Hyperhidrosis, Neurosurgery FAQ - Page 2

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Understanding Palmar Hyperhidrosis and Sympathetic Nervous System Differences

Inquiry about "palmar hyperhidrosis" and "sympathetic nervous system" (forwarded from the Director's mailbox)? Hello, I inquired about the differences between "palmar hyperhidrosis" and "sympathetic nervous system" on December 31. I wo...


Dr. Ding Xianwei Reply:
Hello, I am a neurosurgeon. Since hyperhidrosis is within the specialty of neurosurgery, please allow me to provide you with an explanation. Palmar hyperhidrosis, commonly referred to as hand sweating, is characterized by excessive sweating of the palms, with some patients experi...

[Read More] Understanding Palmar Hyperhidrosis and Sympathetic Nervous System Differences


Understanding Hyperhidrosis: Why Do My Hands Sweat More in Certain Situations?

Hyperhidrosis I have hyperhidrosis, but I tend to sweat more at school (once I start sweating, it's hard to stop). However, when I wear dress shoes, I sweat less from my hands (though they still get a bit damp). When I wear athletic shoes, I definitely sweat from my hands, a...


Dr. Ding Xianwei Reply:
Hello! Regarding hyperhidrosis, endoscopic surgery can be used to treat most cases of palmar sweating by disrupting the sympathetic nerves at the second and third thoracic vertebrae. In some individuals, this may reduce plantar sweating, while in others, it may actually increase ...

[Read More] Understanding Hyperhidrosis: Why Do My Hands Sweat More in Certain Situations?


Understanding Hyperhidrosis: When to Consider Surgery for Hand Sweating

Hyperhidrosis I just found out that surgery for hyperhidrosis can only be performed on adults. I experience sweating almost all over my body, but only my hands and feet sweat excessively. Even when I wear a jacket and play basketball under the hot sun, I only sweat a little on my...


Dr. Ding Xianwei Reply:
Hello! Regarding hyperhidrosis, endoscopic surgery can be used to treat most cases of palmar sweating by disrupting the sympathetic nerves at the second and third thoracic vertebrae. In some individuals, this may reduce plantar sweating, while in others, it may actually increase ...

[Read More] Understanding Hyperhidrosis: When to Consider Surgery for Hand Sweating


Understanding Hyperhidrosis: Treatment Options and Surgical Insights

Some issues related to hyperhidrosis? Hello, Doctor! I am someone who suffers from palmar hyperhidrosis. I have come across some questions raised by others online that are very similar to my situation, but they remain unanswered. I would like to know the answers to these question...


Dr. Xiao Furen Reply:
1. The best results are typically achieved with T2 + T3, but compensatory sweating may be more severe. Some say that performing only T2 or T3 + T4 may result in less compensatory sweating, although I have also seen cases where T3 + T4 was performed and there was still palmar swea...

[Read More] Understanding Hyperhidrosis: Treatment Options and Surgical Insights


Understanding Sympathectomy: Procedure, Costs, and Recovery Insights

Red Does your hospital perform sympathetic nerve resection surgery? I often experience facial flushing, which causes significant distress. Thank you! How difficult is the surgery, and what are the costs involved? How many days is the recovery period? What are the expected outcome...


Dr. Xiao Furen Reply:
Our hospital performs sympathetic nerve resection surgery, which is an endoscopic procedure for primary hyperhidrosis. The costs can be covered by health insurance and are generally within an acceptable range. Typically, patients are admitted today, undergo surgery tomorrow, and ...

[Read More] Understanding Sympathectomy: Procedure, Costs, and Recovery Insights


Unusual Sweating Phenomenon After Hand Sweat Surgery: A Case Study

The Strange Phenomenon of Hand Sweat Surgery Hello, doctor! I underwent surgery for axillary hyperhidrosis six years ago. For the first two years post-surgery, I did not sweat at all above my neck and down to my palms, and my condition was good. Starting from the third year, I no...


Dr. Xiao Furen Reply:
This phenomenon is called gustatory sweating. It has been suggested that it occurs because the parasympathetic (vagal) nerves have grown into the severed sympathetic nerves. According to a recent report from Hong Kong, about one-third of patients with palmar hyperhidrosis experie...

