Botox Side Effects Injecting Hands, Sweaty Palms?

Botulinum toxin has been used for people who have hyperhidrosis of palms and soles and underarms. Injections of the palms can be painful and doctors who become experienced at this treatment develop techniques in making the injections less uncomfortable, such as numbing cream, cold air, ice immediatley prior to the injection and anesthetic blocks.  There can be some weakness noted with grip strength especially with the thumb so depending on your occupation or need of hand clenching, certain areas might purposely be avoided or have less units injected.  You should definitely see a physician who is expert in this treatment.

The side effects for sweaty palms and hands are as follows:-Temporary weakness- this is quite rare and to date none of my patients have experienced this.  since botox is a neuromodulator it can impair muscle movement.  Patients who rely on their hands for a living should be cautious and weigh the risks with the benefits.-Bruising and swelling- Bruising and swelling is the most common side effect.  Patients should consider ceasing blood thinners.

Botox works well on the skin in areas of hyperhidrosis. There is a finite risk of motor loss in the area of injection which may not resolve for a few months. Other risks are related to any type of injection. Best, Dr. Karamanoukian Los Angeles

Using botox for palmar hyperhidrosis is an effective way to decrease sweating. The botox prevents the nerves from telling the sweat glands to secrete sweat. Each palm will need 50 to 100 units depending on the size. The cost depends on the cost per unit in each office. Botox ranges from 10-15 dollars per unit in my area.

If you know you respond well to BOTOX®, then there’s really very few risks for using injections to treat sweaty palms. Some people may notice pain at the injection site, but this can be alleviated with a topical numbing cream or by taking an over-the-counter pain reliever like ibuprofen before your appointment. The main side effect mentioned here, concerns over weakness in the major muscle groups of the hands, shouldn’t be an issue as long as you go to an experienced injector who is familiar with using BOTOX® for hyperhidrosis treatment. As long as you take your time to look around and find a practice you’re comfortable with, you should see great results using BOTOX® for your excessive sweating.

Botulinum Toxin (Dysport and Botox) for sweaty palms or armpits is a good technique with realtively few side effects compared to surgical alternatives such as sympathectomy. This may cause some pain with injection and some weakness if injected too deeply.