Sweating or Hyperhidrosis is a common under recognised problem in the community.
Excessive sweating affects 3% of the population and can be extremely distressing for patients causing physical and social discomfort and also affecting activities of daily life and work.
Excessive sweating can be localised to areas eg palms, soles and axilla or it may be generalised.
After assessment for primary and secondary causes by a Dermatologist there are a number of treatments that can be used to reduce sweating.
There are a number of treatments for sweating :
The hands or feets are placed in a solution of tap water, salt water or glycopyrrolate solution.
An electric current is passed through the solution with the hands and feet in contact.
The treatment is administered daily or second daily until improvement is noted. The treatment takes 20min for each areas treated.
Often 6-10 treatments are required before improvement is noted.
Botulinum injection for armpit sweating is an effective treatment when it is not responsive to topical antiperspirant ( eg Driclor). Success rates are very high.
The definition of response is defined as a 50% reduction in sweat. Over 90% of patients are reported to acheive response at 1 week with 82% still responding at week 16.
This treatment is eligible for Medicare and PBS rebate (administered by specially approved Dermatologists)
The treatment leads to significant reduction in sweating lasting 4-7 months.
Discomfort is reduced using pre injection anaesthetic cream , ice and the use small gauge needles.
The medicare rebate for this treatment now makes it an affordable option for treatment of excessive armpit sweating.