Excessive foot sweating (Plantar Hyperhidrosis) can be just as severe as excessive hand sweating. It can appear as isolated foot sweating (Plantar Hyperhidrosis) or associated with excessive hand sweating. As a matter of fact most cases of excessive foot sweating come together with excessive hand sweating.
Sweaty Feet Causes
All the cases of localized hyperhidrosis (focal) such as of the hands (palmar), armpits (axillary) and feet (plantar) are due to genetic predisposition. In a minority of cases a specific illness may be attributed . Illnesses such as diabetes, renal failure and thyroid problems could contribute to these problems but again the likelihood is extremely low. Until a specific genetic manipulation will be offered to patients attempts should be carried out first with conservative measures. If those measures fail surgical intervention is now available.
Former ETS patients looking for the best results:
As it is known now the success rate for eliminating plantar hyperhidrosis (Excessive Foot Sweating) is quite limited for those who had ETS. Since 2004 a new surgical approach has become available to eliminate plantar hyperhidrosis. This procedure is called Endoscopic Lumbar Sympathectomy. In this operation the sympathetic ganglia which are responsible for plantar hyperhidrosis are interrupted (cut or clamped) in the lumbar region. The operation is done under general anesthesia and lasts between 1 and 2 hours. The success rate is 97% to 98%. In most cases patients can go home the same day but sometimes overnight stay is needed. Patients can return to normal life within a few days. Heavy activity such as exercise and standing up for many hours should be curtailed for a few weeks to allow the body to fully recover. Scaring is very minimal and cosmetically accepted by the vast majority of the patients.
Dr. Reisfeld is one of the first surgeons to offer this new approach to solve the problem of severe excessive foot sweating (Plantar Hyperhidrosis). He is also the only known surgeon to peform both Endoscopic Thoracic Sympathectomy (ETS - For Hand Sweating) and Endoscopic Lumbar Sympathectomy (ELS - For Foot Sweating). Learn more about this procedure which is called lumbar sympathectomy.
Sweaty Feet Treatments:
Conservative treatment should always be attempted to control it, but the success rate for the conservative measures is not as good in those cases of excessive foot sweating. Endoscopic thoracic sympathectomy when it is done for excessive hand sweating can help in no more than 15% of the cases. Until recently a separate lumbar sympathectomy for the treatment of excessive foot sweating was not offered. Since about 2004 lumbar sympathectomy has been offered to patients with sweaty feet. At the beginning the majority of the cases were done only on female patients due to the fear that when doing lumbar sympathectomy on males one can cause retrograde ejaculation. This particular side effect did not mature as long as the lumbar sympathectomy is done below the level of the second lumbar vertebra. In other words this procedure can be done on males with the same level of safety and no fear of retrograde ejaculation. Never the less this particular subject should be discussed with the surgeon before any decision is made. Recent clinical work that was done in Austria showed that performing lumbar sympathectomy in male patients below the level of L2 does not cause retrograde ejaculation. Leading hyperhidrosis surgeon Dr. Reisfeld in Los Angeles also concluded an important study that if the ELS is done below the lumbar vertebra #2 there is no associated retrograde ejaculation. The success rate is about 97% to 98% and the side effects such as pain, discomfort and scarring and well tolerated by the patients.
Learn more about Hyperhidrosis: