An important condition for effective treatment of any pathology is the development of a step-by-step plan for carrying out procedures individually for each patient. In this case, hardware and medical, and sometimes surgical methods of treatment should be combined.
Thus, the treatment of hyperhidrosis often includes the use of botulinum toxin injections, which is an alternative to other methods, as well as an effective and safe way to combat sweating. How is the procedure for treating hyperhidrosis with botulinum toxin, and what are the results of treatment, read further on estet-portal.com.
Botulinum toxin treatment for hyperhidrosis
Botulinum toxin injections play an important role in the treatment of primary hyperhidrosis. The mechanism of action of the toxin is to inhibit the release of acetylcholine in the nervous – muscle synapses and cholinergic autonomic ganglia. This leads to a long anhydrotic effect. After the first attempts to use botulinum toxin in 1994, it began to be prescribed for the treatment of hyperhidrosis.
When treating hyperhidrosis with botulinum toxin, it begins to act within 3 days after its administration, reaching a maximum effect after 6-7 days. Read more about the methods of anesthesia for the procedure on estet-portal.com. After administration, side effects are possible in the form of hemangiomas, muscle weakness and local pain. The anhydrotic effect in the treatment of hyperhidrosis with botulinum toxin injected into sudomotor fibers is higher than when injected into the region of motor nerve endings. The effect is about 14 – 19 days for the palms and 23 – 33 days for armpits.
In the few publications on the treatment of hyperhidrosis with botulinum toxin of the soles, a sharp decrease in sweating was reported, which lasted six months.
Today, the treatment of hyperhidrosis with botulinum toxin is a problem for the soles of the feet. We are talking about adequate pain relief.
Several types of pain relief have been described and used:
- Cold anesthesia – performed with ice packs or cold air;
- Creams or sprays – anesthetics;
- Vibration anesthesia.
Anesthetization methods do not completely eliminate sensitivity, but reduce discomfort during the procedure.
Since thorough anesthesia is the key to successful treatment of hyperhidrosis with botulinum toxin in the foot area, the listed methods have not found wide practical application.
Effective method of pain relief in the treatment of hyperhidrosis with botulinum toxin
Another safe and effective method of pain relief is the Bier blockade.
Bier Pain Relief Benefits:
- adequate and safe analgesia with a short duration of action;
- development of a sensory block and, to some extent, a motor block;
- after the procedure, patients can be active within 15 minutes.
Surgical methods of treatment of hyperhidrosis are used when local methods of correction are ineffective.
The most effective methods of pain relief for the skin of the feet include regional blockade of the tibial and sural nerves.
However, this method also has its drawbacks. This is the likelihood of nerve damage, the development of not only a sensitive, but also a motor block.
It is important to consider the localization of hyperhidrosis when choosing a method of its treatment. Treatment of hyperhidrosis with botulinum toxin is effective for the treatment of axillary and palmar – plantar hyperhidrosis.
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