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Palmar hyperhidrosis: treatment and operation

by Alivia Nyhan
Published: Last Updated on

Palmar hyperhidrosis is a condition in which people who suffer from it sweat excessively, in this case, from the palms of their hands. They tend to sweat even in winter or when the environment is relaxed. It is not only due to causes such as stress, but it is maladjustment of the body. Sweating is a normal physiological response of the body, but when there is an excess, something is not working correctly, and the sweat glands are more active than usual.

It is annoying for people who suffer from it, and a gesture as simple as shaking hands can be uncomfortable and create a complex for them. However, it can be treated and operated on. This FastlyHealarticle tells you all about palmar hyperhidrosis: treatment and operation to solve it.

Palmar hyperhidrosis: causas

Sweating is a standard physiological action; it is something that helps our body to regulate body temperature concerning that of the environment. It also works with emotions in response to situations such as stress that cause the glands to activate and shed more sweat than usual.

The sweat glands are like small coiled tubes found in the deepest layer of the skin and empty into the pores. People have between 2 and 4 million sweat glands spread over the entire body surface, and we can expel up to 10 liters of sweat per day.

People with palmar hyperhidrosis have these very active glands, and therefore they produce excessive sweating all the time. There can be two types of hyperhidrosis, either primary or secondary:

  • The primary hyperhidrosis, which is the case of palmar hyperhidrosis, is usually located in an area and has no apparent cause. It usually appears in childhood or adolescence and increases with age.
  • The secondary hyperhidrosis is less frequent. Sweat is found throughout the body and is usually caused by another disease such as menopausehyperthyroidismdiabetes, or psychiatric disorders.

Therefore palmar hyperhidrosis does not have an established cause. It is a rare condition; hyperhidrosis, in general, affects approximately 3% of the population, and of these people, not all have palmar hyperhidrosis. It is an annoying condition, especially in aesthetic matters, and can create complexes. However, below we will see how it can be treated.

Palmar hyperhidrosis: solution

Palmar hyperhidrosis has treatment, and when life becomes impossible, it is necessary to undergo it. There are several two ways to act on the condition; we are going to see each of them:


One of the possible treatments for palmar hyperhidrosis is the use of antiperspirants, which block the ducts of the glands, preventing sweat from being expelled. They act as astringents. They are applied to the hands, and metal salts such as aluminum sulfate, aluminum chloride, or aluminum hydrochloride are often used. However, it is a treatment that lasts very little, and, in addition, it can irritate the skin due to the hydrochloric acid that is formed when sweat or water joins with the salt of the components.

Botulinum toxin

Another widely used dermatological solution is botulinum toxin injections, or what is the same; botox. These injections serve to erase wrinkles; Botox also eliminates excessive sweating. However, it is a painful treatment even if there is anesthesia and its duration is only 6 or 8 months.


Iontophoresis consists of an electrical current through the skin. This favors molecular transport. The current causes a temporary rest of the glands. It is an effective treatment, but it is not suitable for everyone. For example, pregnant women or people with pacemakers cannot do it, and neither can those with metal prostheses or women with an IUD (intrauterine device). Depending on the current density, it can be more or less effective.


Surgery is the method most recommended by doctors since it is an effective treatment that can solve the problem indefinitely. That is why we will explain what this procedure is like below.

Palmar hyperhidrosis operation

The operation for palmar hyperhidrosis is effortless, and, although it requires general anesthesia, the next day, you can go home. It is the most effective treatment (98% or 99% effective) and the one most recommended by specialists.

The procedure that begins the operation for palmar hyperhidrosis is known as endoscopic thoracic sympathectomy (ETS). It is done through small incisions in the back. In the back area located under the arm, the surgeon makes two or three tiny incisions (tiny and hardly any scar remains). In this way, the lung collapses and does not let air in or out so that the surgeon can work better. Through one of the incisions, the doctor will insert an endoscope (camera) to see the procedure and the other two necessary tools. It is intended to locate the nerves that control sweating to cut them and delete them. The lung is then re-inflated, and the area closed. It will do the same on the other side.

It is a straightforward procedure and has no risks except the normal ones due to general anesthesia. The patient will spend one night hospitalized, but the next day he will be able to go home and will be able to lead an everyday life after two or three days. They may recommend taking pain relievers after the operation, and it is advisable not to soak in water for two weeks. Points must be kept clean.

This operation is contraindicated in pregnant or lactating women or people with neuronal problems.

Palmar hyperhidrosis: natural treatment

In addition to medical treatments, there are some effective natural remedies to treat palmar hyperhidrosis. Since the nervous system is usually the cause of this problem, natural remedies will focus on it, such as:

  • Avoid exciting substances such as alcohol, tobacco, or coffee.
  • The exercise makes demos but helps balance the nervous system and also helps to release stress.
  • Some medicinal plants help regulate perspiration. The sage is very effective in these cases. Take sage every morning, either in pills or infusion.
  • Clay powder. Applied to the palms of the hands, it will help dry moisture since it will absorb it.
  • Sodium bicarbonate is very effective since it has an alkaline pH. Dissolve some baking soda in warm water and soak your hands for 10 minutes.
  • The tea also helps with sweat also used on many occasions as a deodorant. Instead of drinking it, try putting your hands in a tea container while it is still warm.
  • Avoid spices as they activate sweating.

This article is merely informative, at FastlyHeal .com we do not have the power to prescribe medical treatments or make any type of diagnosis. We invite you to see a doctor in the case of presenting any type of condition or discomfort.

If you want to read more articles similar to Palmar hyperhidrosis: treatment and operation , we recommend that you enter our Skin, hair, and nails category .

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