{"page":"\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/resources-c03aa079.css\" /\u003e\n\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/lp_boclips_stylesheets-517835be.css\" media=\"all\" /\u003e\n\u003cdiv data-title='Doctors keep summer sweats at bay with new treatment' data-url='/boclips/videos/5c54bb44d8eafeecae123ce9' data-video-url='/boclips/videos/5c54bb44d8eafeecae123ce9' id='bo_player_modal'\u003e\n\u003cdiv class='boclips-resource-page modal-dialog panel-container'\u003e\n\u003cdiv class='react-notifications-root'\u003e\u003c/div\u003e\n\u003cdiv class='rp-header'\u003e\n\u003cdiv class='rp-type'\u003e\n\u003ci aria-hidden='true' class='fai fa-regular fa-circle-play'\u003e\u003c/i\u003e\nVideo\n\u003c/div\u003e\n\u003ch1 class='rp-title' id='video-title'\u003e\nDoctors keep summer sweats at bay with new treatment\n\u003c/h1\u003e\n\u003cdiv class='rp-actions'\u003e\n\u003cdiv class='mr-1'\u003e\n\u003ca class=\"btn btn-success\" data-posthog-event=\"Signup: LP Signup Activity\" data-posthog-location=\"body_link_boclips\" data-remote=\"true\" href=\"/subscription/new\"\u003e\u003cspan\u003e\u003cspan\u003eGet Free Access\u003c/span\u003e\u003cspan class=\"\"\u003e for 10 Days\u003c/span\u003e\u003cspan\u003e!\u003c/span\u003e\u003c/span\u003e\u003c/a\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-body'\u003e\n\u003cdiv class='rp-info'\u003e\n\u003cdiv aria-label='Hide resource details' class='rp-hide-info' role='button' tabindex='0'\u003e\u0026times;\u003c/div\u003e\n\u003ci aria-label='Expand resource details' class='rp-expand-info fai fa-solid fa-up-right-and-down-left-from-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003ci aria-label='Compress resource details' class='rp-compress-info fai fa-solid fa-down-left-and-up-right-to-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003cdiv class='rp-rating'\u003e\n\u003cspan class='resource-pool'\u003e\n\u003cspan class='pool-label'\u003ePublisher:\u003c/span\u003e\n\u003cspan class='pool-name'\u003e\n\u003cspan class='text'\u003e\u003ca data-publisher-id=\"30356011\" href=\"/search?publisher_ids%5B%5D=30356011\"\u003eCurated Video\u003c/a\u003e\u003c/span\u003e\n\u003c/span\u003e\n\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-description'\u003e\n\u003cspan class='short-description'\u003eBasking in tropical temperatures is rare in Europe and people are making the most of the sunshine, except for some who have good cause to dread a sweltering summer.Excessive sweating can be embarrassing and treatments are costly,...\u003c/span\u003e\n\u003cspan class='full-description hide'\u003eBasking in tropical temperatures is rare in Europe and people are making the most of the sunshine, except for some who have good cause to dread a sweltering summer.\u003cbr/\u003eExcessive sweating can be embarrassing and treatments are costly, temporary and sometimes painful. But now some doctors are trying out a new device which targets sweat glands.\u003cbr/\u003eSummer in the city and the office workers are among those seeking the relief of shade and a breeze.\u003cbr/\u003eFor most of us sweating is normal, perspiration is the body's way of regulating our temperature.\u003cbr/\u003eBut some people suffer from excessive sweating and doctors call this hyperhidrosis.\u003cbr/\u003eIt can affect the armpits, the back and other areas such as hands and feet.\u003cbr/\u003eDoctors who treat patients with the problem say it may not be incapacitating, or painful, but it can cause people severe embarrassment and shame, this can affect them psychologically and have an impact on them at work.\u003cbr/\u003eNot all sweating is a response to heat, it can be an emotional response such as stress.\u003cbr/\u003eMusicians who suffer with excessively sweaty hands are among those who seek treatment.\u003cbr/\u003eThis is the Courthouse Clinic in Essex which already offers treatments for patients with hyperhidrosis. \u003cbr/\u003eTreatment can range from deodorants to drugs and botox.\u003cbr/\u003eBut today the staff are trying out something new, radiofrequency.\u003cbr/\u003eThe machine is called SweatX.