Palmar hyperhidrosis is a medical condition in which the patient sweats excessively and unpredictably from their hands.

Patients with palmar hyperhidrosis may sweat even when the temperature is cool or when they are at rest.

Palmar and general hyperhidrosis can be primary (no obvious cause – maybe hereditary) or secondary (part of a disease).

Conditions that cause secondary hyperhidrosis:

• Acromegaly

• Anxiety conditions

• Cancer

• Certain medications and drugs

• Diabetes

• Heart disease

• Hyperthyroidism

• Infections such as tuberculosis

• Lung disease

• Menopause

• Parkinson’s disease

• Spinal cord injury

• Stroke

Classic treatment:

Endoscopic thoracic sympathectomy (ETS). In severe cases, a minimally invasive surgical procedure called thoracoscopic sympathectomy may be performed when other treatments fail.

ETS does not work as well for those with excessive armpit sweating.


When we read that classical medicine treats via the sympathetic nervous system, it seems very logical that we:

• First check for secondary hyperhidrosis and have the related disease treated.

• Secondary focus on the upper thoracics and the cervicothoracic junction with special attention in the direction of the stellate ganglion.


• avoid sweat triggers such as:

o Spicy foods.

o Caffeine.

o Alcohol.

o Synthetic fabrics.

o Wear socks and clothing of natural material.

o Change cloths regularly.