Hyperhidrosis (Palmar & Plantar) Expert, Tampa, FL

1. What treatment do you offer for Palmar (Hands) and Plantar (Feet) Hyperhidrosis?

In addition to oral medications, topical creams, we offer Botox injections and sympathetic nerve blocks to treat hyperhidrosis.

2. How are Botox Injections performed?

Botox injections are performed after a nerve block (to numb the area of injection). Since palmar and plantar hyperhidrosis requires 100 injections in one sitting, this makes the procedure extremely painful and at times unbearable.

Nerve blocks numb the palms and soles, so the injections are literally pain-free.

Research article by Dr. Kalava 👉Kalava A, Colon BC. Ultrasound-guided median and ulnar nerve blocks in the forearm to facilitate onabotulinum toxin A injection for palmar hyperhidrosis. J Am Acad Dermatol. 2020 Oct;83(4):e277-e278

Similarly a simple tibial nerve block will be performed before Botox injections into the bottom of the feet.

3. What other treatments are offered?

For palmar hyperhidrosis, stellate ganglion blocks might be useful in resistant cases. In plantar hyperhidrosis, lumbar sympathetic blocks might be helpful.

4. Does insurance cover Botox injections?

Botox injections for palmar and plantar hyperhidrosis are considered experimental treatment despite robust evidence. Our team will be happy to assist you with pre-authorization of the procedures.

5. Why chose Dr. Kalava?

Our practice is the only place in Florida that offers nerve blocks prior to 100 injections of Botox. These nerve blocks are safe and allow for an easy, painless Botox injections.