Is the Botox treatment for hyperhidrosis on hands and feet painful?

Question

I want to know if it's painful or dangerous. There is a possibility to hit a nerve on the hand and interfier with hand of feet movement ?

John Bitner, MD · Answer

Painful, yes!  Dangerous, it really shouldn't be.  Using numbing cream or a cool air blower is really a must for this procedure.  It is about 50 needle sticks in a highly innervated (lots and lots of nerve endings) area.  As long as the medication is delivered only to the skin and not deep into the muscle of the hands, you shouldn't notice weakness or any other problems with hand movement.  It should really stay in the skin (sweat gland) layer only after injecting as long as it is done properly.

Anil R. Shah, MD · Answer

Botox can be slightly painful along hands and feet.  There are several ways to make botox less painful including:
Ice- can freeze the nerves and constrict the blood vessels
Distractors- Especially some of the newer ones take advantage of the pain-gate theory of botox.
Zimmer chiller- can work with freezing areas
Numbing creams- topical anesthetics can be block sensation to the nerves.
Eastern medicine techniques- Can block pain channels by squeezing several key pain triggers

Kristin M. Baird, MD · Answer

Botox is an effective treatment for hyperhidrosis of the hands and feet. It is very safe if performed correctly. Since the injections are placed superficially there is little chance of any adverse effects on nerves and muscles. The treatment is very tolerable since ice, cold air, and topical anesthetic can be used to lessen any discomfort. Please consult a board certified dermatologist experienced in injections of the palms/soles for hyperhidrosis. Best wishes.

Jason Emer, MD · Answer

There can be some discomfort, but anesthesia, numbing cream and ice can help relieve discomfort. Hyperhidrosis or excessive sweating can be controlled with Botox or clycopyrolate. Multiple areas may require nervous system surgical treatment. Please see an expert for evaluation. Best, Dr. Emer

Martin Jugenburg, MD · Answer

yes those areas tend to be more painful. your practitioner can do local anesthetic in that area, numbing cream or ice.

Frank P. Albino, MD · Answer

Botox to the palms of the hands and / or soles of the feet is tolerable but in my experience more painful than Botox to the face.  There are measures that your provider may take to reduce your discomfort with topical anesthesia, ice pack, etc but most people are able to tolerate the treatment without problem.  It is also very safe as long as you are going to an experienced injector. 
Not everyone is a good candidate for this treatment so please see a Board Certified or Board Eligible Plastic Surgeon to evaluate if you may benefit. Good luck!
  
This content is for educational and informational purposes only. It is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare professional.  You should always seek the advice of your physician or healthcare professional for any questions you have about your own medical condition.

Philip Solomon, MD, FRCS · Answer

Botox for hyperhidrosis in the hands are typically tolerable. As for the feet some patients find it uncomfortable due to sensory sensitivities. Cold compresses help to reduce needle pain and in some cases we consider topical numbing to help alleviate discomfort. Other common areas I treat for Botox hyperhidrosis is the underarms with little to no discomfort. Dr. Philip Solomon

Aldo Guerra, MD · Answer

Hands are not too bad, but patients have a hard time with feet. We like an ice bath immersion which really helps. Be sure to see someone with experience! Best wishes, Dr. Aldo

Richard Ort, MD · Answer

Botox is very safe and effective for hyperhidrosis.  The palms and soles can be more sensitive but pain can be controlled with ice or cold air.  Injections are made superficially to try to avoid affecting the muscles in the hand.  Proper technique is important.  Other treatment options for hyperhidrosis can include iontopheresis and an oral medication called glycopyrrolate.  Make sure to see an expert.Regards,Dr. Ort

Stephen Weber MD, FACS · Answer

No, this treatment is very safe and only has mild discomfort. We use numbing cream which significantly reduces any pain. The treatment results are effective for up to 6 months. Best.

Is the Botox treatment for hyperhidrosis on hands and feet painful?

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