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Hyperhidrosis is the medical term for excessive sweating that is a chronic condition affecting an estimated 7.8 million (or 2.8 percent) of the U.S. population. Patients with hyperhydrosis produce an amount of sweat that far exceeds that needed to regulate the body temperature.
Hyperhidrosis can cause dehydration and skin problems, including infections, and can be accompanied by strong odors. Some people may sweat so profusely that they need to change clothing several times a day.
What causes hyperhydrosis?
Hyperhidrosis most frequently develops in adolescence or young adulthood. The underlying cause of the disorder is uncertain but genetics may play a role—one-third to one half of patients has a family history of the disorder. Severe sweating may be exacerbated by stress, emotion or exercise, but often occurs spontaneously. The precise mechanism that triggers the condition is unclear but appears to be related to malfunction in the sympathetic nervous system—the part of the nervous system that regulates "involuntary" bodily functions (those we don't exert conscious control over) such as breathing, the heart beat, and regulation of body temperature. In people with hyperhydrosis, this system may produce too much of the neurotransmitter that triggers the glands producing sweat, or the glands may be overactive.
How can hyperhydrosis be treated?
Botox® injection is a minimally invasive treatment approved to help patients with severe primary axillary hyperhydrosis (excessive underarm sweating) inadequately managed with topical agents. Botox® is administered intradermally in tiny injections into the axillary area of severe sweating. Botox® inhibits the release of neurotransmitter, acetylcholine, from nerve cells, blocking the signals that stimulate glands to produce sweat. The effects are temporary with a median duration of approximately 6 months depending on the individual patient, at which time the treatment needs to be re-administered to maintain maximum effect.
Is Botox® treatment covered by my insurance?
Botox® treatment for hyperhydrosis may be covered by some medical insurance companies under specific circumstances. Our office can assist you with obtaining insurance pre-authorization after initial consultation.
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