[Read More] Unusual Sweating Phenomenon After Hand Sweat Surgery: A Case Study


Understanding Excessive Sweating After Neurosurgery: Risks and Recovery

Side effects I would like to ask a question. I previously visited an outpatient clinic and asked the doctor about my condition. The doctor mentioned that after surgery, I might experience excessive sweating in other areas of my body. When they refer to excessive sweating, does th...


Dr. Ding Xianwei Reply:
Hello: Generally speaking, not everyone experiences compensatory sweating, and individual perceptions may vary. However, statistics show that about one-third of patients are dissatisfied with surgical outcomes. If palmar hyperhidrosis is significantly affecting your daily life, s...

[Read More] Understanding Excessive Sweating After Neurosurgery: Risks and Recovery


Treating Compensatory Sweating After Hyperhidrosis Surgery

Compensatory sweating after surgery for hyperhidrosis? Hello Dr. Ding, I would like to ask if there are any treatment options available for severe compensatory sweating that occurs after surgery for hyperhidrosis. Thank you!


Dr. Ding Xianwei Reply:
Hello: Currently, compensatory sweating can be managed with some sympathetic nervous system inhibitors; however, due to side effects, long-term use is not recommended. Sincerely, Dr. Ding Hsien-Wei, Neurosurgeon.

[Read More] Treating Compensatory Sweating After Hyperhidrosis Surgery


Understanding Excessive Sweating: When to Seek Medical Help

Facial sweating is profuse, like rain! Hello: I have been sweating a lot since I was young, and I tend to flush when I get nervous, but it has never been severe enough to be unbearable. However, in recent years, I have noticed that I sweat a lot just from walking a few steps. In ...


Dr. Ding Xianwei Reply:
Hello: Generally speaking, palm sweating is a secondary condition; however, your situation seems to indicate generalized hyperhidrosis, which may suggest an issue with your endocrine system. Additionally, you should consider whether you experience irritability, have a large appet...

[Read More] Understanding Excessive Sweating: When to Seek Medical Help


Understanding Recurring Hand Sweating After Surgery: What to Do?

Recently, my hands have started sweating again..? Hello, doctor... I had surgery for palmar hyperhidrosis four years ago. Initially, it was very successful; I didn't experience any hand sweating or compensatory sweating issues. However, over time, I've started to sweat ...


Dr. Chen Changmu Reply:
Hello, currently there is no effective solution for compensatory hyperhidrosis that occurs after hand sweating surgery. Additionally, hand sweating surgery is not related to breast development.

[Read More] Understanding Recurring Hand Sweating After Surgery: What to Do?


Understanding Surgical Options for Hyperhidrosis: Insights and Costs

Types of surgery for hyperhidrosis? Hello, Doctor. I would like to ask about a type of surgery for palmar hyperhidrosis. I heard that if someone regrets the surgery, the nerves can be reconnected to allow sweating to resume. Is this referring to "endoscopic thoracic sympathe...


Dr. Qiu Yushu Reply:
Hello: The use of clamps to interrupt the sympathetic ganglia is a type of endoscopic sympathetic nerve resection surgery. If a patient regrets the procedure, a second surgery can be performed to remove the clamps. It is essential to fully understand the potential complications b...

[Read More] Understanding Surgical Options for Hyperhidrosis: Insights and Costs


Understanding Hyperhidrosis: Treatment Duration and Surgical Options

Palmar hyperhidrosis How long does treatment for hand sweating take? Is surgery necessary?


Dr. Chen Changmu Reply:
Please visit the outpatient clinic for an evaluation to determine if further treatment is necessary.

[Read More] Understanding Hyperhidrosis: Treatment Duration and Surgical Options


Managing Compensatory Sweating After Hand Surgery: Medication Options

Palmar hyperhidrosis Hello Dr. Chen, I would like to inquire if there are any oral medications available to alleviate or control compensatory sweating after hand surgery. Thank you for your response.


Dr. Chen Changmu Reply:
Currently, there are no specific oral medications available to control or alleviate compensatory sweating after surgery for hyperhidrosis.

[Read More] Managing Compensatory Sweating After Hand Surgery: Medication Options


Does Hand Sweat Surgery Affect Metabolism and Cause Compensatory Sweating?

Please ask your question? Hello, doctor: I recently read in the newspaper about a celebrity who underwent surgery for palmar hyperhidrosis, but it seemed to affect their metabolism afterward. I would like to ask, if someone undergoes surgery for palmar hyperhidrosis, aside from t...