\u003cbr/\u003eIt transmits high radiofrequency energy into the tissue. \u003cbr/\u003eThis causes heat beneath the surface of the skin where the sweat glands sit.\u003cbr/\u003eIt's manufacturer claims that because hyperactive sweat glands are saturated with water, compared to the surrounding tissue, the heat selectively targets the sweat glands.\u003cbr/\u003eCourthouse Clinic's resident physician Dr. Stephen Robertson usually treats his patients with botox, but he believes the new treatment offers an alternative for people who have sweating over an area too wide to be covered by botox.\u003cbr/\u003eHe says: \"With the SweatX you've got radio frequency which is, it could be thought of as laser because it's creating energy, but laser is actually light and this is electric radio waves basically and these radio waves work by being effectively sent into the skin and the closest analogy I can think of to that is when you listen to a mobile phone it gets hot and again that's in effect a radio wave.\"\u003cbr/\u003eThe clinic here stops short of describing this as a permanent solution. It's relatively new and there isn't follow up data available to show its effective for more than a period of six months.\u003cbr/\u003eAlso there are many sweat glands in any one area of our bodies, so it's not possible to target all of them even in one area with one session.\u003cbr/\u003eThe company's own study conducted by First Moscow State Medical University tested the procedure on twenty patients including three men with a control group of six women and four men.\u003cbr/\u003eIt concluded the procedure reduced perspiration to varying degrees the majority for up to six months.\u003cbr/\u003eThis clinic offers this as a four treatment package costing from �575 ($969 US), which is less than botox, but it isn't cheap.\u003cbr/\u003eRobertson says: \"You are actually heating up the gland to the point of thermolysis and destruction. So the question is that gland is now gone, does a new one regrow? Does the body produce more sweat glands as a regenerative process.\"\u003cbr/\u003eAccording to Robertson, the treatment is safe providing it is carried out by a trained therapist.\u003cbr/\u003eThere is a risk of burning which is why the therapist constantly takes the temperature of the woman she is treating.\u003cbr/\u003eRobertson says after the treatment some people may experience more sweating in other areas of their bodies.\u003cbr/\u003eHe says: \"Eccrine glands which control the heat regulation and are the non odourless ones which secrete the perspiration for want of a better word, are all over the body so to eliminate them from one specific area, although you get a slight compensatory increase elsewhere, is going to balance out because the body's capacity to lose heat through all its other areas is going to be quite adequate.\"\u003cbr/\u003eSeveral companies are producing machines to tackle the problem of excessive sweating.\u003cbr/\u003eOne produces a microwave heat and has been approved as effective by America's FDA.\u003cbr/\u003eConsultant dermatologist Dr. Martin Wade has not used the Sweatx machine, but he says it may be an exciting alternative treatment for hyperhidrosis.\u003cbr/\u003eBut he points out that excessive sweating can be caused by certain medical conditions and responsible physicians will look for underlying reasons for the problem before using radio frequency, or other methods of perspiration control.\u003cbr/\u003eAccording to Wade: \"It can be due to an underlying medical condition such as a hormonal imbalance, a nerve injury, drug intake, but the majority of cases that we see of hyperhidrosis are what is known as primary hyperhidrosis and this is where we don't find an underlying cause for the condition.\"\u003cbr/\u003eAccording to Wade: \"The obvious attraction of this type of treatment is that it has a more permanent effect than something like botulinum toxin which does wear off and the radio frequency devices are generally easy to use and have a good patient acceptance with low problems with pain.