Description:
Excessive Foot sweating is almost always accompanied by excessive hand sweating. Even though foot sweating does not have the social importance like hands do it still poses a severe impact both socially and physiologically who suffer from excessive foot sweating. The notion that ETS can help with excessive foot sweating (plantar hyperhidrosis) faded as more experience was gained since 1990. For many years ETS was the procedure performed by most surgeons to eliminate hand sweating with the hope it would also help with excessive foot sweating. This was not the case and most of the patients, after ETS, still had excessive foot sweating. The medical community then discovered that lumbar sympathectomy was the best and most effective surgical treatment for excessive foot sweating which a much higher degree of success.
Basically with this procedure the lumbar sympathetic chain is approached endoscopically through small cuts in the side of the abdomen. The sympathetic chain in the lumbar region is exposed and clamped or divided as per the surgeons choice.
Effectiveness of treatment:
The success rate is about 97% to 98% and the operation can be accomplished on an outpatient basis with a low amount of pain. A return to normal life can also be obtained within a short time.
Summary:
Lumbar sympathectomy for excessive foot sweating is a very viable option. Again this should be discussed with an experienced surgeon after local conservative methods have been tried and failed.