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Excessive Sweating Treatments

Hyperhidrosis is a medical condition that causes uncontrollable and excessive sweating in particular parts of the body including the palms of the hands, underarms, face or feet.  It is believed that hyperhidrosis is the result of an overactive sympathetic nervous system. The sweating that occurs is not only a physical problem, but can also be emotionally devastating.

Raj K. Narayan, MD, Chair of Neurosurgery at North Shore University Hospital and LIJ Medical Center and Director of the Cushing Neuroscience Institute explains. “While there are many people who learn to live with the condition, the good news is that hyperhidrosis can be easily treated in a number of ways. There are anticholinergic drugs that may help to reduce the production of sweat. In the case of severe underarm sweating, small doses of BOTOX® can be injected, but the drawback is that the effectiveness is temporary. However, if medications and other therapies are not successful, a minimally invasive surgery called endoscopic thoracic sympathectomy can be performed. The collaborative surgical team consists of a neurosurgeon and a thoracic surgeon, experienced in hyperhidrosis surgery. The purpose of the surgery is to eliminate the signal telling the body to sweat excessively. Patients with sweating involving the entire body are not good candidates for surgery. However, for hyperhidrosis that mostly affects the hands, the surgery has a 98% success rate and its effectiveness is long term, allowing patients to resume their daily activities within a couple of days and to live a normal life."

Make an appointment at our Hyperhidrosis Center:
Cushing Neuroscience Institute’s Hyperhidrosis Center makes it easy for you to take the first steps in ensuring the best neurosurgical care for yourself and your family. Simply click on our Request an Appointment form, email us at, or call us at (516) 562-3816.