Does wrist nerve block influence the result of botulinum toxin a treatment in palmar hyperhidrosis?

Botulinum toxin therapy for palmar hyperhidrosis: experience in an Iranian population

“…In agreement with other observations, no significant difference of the palmar sweat production was detected when comparing palms treated under wrist nerve block and palms pretreated by cooling only 8 . Also, in agreement with the present study, Hayton et al .…”

“…Group 2, comprising seven patients, had their palms cooled with a wrapped ice pack for 10 min immediately before the botulinum injections. The intensity of injection pain was rated by each patient on a 0–10‐point scale (0 = no pain, 10 = greatest imaginable pain) immediately after treatment 8 …”

A Comprehensive Approach to the Recognition, Diagnosis, and Severity-Based Treatment of Focal Hyperhidrosis: Recommendations of the Canadian Hyperhidrosis Advisory Committee

“…Proper use of anesthesia is vital to the success of BTX‐A in the treatment of palmar hyperhidrosis due to the intense pain associated with multiple injections into the palms. Bier's block, nerve blocks, application of ice or cold air before and after injection, and vibration have all been shown to be successful in reducing pain during treatment 73–78 . Proper counseling on the potential side effects of anesthesia should inform the patient of possible damage to peripheral nerves and vessels.…”

“…Bier's block, nerve blocks, application of ice or cold air before and after injection, and vibration have all been shown to be successful in reducing pain during treatment. [73][74][75][76][77][78] Proper counseling on the potential side effects of anesthesia should inform the patient of possible damage to peripheral nerves and vessels.…”

Painful Wrinkles in the Bathtub: Association with Hyperhidrosis and Cystic Fibrosis

“…Ten minutes after withdrawal of the water, the palms appeared clinically normal. Gravimetry, for the assessment of the palmar sweat rate, was performed according to standard procedures [6] before immersion, and it revealed elevated values of 68.3 mg/5 min for the right palm and 72.6 mg/5 min for the left palm (normal: <50.0 mg/5 min). After the water bath the values decreased to 59.8 mg/5 min and 49.5 mg/5 min, respectively.…”