Excessive Sweating / Perspiration


Hyperhidrosis is a condition of abnormally increased sweating/perspiration, far in excess of that required for regulation of body temperature.

Hyperhidrosis can either be generalized or localized to specific parts of the body. Hands, feet, armpits, and the groin area are among the most active regions of perspiration due to the relatively high concentration of sweat glands.

Sweating is often uncontrollable, embarrassing and not anticipated. It can have severe physiological consequences such as cold and clammy hands, dehydration, and skin infections secondary to maceration of the skin.

A common complaint of patients is they get nervous because they sweat, then sweat more because they are nervous. Affected people are constantly aware of their condition and try to modify their lifestyle to accommodate this problem. This can be disabling in professional, academic and social life, causing daily embarrassments. Many routine tasks become impossible chores, which can psychologically drain these individuals on a constant basis.

The cause of primary hyperhidrosis is unknown, although some research says that nervousness or excitement can exacerbate the situation for many sufferers. Other factors can play a role; certain foods and drinks, nicotine, caffeine, and smells can trigger a response.


With the recent advances in medicine treatments are available for those who suffer from hyperhidrosis.

A common treatment is a Sympathectomy - often known as Thoracoscopic or Endothoracic Sympathectomy. This is a minimally invasive or keyhole surgery which addresses the sympathetic nerves controlling sweating. If these nerves are cut in specific places then sweating will be abolished in areas of the body.

Unfortunately not all sufferers are suitable for this procedure, but those who are often have their lives transformed by this remarkable technique. The areas which can be reliably dried out by endothoracic sympathectomy are the scalp, face, hands, and armpits. A similar procedure (Lumbar Sympathectomy) can be used to dry out the feet.

Our surgeon has seen excellent results from these procedures, which are truly life changing for sufferers of extreme perspiration.