Dr. Chen Changmu Reply:
The term "metabolism" is too broad; in fact, the body's sweating function is also considered a form of metabolism. The side effect of hyperhidrosis primarily involves compensatory sweating, and there don't seem to be any other specific "metabolic" is...

[Read More] Does Hand Sweat Surgery Affect Metabolism and Cause Compensatory Sweating?


Does Sweaty Hands Cause Cold Feet? Understanding Hyperhidrosis Effects

Can sweaty hands cause cold hands and feet? Hello, doctor. I am also a patient with hyperhidrosis. I have not undergone surgical treatment yet. During hot weather, I tend to experience excessive sweating in my hands and feet. However, during the winter, I sweat less but my hands ...


Dr. Ding Xianwei Reply:
Hello! Regarding hyperhidrosis, endoscopic surgery can be used to treat most cases of palmar sweating by disrupting the sympathetic nerves at the second and third thoracic vertebrae. Some individuals may experience a reduction in plantar sweating, while others may actually see an...

[Read More] Does Sweaty Hands Cause Cold Feet? Understanding Hyperhidrosis Effects


Understanding Compensatory Sweating After Hand Surgery: Solutions and Insights

Foot sweat I previously underwent surgery for palmar hyperhidrosis in the underarm area, but I am experiencing even more sweating on the soles of my feet. Is this a compensatory transfer phenomenon? I feel even more distressed; is there no way to further treat or improve the swea...


Dr. Xiao Furen Reply:
It is possible, but the surgery is more complex compared to hyperhidrosis. In general, hyperhidrosis involves disrupting the sympathetic nerves at the second (or third) thoracic vertebra, which allows for a smaller incision. In contrast, for plantar hyperhidrosis, it requires dis...

[Read More] Understanding Compensatory Sweating After Hand Surgery: Solutions and Insights


Understanding Compensatory Sweating After Hyperhidrosis Surgery

Postoperative complications of hyperhidrosis surgery? I underwent surgery for hyperhidrosis on September 17, but I have been experiencing excessive sweating in areas that previously did not sweat, such as my back, chest, and inner thighs. I am wondering if this compensatory sweat...


Dr. Shao Guoning Reply:
Hello: In response to your question, compensatory hyperhidrosis is unavoidable; this is a significant drawback of surgery for palmar hyperhidrosis. However, over time, the body gradually adapts, leading to a reduction in compensatory hyperhidrosis and an adjustment to generalized...

[Read More] Understanding Compensatory Sweating After Hyperhidrosis Surgery


Understanding Hyperhidrosis: Treatment Options and Risks Explained

Hyperhidrosis of the feet I have been suffering from palmar and plantar hyperhidrosis for many years. Recently, when I consulted a doctor, he explained that conventional surgery is not effective in addressing plantar sweating. He recommended high-frequency thermal therapy, which ...


Dr. Shao Guoning Reply:
Hello, in response to your questions: 1. The simultaneous treatment of palmar and plantar hyperhidrosis is performed through endoscopic thoracic sympathectomy targeting the second and third thoracic sympathetic ganglia, with a 100% cure rate for palmar hyperhidrosis, while the ...

[Read More] Understanding Hyperhidrosis: Treatment Options and Risks Explained


Understanding Severe Hand Sweating: Treatment Options and Recovery Time

I have severe hyperhidrosis of the hands? Hello, Vice Dean. My palmar hyperhidrosis is inherited from my father. Compared to others, mine seems to be more severe because my hands sweat continuously even with a slight increase in temperature or just a little exercise. I have looke...


Dr. Shao Guoning Reply:
Dear A-Mao, In response to your question, you can go home on the same day as the surgery for palmar hyperhidrosis. Within the first two days post-surgery, you may experience chest tightness and pain, which will gradually lessen. After the surgery, you should avoid raising your a...

[Read More] Understanding Severe Hand Sweating: Treatment Options and Recovery Time


Does Sleep Deprivation Cause Changes in Body Physiology?

Does lack of sleep cause changes in physical condition? In the past, I used to sleep on time and never experienced sweaty hands. However, since I started staying up late, I have been experiencing sweaty hands.


Dr. Hong Xuyi Reply:
Hello: In response to your question: The severity of palmar hyperhidrosis is related to sympathetic nervous system overactivity. Abnormal sleep may lead to dysregulation of the autonomic nervous system, which can result in changes in constitution.

[Read More] Does Sleep Deprivation Cause Changes in Body Physiology?


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