Do you often have sweaty palms or feet, especially in the hot summer months? Do you feel that persistent sweaty palms or feet have brought great inconvenience to your study, life and work, and it is difficult to say? Does this sweaty feet make you afraid to take off your shoes in public, regardless of spring, summer, autumn or winter, and the smell of your feet is too bad? Most importantly, is it because the non-stop sweating has seriously hindered your normal social activities and psychological state? For example, the following photos of patients: In fact, the above series of symptoms is exactly palm and foot hyperhidrosis, a very common disease, but also can be treated! First of all, we need to know what is hyperhidrosis of the palms and feet? In medical terms, we define it as: 1) unexplained excessive sweating for at least 6 months; 2) interfering with normal daily activities; 3) sweating bilaterally or in relatively symmetrical areas at least once a week; 4) being younger than 25 years of age; 5) having a family history. If you meet three of the five conditions above, you are considered to have hyperhidrosis of the palms and feet! In fact, the incidence in China is not low, about 2%, and about 0.3% in young people aged 10-30. Especially in the south, there are relatively more patients with massive sweating and relatively less in the north. As for the treatment, we have five conventional general: 1. Injection therapy: type A botulinum toxin 2. External drug therapy: 10%-30% aluminum chloride anhydrous alcohol solution 3. Internal drug therapy: anticholinergic drugs, antidepressants or sedatives, etc.. Such as oral atropine, ranuncine, ranuncine . 4. Physical therapy: 2 to 3 times a week aluminum chloride for ionization therapy 5. Surgical treatment: endoscopic T2 ~ 4 sympathetic nerve cut. The following are a few of the above treatment methods. 1. on the palm of the hand coated with aluminum chloride, there will be a certain antiperspirant effect, but the probability of skin infection is greater, such as folliculitis. 2. on oral medication, generally can also temporarily stop sweating, but after eating the medicine will have dry mouth, nausea, drowsiness symptoms. 3. ion introduction method, basically every two days to come to the hospital to receive treatment, more time-consuming. 4. The effect of surgery is generally very good, but it is an invasive surgery with certain complications, such as pneumothorax. Also, it can lead to more sweating in the chest and abdomen than before, which we medically call compensatory hyperhidrosis. Here, we focus on the way to get Botox injections. There is also a lot of research on Botox injection, and the research on the injection dose as well as local anesthesia is also very advanced and mature. Basically, there is very little pain during the entire injection process, and the average effect of one injection lasts for about a year. If you want to continue the treatment at a later stage, you can still have the injection and it will not affect the efficacy. However, after the injection, the patient will have temporary symptoms of muscle weakness in the hand, which will recover in about 2 weeks, so it is recommended to treat one hand first. Here are the before and after treatment pictures, as follows: The blue color represents the lightness of sweating, the more blue, the more sweating. Before treatment After one year of treatment After treatment