more than usual.
Excessive sweating is a common condition, which affects between one and three in 100 people. When there is no obvious cause for your sweating, it is known as primary hyperhidrosis. People with secondary hyperhidrosis know what causes their sweating, with pregnancy, the menopause, anxiety, certain medications, low blood sugar, an overactive thyroid gland and infections being common triggers.
There are various treatments which can help control your sweating, including non-surgical Botox injections and keyhole surgery. Your doctor will discuss which method is best for you.
You may have decided you want treatment because you have sweaty armpits, face or groin, or maybe clammy hands or feet. Whatever the reason, Spire can help.
If you decide to have your treatment with us, you will be looked after by an experienced multi-disciplinary care team.
Iontophoresis is the single most effective and available treatment for hand, feet and axillary hyperhidrosis.
The treatment is painless and non-invasive and there are no reported side effects, making long-term condition reversal possible.
Nearly all sufferers (98%) achieve a complete cessation of sweating after seven, 20-minute sessions over four weeks. An anticholinergic drug can be added to the tap water for those who do not respond to tap water alone.
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You will need a referral letter from a consultant or GP before booking any diagnostic investigation.
You will have a formal consultation with a healthcare professional. During this time you will be able to explain your medical history, symptoms and raise any concerns that you might have.
We will also discuss with you whether any further diagnostic tests, such as scans or blood tests, are needed. Any additional costs will be discussed before further tests are carried out.
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Our dedicated team will also give you tailored advice to follow in the run up to your visit.
We understand that undergoing treatment can potentially be a time of anxiety and worry – even for the most common and relatively straight forward procedure. Our experienced and caring medical staff will be there for you, holding your hand, every step of the way.
There are two ways of helping to treat excessive sweating: non-surgical injections and surgical treatments.
A new non-surgical temporary solution for excessive sweating (hyperhidrosis) involves an injection of anti-sweating medication which is a natural purified protein, and works by preventing the signal to perspire from reaching the sweat glands.
Anti-sweating treatment by injection is administered through a very fine needle into the affected skin. Perspiration normally diminishes substantially within 48 hours and results, which vary patient to patient, can usually be expected to last from 6-12 months.
Many patients suffer from excessive sweating (hyperhidrosis) from the hands and arm pits. Although conservative (non-surgical) treatments can be effective, they often need to be repeated and without them the problem reoccurs.
The traditional surgical approach to stopping perspiration involves division of the sympathetic nerve chain. This requires a surgical wound above both collar bones and is fairly complex surgery.
The advent of keyhole surgery has allowed the development of an operation using a specially adapted telescope and requires just a tiny (about 1cm) incision under the arm. The operation is known as Endoscopic Thoracic Sympathectomy (ETS). Although a general anaesthetic is required, most patients are well enough to go home the same day and the operation is usually immediately effective.
The treatment involves seven treatments spread over four weeks, day 1, 2, 4, 7, 10, 15 and 22. It has to start on a Monday or Tuesday to avoid the weekends. To obtain successful results it is important that patients can commit to this regime.
After the first appointment, which needs to be about an hour, subsequent treatment takes 20 minutes for each body part (hands, feet, armpits).
You will be able to go home soon after your injection. Most people are well enough to home on the same day as well if they have keyhole surgery.
If you've had injections, you might experience some nausea, headaches and pain or redness near the injection site. Sometimes other parts of your body might sweat more. This should ease within a few days.
If you've had injections, you can resume your normal activities straight away and no time off work is needed.
If you've had keyhole surgery, your consultant will advise you on how to make your recovery as quick as possible.
People usually find that their perspiration normally diminishes substantially within 48 hours of having an anti-sweating injection, and that the results can last from 6 to 12 months.
Surgery is usually immediately effective and permanent.
If you've had surgery, once you’re ready to be discharged from hospital, you’ll need to arrange a taxi, friend or family member to take you home as you won’t be able to drive straight away.
Even after you’ve left hospital, we’re still looking after you every step of the way. After treatment for excessive sweating depending on your type of treatment we may want to see you after your procedure to see how you are doing.
On rare occasions, complications can occur. The chance of complications depends on the exact type of treatment that you are having and other factors such as your general health. We will talk to you about the possible risks and complications of having this procedure and how they apply to you.
If you have any questions or concerns, we're here to help.
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The treatment described on this page may be adapted to meet your individual needs, so it's important to follow your healthcare professional's advice and raise any questions that you may have with them.
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