THE PRACTICE PULSE DECEMBER 2017

DON’T SWEAT THE SWEAT!

What is hyperhidrosis?

Hyperhidrosis is a medical condition in which a person sweats excessively and unpredictably. It occurs in the hands, armpits, in the feet or on the face. People with this condition may sweat even when the temperature is cool or when they are sleeping. Hyperhidrosis can also be referred to as excessive sweating, excessive perspiration or diaphoresis.

Primary hyperhidrosis, affecting the hands, feet and armpits, occurs in approximately 2-3% of the population. Although physicians are researching the cause of this condition, it is unknown why excessive sweating occurs in certain individuals. Researchers are uncertain whether it is the over activity of the sympathetic nervous chain or the sweat glands themselves.

Secondary hyperhidrosis occurs as a result of another medical condition, including hormone imbalances, anxiety conditions, cancer, certain medications, heart disease, hyperthyroidism, lung disease, Parkinson’s disease, spinal cord injury and other various conditions.

Our goal is to improve quality of life

Less than 40% of people with this hyperhidrosis seek medical advice. At Florida Heart and Lung Institute, we recognize that uncontrolled sweating can hamper daily activities and lead to physical and emotional discomfort. The initial treatment for hyperhidrosis is usually medical with prescription antiperspirants, however patients who do not respond to medical treatment and with specific sweating patterns are considered for surgical treatment. We offer a minimally invasive procedure called endoscopic thoracic sympathectomy (ETS) to help alleviate the symptoms caused by hyperhidrosis.

How is the ETS procedure performed?

Our ETS procedure involves a specific portion on the sympathetic chain or nerve, which controls sweating. During the procedure, two small incisions are made below the armpit which are about 3 mm in size. Through these incisions there is identification of the sympathetic nerve chain and any Kuntz nerve branches and at the third and fourth levels the accessory nerve of Kuntz is divided interrupting the vasomotor/pseudomotor fibers to the axilla and palmar areas.

Surgery typically lasts 1 hour and patients are discharged to home on the same day. Most patients require some mild oral pain medication for a few days following surgery, but are usually able to resume normal activities immediately.

At The Hyperhidrosis Center at North Florida Regional Medical Center there is a core group of multidisciplinary individuals with an interest and special skill in the surgical treatment of hyperhidrosis and we look forward to helping patients find a potential cure for what may be a life altering condition both socially and professionally.

Charles T. Klodell, MD

For more information, visit Stop my sweating

For insights, answers to questions, or to share commentary contact: Aubrey Hall, Publisher of The Practice Pulse, at Aubrey.Hall2@hcahealthcare.com

THE LATEST MURMURS

“My experience with Dr. Klodell and his team was first class. Three months out from surgery and I am ecstatic to have dry, warm hands, something as a medical student, I’m sure my future patients will appreciate. I am very grateful for Dr. Klodell and staff who made my surgical experience comfortable and anxiety-free. I know that ETS is not widely performed in North Florida and I am glad I had someone to go to when I finally made the decision that the surgery was right for me.” - Scott Nelson, Patient – Age 24

“I suffered from focal hyperhidrosis in my hands and feet since I was 7 years old and the disease was only getting worse. It interfered with walking in flips flops, writing, and cheerleading. I researched online and found Dr. Klodell who specializes in curing this disease. My surgery was in early September, and I am happy to say I am cured. Dr. Klodell’s staff and the hospital were amazing! They went above and beyond before and after my surgery to make me feel comfortable. It was a great experience and I am very thankful for the results.” - Hilty Guyer, Patient – Age 9

FLORIDA HEART AND LUNG INSTITUTE

6440 Newberry Rd, Suite 102 | Gainesville, FL 32605 | Phone: (352) 333-5610 | Fax: (352) 333-5611 | FL Heart and Lung | Email: nfrm.fhli@hcahealthcare.com