\" \u003cbr/\u003eThis treatment has only been cleared for use on the armpits, not the hands or feet. If you suffer the problem over a large area there are other treatments that doctors like Wade consider.\u003cbr/\u003eHe says: \"On a very simple level it (the treatment) might be using a very strong antiperspirant for auxiliary hyperhidrosis, these can also be used for the hands and the feet as well, but if it's more severe if it's sweating all over the body then other treatment may be needed such as systemic medication, or tablets. This can have an effect to block the cholinergic nerves in the body which are the ones that stimulate the sweat glands and whilst it can cause a reduction in sweating it can also have other side effects. These can include a dry mouth, blurred vision,  constipation or urinary retention, so there's always a trade off with the side effect profile and getting the right dose for treating the underlying condition.\"\u003cbr/\u003eIn the UK botox has been regularly used to treat patients with hyperhidrosis, but doctors like Robertson says injections in the hands and feet can be too painful for some people.\u003cbr/\u003eThere is concern that the new types of treatment might cause contractions in the skin, but Wade says: If it's done under supervision and appropriately, then we don't cause enough damage to cause scarring, or contraction, so that why we're preferentially heating the sweat glands, but not all of the underlying tissue.\"\u003cbr/\u003eIn Wade's opinion the the treatment would not be suitable for pregnant women.\u003cbr/\u003eLondon, UK, July 23, 2014\u003cbr/\u003e1. Wide of bare chested man drinking water in park \u003cbr/\u003e2. Mid zoom out of woman among others on the grass \u003cbr/\u003e3. Wide of couple on bench\u003cbr/\u003e4. Mid pan of women walking past at lunchtime\u003cbr/\u003e5. Wide of gardener watering plants \u003cbr/\u003e6. Wide of crowds in park \u003cbr/\u003eBrentwood, Essex, UK, July 22, 2014\u003cbr/\u003e7. Close from woman's armpit being prepared for starch iodine test, pan to face \u003cbr/\u003e8. Mid of woman's armpit being prepared by therapist \u003cbr/\u003e9. Close pan down from woman  \u003cbr/\u003e10. Close pan of therapist pouring out iodine and applying to woman's armpit \u003cbr/\u003e11. Various of iodine being applied to armpit \u003cbr/\u003e12. Close of woman's face \u003cbr/\u003e13. Close tilt down of therapist applying starch on top of iodine on armpit \u003cbr/\u003e14. Close of starch reacting with iodine \u003cbr/\u003e15. SOUNDBITE: (English), Dr. Stephen Robertson, Courthouse Clinics \u003cbr/\u003e\"With the SweatX you've got radio frequency which is, it could be thought of as laser because it's creating energy, but laser is actually light and this is electric radio waves basically and these radio waves work by being effectively sent into the skin and the closest analogy I can think of to that is when you listen to a mobile phone it gets hot and again that's in effect a radio wave.\"\u003cbr/\u003e16. Mid of therapist switching on SweatX radio frequency machine\u003cbr/\u003e17. Close of therapist selecting programme on machine \u003cbr/\u003e18. SOUNDBITE: (English), Dr. Stephen Robertson, Courthouse Clinics \u003cbr/\u003e\"You are actually heating up the gland to the point of thermolysis and destruction. So the question is that gland is now gone, does a new one regrow? Does the body produce more sweat glands as a regenerative process.\"\u003cbr/\u003e19. Close of therapist starting programme on monitor \u003cbr/\u003e20. Mid of monitor showing machine starting \u003cbr/\u003e21. Close of hand device used to deliver radio frequency\u003cbr/\u003e22. Mid of therapist moving to patient with hand device and spot check thermometer \u003cbr/\u003e23. Various of therapist applying device to woman's armpit \u003cbr/\u003e24. SOUNDBITE: (English), Dr. Stephen Robertson, Courthouse Clinics \u003cbr/\u003e\"Eccrine glands which control the heat regulation and are the non odourless ones which secrete the perspiration for want of a better word, are all over the body so to eliminate them from one specific area, although you get a slight compensatory increase elsewhere, is going to balance out because the body's capacity to lose heat through all its other areas is going to be quite adequate.