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Williamsville, NY 14221
(716) 839-3638

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National Center of Excellence for Hyperhidrosis Treatment


Chemical Lumbar Sympathectomy for Hyperhidrosis of the feet

By: Hratch Karamanoukian, MD

July 13, 2008

A study in Korea by Dr. Kim and colleagues have investigated the use of chemical sympathectomy in the lumbar area to treat plantar hyperhidrosis, that is, hyperhidrosis or excessive sweating from the feet. Of 138 procedures, the number of successful blocks was 68 (49.3%) for L3 to L4 and 28 (20.3%) for L4 to L5. The degree of anhydrosis was excellent in 6 patients (8.7%), good in 32 patients (46.4%), fair in 32 patients (34.8%), and poor in 7 patients (10.1%). Of 69 patients, 56 (81.1%) were partially or fully satisfied. 

The authors concluded that "the careful use of chemical lumbar sympathectic block on an outpatient basis can be a safe, minimally invasive, and effective treatment for severe plantar hyperhidrosis.

Dr Karamanoukian at the Center for Excessive Sweating and has contacted the authors of this study who recommend that individuals with proper training alone perform this procedure as it is associated with complications, namely temporary sexual dysfunction in 1 patient, compensatory hyperhidrosis in 1 patient, and transient genitofemoral neuritis in 3 patients.


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For more information about hyperhidrosis (excessive sweating) , as well as surgical and non-surgical hyperhidrosis treatment options, contact Dr. Karamanoukian at The Center for Excessive Sweating, a National Center of Excellence for Hyperhidrosis Treatment by email or by phone at (716) 839-3638.

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