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Center for Excessive Sweating
5225 Sheridan Drive
Williamsville, NY 14221
(716) 839-3638

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The Center for Excessive Sweating and the Buffalo Sabres

National Center of Excellence for Hyperhidrosis Treatment


Botox for Underarm Sweating - Use of Cold Gel Packs to Minimize Pain

By: Hratch Karamanoukian, MD and Raffy Karamanoukian, MD

August 22, 2008

  • A recent study evaluated the use of frozen gel packs applied to the underarms before Botox is injected to treat hyperhidrosis. The authors used the same patients for ‘control’ subjects, using the gel pack for one underarm and no gel pack freezing for the other underarm. The frozen gel pack was applied for 5 minutes before Botox injection.

  • The author, Dr. Skiveren from the Department of Dermatology, Copenhagen University Hospital, Bispebjerg Hospital, Copenhagen, reported that “pain was assessed before, during (four times), and immediately after treatment, using a numeric rating scale. The patients experienced statistically significant pain reduction in areas cooled by frozen gel pack. However, the clinical relevance of this relatively small pain reduction is questionable”, according to Dr. Skiveren.


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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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