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1-2 Treatments
Ice / Topical numbing
3-4 Months
30-45mins
1-2 Days
Doctor
Low
Next Day
Palmar hyperhidrosis is a chronic condition characterised by excessive sweating from overactive sweat glands, even in cool conditions or at rest. It is usually caused by an overactive nervous system rather than an underlying illness, and often starts in childhood or adolescence. Stress and anxiety can make symptoms worse, but effective medical treatments are available that can significantly reduce sweaty hands.
Sweaty palms affect approximately 1–3% of the population, and the palms are among the most commonly affected areas. Many individuals report having sweaty hands “for as long as they can remember,” yet less than half ever seek medical treatment, often due to embarrassment or the belief that nothing can be done.
It frequently coexists with sweating in other areas, particularly the soles (plantar hyperhidrosis) and underarms (axillary hyperhidrosis). Despite being common, the condition remains underdiagnosed and undertreated, meaning many people live unnecessarily with highly treatable symptoms.
Excessive hand sweating is not just a cosmetic concern; it can significantly affect daily life, confidence, and emotional well-being. People with palmar hyperhidrosis often report:
Research shows that the quality-of-life impact of severe hyperhidrosis can be comparable to chronic skin conditions such as psoriasis or severe acne.
In most cases, palmar hyperhidrosis is caused by overactive sweat glands rather than an underlying medical problem. It often runs in families, so many people with sweaty hands have relatives with the same condition. It can also occur due to:
Botulinum toxin injections are one of the most effective treatments available. It works by temporarily blocking the nerve signals that stimulate sweat production.
Injection treatments are available in Gauteng at the Morningside, Parkhurst, Rosebank, Bedfordview, Fourways, West Rand, Irene, Waterfall, Lynnwood and Brooklyn clinics, as well as in the Western Cape at Cape Quarter, Claremont, Constantia, Century City, Stellenbosch, Paarl and Willowbridge clinics, and Kwa-Zulu-Natal at the Ballito, Durban and Umhlanga clinics.
No, it is not medically dangerous, but it can significantly affect emotional well-being, confidence, and daily functioning if left untreated.
Most patients experience relief for around 4–5 months, after which repeat treatment may be needed.
There is no guaranteed cure, but many treatments provide excellent long-term symptom control.
Compensatory sweating is mainly associated with surgical sympathectomy, not with Botox, iontophoresis, or topical treatments.
Yes. When treating palmar hyperhidrosis with botulinum toxin injections, numbing is typically used to improve comfort. The palms are a sensitive area, so topical anaesthetic cream is applied before treatment. This helps minimise discomfort while allowing the practitioner to deliver precise and effective injections.
Injection treatments are available in Gauteng at the Morningside, Parkhurst, Rosebank, Bedfordview, Fourways, West Rand, Irene, Waterfall, Lynnwood and Brooklyn clinics, as well as in the Western Cape at Cape Quarter, Claremont, Constantia, Century City, Stellenbosch, Paarl and Willowbridge clinics, and Kwa-Zulu-Natal at the Ballito, Durban and Umhlanga clinics.
No, it is not medically dangerous, but it can significantly affect emotional well-being, confidence, and daily functioning if left untreated.
Most patients experience relief for around 4–5 months, after which repeat treatment may be needed.
There is no guaranteed cure, but many treatments provide excellent long-term symptom control.
Compensatory sweating is mainly associated with surgical sympathectomy, not with Botox, iontophoresis, or topical treatments.
Yes. When treating palmar hyperhidrosis with botulinum toxin injections, numbing is typically used to improve comfort. The palms are a sensitive area, so topical anaesthetic cream is applied before treatment. This helps minimise discomfort while allowing the practitioner to deliver precise and effective injections.