Sweaty Palms is known medically as palmar hyperhidrosis, or excessive sweaty hands. Sweaty palms/hands is the most common form of hyperhidrosis for those suffering from excessive sweating. Excessive hand sweating or sweaty palms is a clinical situation where patients find difficulties in performing normal daily social and or functional activities. Over time this can have a major impact on peoples lives. Dedicating his career to hyperhidrosis, Dr. Reisfeld has helped more patients end their suffering from excessive sweaty hands than any other doctor in the U.S with a 98%+ success rate.

Proven Cure and Success Rates:

Over the last 20 years, important advancements were made and many operations were performed with the help of miniature cameras (Endoscopic Surgery). In these surgeries, entrance into the body cavities, such as the abdomen or chest, is done through miniature incisions that results in minimal surgical damage and allows for speedy recoveries. Sweaty palms are cured in over 98-99% of cases. Why not 100%? There are some rare cases in which anatomical abnormalities can be found preventing the surgeons ability to complete the operation safely. Also in some rare cases severe scarring from previous unrecognized infections within the chest cavity can prevent the surgeon from completing the operation safely. Safety always comes first in these elective procedures. Operations today are done on an outpatient basis (patients return home the same day) achieving the same results as the open operation in the past but without the long hospital stays, severe pain, and excessive scarring.

Excessive sweaty hands can be quite severe affecting a patient’s everyday life both functionally and socially. Everyday activities such as using computers, musical instruments, and even driving can become a difficult task due to excessive hand sweating. Simple tasks such as opening a doorknob can be difficult. Personal relationships can also be affected negatively. (See Hyperhidrosis Testimonials) In a smaller sub-group of patients excessive hand sweating is associated with panic attacks which can be attributed to their fear of simple social situations. In about 50% or more of the patients sweaty palms/hands is genetic. Sweaty palms/hands usually begins early in childhood and can get more severe towards the late teenage years and into early adulthood. In some rare cases hyperhidrosis started, after a definite physical injury, either within the chest cavity or in a few cases because of electrocution. Obviously these kind of cases are rare but point to other rare possibilities as a cause of hyperhidrosis.

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The International Hyperhidrosis Society divides the severity of Palmar Hyperhidrosis or Excessive Hand Sweating into four subgroups. Group one consists of patients that have mild hand sweating which does not cause any functional or social problems. On the other end of the spectrum are patients with excessive hand sweating at a level of wetness described as dripping affecting them on a daily basis. Patients from the last group rarely have benefit from conservative measures such as Drysol, Drionic, Maxim, Oral Medications, or Botox. Obviously the above classification is an artificial one and even patients without dripping are good candidates for the surgery. The question that should be answered by any patient is the following:
Does this condition affect my life negatively?
In a few studies that were published on the topic of quality of life changes. The outcome was very positive with regard to the quality of life improvements after the surgery.

Causes of Sweaty Palms:
The term “hypersympathetic activity” is more accurate terminology because excessive sweating is caused by heightened activity in the sympathetic chain. The sympathetic chain is part of the autonomic nervous system which is located within the chest cavity. It has nothing to do with motoric or sensory functions which are part of the voluntary nervous system. Those functions are controlled by us compared to the independent nature of the sympathetic system.

Today, sympathectomy is performed endoscopically. One or two small incisions are made on each side of the chest cavity through which a fiber optic camera and other instruments are inserted. The sympathetic chain is then resected, coagulated, or clamped. At present, Dr. Reisfeld only performs the clamping method. Due to the fact that this is the preferred method done Dr. Reisfeld uses two small incisions on each side of the chest cavity. This method has the possibility of reversal. The success rate by all methods for the treatment of sweaty hands is about 98%. To learn more about the procedure in detail click here.

Sweaty Palms (Palmar Hyperhidrosis) Summary:
Excessive hand sweating can be a serious problem both in social settings and everyday functional activities such as opening a door, writing a paper, driving, computer usage or signing your name. These are just a few examples of how palmar hyperhidrosis can affect a person.

You may ask what should I do? Those affected should first discuss the matter with their doctor and then first try theconservative hyperhidrosis treatment measures available. If those measures do not give satisfactory relief then consideration should be given to the hyperhidrosis surgical treatment options to hyperhidrosis.

What about Excessive foot Sweating?
As a matter of fact after years of doing the Thoracic Sympathectomy it is becoming more evident that the success rate for plantar hyperhidrosis (foot sweating) is no more than 30% with the ETS procedure. For this reason the lumbar sympathectomy has emerged as a excellent option for those patients who did not get any relief with their plantar sweating after the thoracic sympathectomy or for those whom their plantar sweating is their major problem. The success rate of lumbar sympathectomy for excessive foot sweating is about 97%.


What is the age range for patients to have the ETS procedure done?
The age range of patients for which Dr. Reisfeld performs the ETS procedure is between 10 years old and 66 years old. Dr. Reisfeld assesses each patient on a case by case basis. Generally speaking at present the recommendation for younger patients is to wait until they have gained more physiological, physical and mental maturation. This means that the potential patients should wait until the approximate age of 15 or 16. It is however recommended that Dr. Reisfeld be contacted for a much more precise assessment. Please see our section on younger age hyperhidrosis.

Is the ETS procedure right for me?
Yes, it may very well be. Dr. Reisfeld consults and meets with every interested patient to determine if the procedure is right for him or her. The surgical solution to end hyperhidrosis is both highly effective and extremely safe. Dr.Reisfeld is the most experienced ETS doctor in the U.S. He takes great pride in what he does and it shows time and time again. He performs this proven surgery practically on a daily basis helping those who suffer from hyperhidrosis take their lives back. Contact us and we can arrange for you to personally speak with Dr. Reisfeld and ask any specific questions you have.

Sweaty Palms Testimonials:
“I admire your impeccable professionalism and your utmost skill in the performance of this highly technical and precise surgical procedure. I have waited many years since I was a young girl to properly get rid of this problem. My knowledge as a dermatologist led me to the best procedure and to the best doctor.”
Ligaya.B, M.D.    Read More From Doctor Ligaya

“I had the ETS surgery for palmar hyperhidrosis in 2003 and wanted to thank you and your staff for all of help. Taking a standardized test in the past was nearly impossible without handing in a sopping wet ScanTron sheet. Since my surgery date, I was able to take the paper and pencil medical school entrance exams. I applied to medical school and now I am a second year medical student in Ohio! This surgery changed my life.”
Sarah    Read More From Sarah

“I would also like to thank all of your staff for such a pleasant experience. They were very friendly and helpful from the first time that I made a phone call to your office up to the time in the recovery room. Everyone made me feel very comfortable and well taken care of.”
Peggy.P    Read More From Peggy

  Read from several touching thank you letters Dr. Reisfeld has received over the years since 1996.

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Do you have any hand sweating questions that were not answered here? Would you like to speak with Dr. Reisfeld to answer those questions? To learn more about what we can do for you, contact The Center for Hyperhidrosis by contacting our office or post your comments or questions below and we will do our best to reply.

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