Unilateral Sweating: Understanding Right Arm Hyperhidrosis in Heat
Walking under the sun, only the right forearm is sweating while the left forearm is not? Recently, due to the hot weather, I've noticed that after walking in the sun for a while, I sweat easily from my chest, back, and armpits. However, I've observed that only my right ...
Dr. Zhang Junwei Reply:
Palmar hyperhidrosis and sympathetic nervous system abnormalities. Neurosurgery.[Read More] Unilateral Sweating: Understanding Right Arm Hyperhidrosis in Heat
Managing Compensatory Sweating After Thoracic Sympathectomy Surgery
I have a severe compensatory sweating issue? Doctor: I underwent T4 sympathetic nerve transection surgery in June of this year, and I am experiencing severe compensatory sweating postoperatively. Are there any medications or methods available to improve this compensatory sweating...
Dr. Lai Zhaokang Reply:
Hello: The surgery for palmar hyperhidrosis has been regulated in Taiwan for many years, requiring careful preoperative assessment and approval from health insurance authorities before it can be performed. This is due to the fact that many patients experience similar issues, such...[Read More] Managing Compensatory Sweating After Thoracic Sympathectomy Surgery
Why Does Hyperhidrosis Return After Surgery? Understanding Recurrence
Will hyperhidrosis recur after surgery? Hello, doctor. I had surgery for palmar hyperhidrosis about 10 to 20 years ago (it's been so long that I don't remember the exact time), and for over a decade, my hand sweating improved significantly. However, now the sweating has...
Dr. Lai Zhaokang Reply:
Hello: 1. I personally speculate that you likely underwent endoscopic sympathectomy of the axilla years ago. After many years post-surgery, the previously severed nerve fibers may have regrown and resumed conduction. 2. I do not recommend another surgery due to higher risks as...[Read More] Why Does Hyperhidrosis Return After Surgery? Understanding Recurrence
Reversing Compensatory Sweating: Can Previous Surgery Tools Be Removed?
Surgery for palmar hyperhidrosis without nerve ablation? Hello, Doctor. I underwent a surgery for palmar hyperhidrosis 13 years ago. At that time, the doctor informed me that if I could not accept the compensatory sweating that might occur post-surgery, this new type of surgery w...
Dr. Ding Xianwei Reply:
I am not familiar with your surgery, so I cannot provide an answer. I sincerely apologize.[Read More] Reversing Compensatory Sweating: Can Previous Surgery Tools Be Removed?
Understanding Compensatory Sweating After Endoscopic Sympathectomy
excuse me? 1. Is there any hope for compensatory sweating below the chest after undergoing endoscopic thoracic sympathectomy for hyperhidrosis? Are there any reversal surgeries available? 2. I've heard that if only the first and second segments are resected, recovery is pos...
Dr. Zheng Zhong Reply:
Endoscopic thoracic sympathectomy (ETS) for palmar hyperhidrosis typically involves the cauterization of the second and third thoracic sympathetic ganglia. Compensatory hyperhidrosis is a common complication that can lead to new concerns. The surgical approach using cauterization...[Read More] Understanding Compensatory Sweating After Endoscopic Sympathectomy
Understanding Axillary Hyperhidrosis: Neurosurgery vs. Plastic Surgery Approaches
Axillary hyperhidrosis Hello, Doctor: In the department introductions of some hospitals, I see that both neurosurgery and plastic surgery list the treatment of "hyperhidrosis" (axillary sweating). Are the approaches of neurosurgery and plastic surgery the same? Is surgi...
Dr. Zhang Yuanyi Reply:
Dear Ah Xiang, Hello. The approaches of neurosurgery and plastic surgery are different. Neurosurgery involves endoscopic sympathectomy through the thoracic cavity, primarily targeting palmar hyperhidrosis. The success rate for controlling axillary sweating is lower than that for...[Read More] Understanding Axillary Hyperhidrosis: Neurosurgery vs. Plastic Surgery Approaches
Can Sympathetic Nerve Ablation Be Reversed? Solutions for Compensatory Sweating
Can the sympathetic nerve recover after ablation? Hello Dr. Ding: Due to my concern with axillary bromhidrosis, I am considering treating my palmar hyperhidrosis to alleviate the sweating symptoms under my arms. My palmar hyperhidrosis is quite mild, but since the treatment for b...
Dr. Ding Xianwei Reply:
Hello: It may not be possible to recover, but medication might be able to address your issue. Sincerely, Dr. Ding Hsien-Wei, Neurosurgery.[Read More] Can Sympathetic Nerve Ablation Be Reversed? Solutions for Compensatory Sweating
Understanding Axillary Hyperhidrosis After Sympathectomy: Treatment Options
Hyperhidrosis Hello, Doctor. Eight years ago, I underwent endoscopic sympathetic nerve surgery to treat palmar hyperhidrosis. At that time, I did not inform the physician that I also experienced sweating in my armpits. To this day, my axillary hyperhidrosis remains severe, and it...
Dr. Ding Xianwei Reply:
Hello: I would suggest that you undergo axillary gland excision (surgery for axillary osmidrosis), but you are not suitable for endoscopic surgery anymore, as patients who have undergone previous surgeries may experience adhesions in the lungs, which increases the difficulty of t...[Read More] Understanding Axillary Hyperhidrosis After Sympathectomy: Treatment Options
The Connection Between Hyperhidrosis and Sympathetic Nervous System
What is the relationship between hyperhidrosis and the sympathetic nervous system? Dear Dr. Ding Hsien-Wei, Thank you for your reply. I may have made an error in the subject line of my email to Dr. Chen Shu-Chang; it should have been "What is the relationship between palmar...
Dr. Ding Xianwei Reply:
Hello: As previously mentioned, hyperhidrosis can be treated with sympathetic nerve resection. Botulinum toxin can also be used to suppress it, but currently, botulinum toxin requires out-of-pocket payment, and most experiences with it are limited. Additionally, it may recur in 3...[Read More] The Connection Between Hyperhidrosis and Sympathetic Nervous System
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: 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
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
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
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?
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