What does the future hold for excessive hand and foot sweating in the next 10 to 20 years?

A lot of understanding and knowledge became available over the last 30 to 40 years of treating excessive palmar and plantar hyperhidrosis. The main point that should be known to everybody is the fact that focal (local) hyperhidrosis for the hands and feet is a genetically based condition. Compared to generalized excessive sweating which affects the body as a whole which in most cases is associated with certain conditions such as aging, obesity, diabetes, thyroid problems, blood pressure problems and many others where the treatment is based on treating first the underlying disease or changing of certain life habits that includes weight reduction, increased daily activity, good control on blood sugar levels, etc.

In the focal/local hyperhidrosis cases where the problem starts with genetics it is a more complex issue to solve. Over the years numerous attempts were carried out with medications, lotions, dietary changes, hypnosis psychological treatment, etc were attempted with a minimal or no success rate (See alternative treatments). Due to the fact that genetic manipulation is not yet at hand surgical treatment including the minimally invasive methods such as ETS and ELS became the preferred methods. Obviously because of the invasive nature of the treatment as well as the possible side effects a thorough and a deep discussion should be carried out between the patient and a well-qualified surgeon who is familiar in the theoretical basis of the problem and the technical fine points of performing these procedures.