Hyperhidrosis Therapy In Berlin


Hyperhidrosis is a dermatologic condition characterized by excessive perspiration, this condition requires a normal thermoregulation that allows the body to maintain a steady temperature even when surrounded by a different external temperature.

Hyperhidrosis is commonly referred to as a silent handicap, due to the way it causes deterioration to victim’s psychological, emotional and social health. Most times hyperhidrosis is always as a result of an underlying health condition.

Hyperhidrosis can generally be classified based on the parts of body it affects; the hands, feet, groin and the facial area are the most affected part, this is due to the number of sweat gland in these areas.
Profuse sweating that is centralised in some parts such as Palms, Scalp, Underarms, soles and Face area are referred to as Focal Hyperhidrosis or Primary Hyperhidrosis, while profuse sweating that involves the whole body is referred to as Generalized or Secondary Hyperhidrosis, hyperhidrosis is further classified based on its onset which could be at birth (congenital) or later in life (Acquired).

Majorly, primary hyperhidrosis starts at birth, adolescent or at an early stage, while Secondary hyperhidrosis starts at a later period in ones’ life.

Secondary hyperhidrosis is usually caused by an underlying health condition such as Drug reaction, Menopause, Mercury Poisoning, Diabetes Mellitus, disorder of the pituitary gland or thyroid gland, cancers, gout, disturbances of the endocrine system or other infections.

On the other hand, the cause of primary hyperhidrosis is shrouded in mystery while some Doctors postulate that it is caused by hyperactivity of the sympathetic nervous system. Secondary hyperhidrosis can further be triggered by Pregnancy, Anxiety, Drug reactions, hypoglycaemia (low blood Sugar), overactive thyroid gland (hyperthyroidism) and other infections.


This dermatological condition can be quite a challenge to treat, it takes commitment, patience and endurance to successfully combat this condition, it could also take time to identify the right and effective treatment. Physicians generally advise patients suffering from hyperhidrosis to start with non-invasive treatment such as modification of one’s lifestyle which includes:

• Wearing loose and light clothes.

• Avoiding things of food that might trigger sweating or make it worse.

• Alcohol, spicy food.

• Change of wardrobe, by wearing black or white clothes into minimize the signs of sweating.

• Use of antiperspirants.

Hyperhidrosis is a long term condition that could be demanding for both the patient the doctor, there are treatments available for people suffering from hyperhidrosis, treatments that range from therapy to Minimal Invasive surgery.

The goal of every hyperhidrosis treatment is to curtail the heavy sweating, once the profuse sweating has been effectively controlled, the major problem has been dealt with, it is also pertinent to identify underlying cause(s) of the disease, once the cause has been identified, the appropriate treatment option will be determined by your physician depending on the severity of the condition.

The following treatment options are readily available depending on the severity of the condition:

The Use of Antiperspirant:

The first course of treatment prescribed by your doctor might be the use of topical anticholinergics, anticholinergics interfere with the actions of the Neurotransmitter acetylcholine, it opposes the transmission of parasympathetic nerve impulses, other agents such as potassium Permanganate, formaldehyde, methenamine, boric acid could also be used. Some of these antiperspirants have limitations, they have a short term effect, they stain and they are most likely to cause reactions or sensitivity, although all these agents are effective at reducing perspiration, they produce attar keratin by obstructing the pores of the sweat glands.

These antiperspirants are usually applied on the affected skin area at night before bed and washed off in the morning.

The Use of Systematic Agents:

This is the use of oral medications that are regarded as nerve blocking medications, these oral systematic agents produce chemicals that helps to interfere with the interaction of certain nerves. Anti-cholinergic drugs such as propantheline bromide, glycopyrrolate, oxybutynin and benztropine are mostly prescribed, although most people find this treatment option less appealing as a result of its side effects, the side effects are; drowsiness, dryness of the mouth, blurry vision, constipation, mydriasis, micnitririon.

The use of Anti-Depressants can also minimize sweating, especially for those whose hyperhidrosis is triggered by anxiety provoking situations such as stage fright, special events like wedding, public speaking. The use of anti-depressant will limit the anxiety that worsens hyperhidrosis.


Surgery is used as a last resort after every other non-invasive treatment have been tried without success. Surgery is recommended in cases where hyperhidrosis is especially severe. The surgery could take the following form;


This is a remedial modality that is usually adopted by physical therapists. It is a form of electrical stimulation used to administer medication into the body through the skin. Iontophoresis may also help to reduce profuse sweating that affects the hands or feet. The use of iontophoresis therapy involves treating the affected area by passing a weak electric current through water or wet pads, it blocks the pores of the sweat glands.

The result of iontophoresis is usually short-lived, hence, patients need to make regular visits to the dermatology clinic to constantly receive treatment, it is less painful but may sometimes mild irritation and discomfort.

Botulinum Toxin Injection:

Botulinum is generally known for its effectiveness in clearing off wrinkles, but it can also be used as a treatment for hyperhidrosis. The affected area is anesthetized and injected with botulinum toxin, the injection must be repeated at intervals (preferable between 6-12 months’ intervals or as stipulated by the physician) to have a long lasting result.

This injection helps to reduce sweating by obstructing the signals sent to sweat glands by the brain. Botulinum injection also has its side effects, effects such as;

• Muscle dumbness, especially around the treatment area.

• Pain, itching and redness of the affected area

• Headaches, nausea and hot flushes immediately after the botulinum toxin injection

Sweating in another part of the body to compensate for the treated area.

These side effects are short-lived and with time as the injection wears off the effects will diminish and be resolved.

Removing or Destroying the Sweat Gland:

Profuse sweating under the armpit can be combatted by anaesthetizing the affected area and making an incision in the armpit and cutting or scraping out the sweat gland or by inserting a laser device under the armpit through a small incision and using it to destroy the sweat gland.

Endoscopic Thoracic Sympathectomy:

This is the most frequently used surgical procedure, it is used for hyperhidrosis affecting the palms or armpit, a small incision is made in the side of the chest and the sweat controlling nerve in the affected area are clipped. this procedure can only be carried out under general anaesthetic.

These procedures are usually a last resort as a result of the serious side effects attached to it, effects such as:

• Bleeding into the chest during the Endoscopic Thoracic Sympathectomy Surgery

• The after math of the surgery may lead to Pneumothorax (having air trapped into the chest)

• It could result into homer syndrome (a damage to the nervous system which results in the upper eyelid on a side of the body to droop).

• The procedure does not have 80% chance of success.
To have a better understanding of the best treatment options that are available, you can follow this link:



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