Thursday, March 15, 2012

Sweaty Palms 

Sweaty Palms, is known medically as Palmar Hyperhidrosis, or Excessive Hand Sweating. Sweaty palms is the most common form of hyperhidrosis for those suffering from excessive sweating. Excessive hand sweating or sweaty palms is a clinical situation where patients find difficulties in performing daily social and functional activities. Dr. Reisfeld has helped more patients end their suffering from sweaty palms than any other doctor in the U.S. In fact he had dedicated his career to hyperhidrosis.

Excessive hand sweating can be quite severe affecting a patient's everyday life both functionally and socially. Everyday activities such as using computers, musical instruments, and even driving can become a difficult task due to excessive hand sweating. Simple tasks such as opening a doorknob can be difficult. Personal relationships can also be affected negatively.



 (See Hyperhidrosis Testimonials) In a smaller sub-group of patients excessive hand sweating is associated with panic attacks which can be attributed to their fear of simple social situations. In about 50% or more of the patients sweaty palms/hands is genetic. Sweaty palms/hands usually begins early in childhood and can get more severe towards the late teenage years and into early adulthood. In some rare cases hyperhidrosis started, after a definite physical injury, either within the chest cavity or in a few cases because of electrocution. Obviously these kind of cases are rare but point to other rare possibilities as a cause of hyperhidrosis.
The International Hyperhidrosis Society divides the severity of Palmar Hyperhidrosis or Excessive Hand Sweating into four subgroups. Group one consists of patients that have mild hand sweating which does not cause any functional or social problems. On the other end of the spectrum are patients with excessive hand sweating at a level of wetness described as dripping affecting them on a daily basis. Patients from the last group rarely have benefit from conservative measures such as Drysol, Drionic, Maxim, Oral Medications, or Botox.

Proven Cure for Sweaty Palms (Success Rate):
Over the last 20 years, important advancements were made and many operations were performed with the help of miniature cameras (Endoscopic Surgery). In these surgeries, entrance into the body cavities, such as the abdomen or chest, is done through miniature incisions that results in minimal surgical damage and allows for speedy recoveries. Sweaty palms are cured in over 98-99% of cases. Why not 100%? There are some rare cases in which anatomical abnormalities can be found preventing the surgeons ability to complete the operation safely. Also in some rare cases severe scarring from previous unrecognized infections within the chest cavity can prevent the surgeon from completing the operation safely. Safety always comes first in these elective procedures. Operations today are done on an outpatient basis (patients return home the same day) achieving the same results as the open operation in the past but without the long hospital stays, severe pain, and excessive scarring.

Causes of Sweaty Palms:
The term "hypersympathetic activity" is more accurate terminology because excessive sweating is caused by heightened activity in the sympathetic chain. The sympathetic chain is part of the autonomic nervous system which is located within the chest cavity. It has nothing to do with motoric or sensory functions which are part of the voluntary nervous system. Those functions are controlled by us compared to the independent nature of the sympathetic system.
Today, sympathectomy is performed endoscopically. One or two small incisions are made on each side of the chest cavity through which a fiber optic camera and other instruments are inserted. The sympathetic chain is then resected, coagulated, or clamped. At present, Dr. Reisfeld only performs the clamping method. Due to the fact that this is the preferred method done Dr. Reisfeld uses two


mall incisions on each side of the chest cavity. This method has the possibility of reversal. The success rate by all methods for the treatment of sweaty hands is about 98%. To learn more about the procedure in detail click here.
Sweaty Palms (Palmar Hyperhidrosis) Summary:
Excessive hand sweating can be a serious problem both in social settings and everyday functional activities such as opening a door, writing a paper, driving, computer usage or signing your name. These are just a few examples of how palmar hyperhidrosis can affect a person.
You may ask what should I do? Those affected should first discuss the matter with their doctor and then first try the conservative hyperhidrosis treatment measures available. If those measures do not give satisfactory relief then consideration should be given to the hyperhidrosis surgical treatment options to hyperhidrosis.
What about Excessive foot Sweating?
As a matter of fact after years of doing the Thoracic Sympathectomy it is becoming more evident that the success rate for plantar hyperhidrosis (foot sweating) is no more than 30% with the ETS procedure. For this reason the lumbar sympathectomy has emerged as a excellent option for those patients who did not get any relief with their plantar sweating after the thoracic sympathectomy or for those whom their plantar sweating is their major problem. The success rate of lumbar sympathectomy for excessive foot sweating is about 97%.
Sweaty Palms Testimonials:
"I admire your impeccable professionalism and your utmost skill in the performance of this highly technical and precise surgical procedure. I have waited many years since I was a young girl to properly get rid of this problem. My knowledge as a dermatologist led me to the best procedure and to the best doctor."
Ligaya.B, M.D. Read More From Doctor Ligaya
"I had the ETS surgery for palmar hyperhidrosis in 2003 and wanted to thank you and your staff for all of help. Taking a standardized test in the past was nearly impossible without handing in a sopping wet ScanTron sheet. Since my surgery date, I was able to take the paper and pencil medical school entrance exams. I applied to medical school and now I am a second year medical student in Ohio! This surgery changed my life."
Sarah Read More From Sarah
"I would also like to thank all of your staff for such a pleasant experience. They were very friendly and helpful from the first time that I made a phone call to your office up to the time in the recovery room. Everyone made me feel very comfortable and well taken care of."


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