Hyperhidrosis Feet Treatment With Botox


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Though it is a lot less common than other forms, hyperhidrosis can affect the soles of the feet. When it affects this area, it is referred to as Plantar hyperhidrosis. Despite being not as obvious as when it affects the palms of your hands or your underarms, Plantar hyperhidrosis can still be just as troublesome. Sufferers can end up spending a fortune constantly having to buy new shoes, the excessive sweating destroying pair after pair. Some people even avoid jobs that require wearing open-toed shoes, or wearing sandals on holiday. Like all forms of hyperhidrosis, it is all down to over-activity in the eccrine glands, only the ones situated in the soles of the feet.

How Can Botox Be Used To Treat Hyperhidrosis In The Feet?

Injections of Botox units can be applied to the soles of the feet in the same way they can be applied to the underarms and the palms of the hands. Only a handful of clinics and clinicians are experienced in treating Plantar hyperhidrosis with Botox, so you might have to research into where you can have the procedure done.


 First, an iodine starch test is done to discover which parts of the feet are most badly affected. Normally the feet don’t produce enough sweat to show up on this test, so the feet change colour this shows a positive test for hyperhidrosis. The parts that tend to be the most affected are the balls of the feet and the base of the toes.

The Botox units are injected roughly about 1.5mm into the soles of the feet, directly into the sweat glands. The Botox blocks the supply to the eccrine glands and therefore prevents the excessive sweating. You could need anywhere from 15 to 30 injections in each foot, and depending on the number of injections that are necessary the procedure could take up to an hour.

What Are The Side Effects And How Quickly Will I Notice A Difference?

Your feet will be sore for a few days after the procedure. They will also be bruised and may bleed slightly. You should be able to walk normally after around 3 days, and within a week you should be able to notice a considerable difference in the amount of sweat your feet are producing.

Bear in mind that Botox for Plantar hyperhidrosis is only a temporary fix, lasting for around 4 – 9 months. It is also quite an expensive procedure, and in some cases can cost up to £350 per foot. But some would say if it results in a more confident, fulfilling life, then it’s more than worth it.


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