Botox for Hand Hyperhidrosis


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If you suffer from hyperhidrosis in the hands, you’ll know that it can be quite an embarrassing issue. Even a handshake can be incredible awkward, and many feel so self-conscious about it that they avoid making contact with other people, even loved ones. It could affect your professional life, stopping you from using your hands as required in your chosen job. You could find yourself constantly trying to hide your hands under your arms or behind your back. As well as the emotions effects caused by it, it can cause some unwanted physical effects also. The excessive sweating can result in constantly cold and clammy hands or even skin infections. In all, it can be a very troublesome condition.

When the condition affects your hands it is known as Palmar hyperhidrosis. Botox can be used to treat Palmar hyperhidrosis, though it is less commonly done than with Axillary hyperhidrosis. It has not yet been proven to be quite as effective as the results seen with Axillary hyperhidrosis, and those who have had the treatment say it is quite painful.

How Can Botox Be Used To Treat Hyperhidrosis In The Hands?

The procedure can be carried out by a physician, though fewer offer this treatment than Botox for Axillary hyperhidrosis. The procedures is as follows:

  • An iodine test is performed first so as to identify the area of the palms that is the most affected.
  • With Botox for Palmar hyperhidrosis, topical anaesthetics don’t have the greatest effect, so the palm of the hand is usually iced as a form of anaesthesia. If necessary, a vibratory massage device might be held to the wrist to ease any pain.
  • Around 50-100 units of Botox are injected into each palm. The injections are spaced about 1cm-1.5cm apart. The Botox blocks the nerve functions in the affected areas, temporarily paralysing the nerves and thus stopping the sweaty palms. The procedure should take around 30 minutes.

The hands will be sensitive and tender for a few hours afterwards, and you may find that you experience some temporary muscle weakness which can affect your grip. This should subside in a week or so. Also, bear in mind that Botox is not a permanent solution to Palmar hyperhidrosis, and you will need a repeat treatment in anywhere from 4-9 months.

As you will require quite a lot of injections, the procedure is somewhat pricey, costing £450 per session.


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