\"\u003cbr/\u003eLondon, UK, July 31, 2014\u003cbr/\u003e25. Various of consultant dermatologist Dr. Martin Wade looking at illustrations of different sweat glands on computer monitor \u003cbr/\u003e26. SOUNDBITE: (English), Dr Martin Wade, consultant dermatologist,  The London Skin and Hair Clinic\u003cbr/\u003e\"It can be due to an underlying medical condition such as a hormonal imbalance, a nerve injury, drug intake, but the majority of cases that we see of hyperhidrosis are what is known as primary hyperhidrosis and this is where we don't find an underlying cause for the condition.\"\u003cbr/\u003eBrentwood, Essex, UK, July 22, 2014\u003cbr/\u003e27. Various of radio frequency device being applied with thermometer showing 34 degrees Celcius \u003cbr/\u003eLondon, UK, July 31, 2014\u003cbr/\u003e28. SOUNDBITE: (English), Dr Martin Wade, consultant dermatologist,  The London Skin and Hair Clinic\u003cbr/\u003e\"The obvious attraction of this type of treatment is that it has a more permanent effect than something like botulinum toxin which does wear off and the radio frequency devices are generally easy to use and have a good patient acceptance with low problems with pain.\" \u003cbr/\u003eBrentwood, Essex, UK, July 22, 2014\u003cbr/\u003e29. Various low view from the feet of woman having radio frequency treatment \u003cbr/\u003eLondon, UK, July 31, 2014\u003cbr/\u003e30. SOUNDBITE: (English), Dr Martin Wade, consultant dermatologist,  The London Skin and Hair Clinic\u003cbr/\u003e\"On a very simple level it (the treatment) might be using a very strong antiperspirant for auxiliary hyperhidrosis, these can also be used for the hands and the feet as well, but if it's more severe if it's sweating all over the body then other treatment may be needed such as systemic medication, or tablets. This can have an effect to block the cholinergic nerves in the body which are the ones that stimulate the sweat glands and whilst it can cause a reduction in sweating it can also have other side effects. These can include a dry mouth, blurred vision,  constipation or urinary retention, so there's always a trade off between the side effect profile and getting the right dose for treating the underlying condition.\"\u003cbr/\u003eBrentwood, Essex, UK, July 22, 2014\u003cbr/\u003e31. Various of Robertson demonstrating and describing how botox is delivered to the armpit \u003cbr/\u003e32. Close pan from a jar of syringes to bottle of botox \u003cbr/\u003e33. Close of woman's face\u003cbr/\u003e34. Close zoom in of woman's armpit being marked out as if for botox injections \u003cbr/\u003eLondon, UK, July 31, 2014\u003cbr/\u003e35. SOUNDBITE: (English), Dr Martin Wade, consultant dermatologist,  The London Skin and Hair Clinic:\u003cbr/\u003e\"If it's done under supervision and appropriately, then we don't cause enough damage to cause scarring, or contraction, so that why we're preferentially heating the sweat glands, but not all of the underlying tissue.\"\u003cbr/\u003eBrentwood, Essex, UK, July 22, 2014\u003cbr/\u003e36. Mid of woman having radio frequency therapy to tilt up to close of therapist \u003cbr/\u003e37. 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lp-boclips-thumbnail w-full h-full lozad\" alt=\"Doctors keep summer sweats at bay with new treatment\" title=\"Doctors keep summer sweats at bay with new treatment\" onError=\"handleImageNotLoadedError(this)\" data-default-image=\"https://static.lp.lexp.cloud/images/attachment_defaults/resource/large/missing.png\" data-src=\"https://static.lp.lexp.cloud/images/attachment_defaults/resource/large/missing.png\" width=\"315\" height=\"220\" src=\"data:image/png;base64,R0lGODlhAQABAAD/ACwAAAAAAQABAAACADs\" /\u003e\n\u003cspan aria-hidden='true' class='flex justify-center items-center bg-white rounded-full w-16 h-16 absolute top-1/2 left-1/2 -mt-8 -ml-8 cursor-pointer z-0 border-2 border-primary drop-shadow-md lp-boclips-thumbnail-playBtn'\u003e\n\u003ci class='fa-solid fa-play text-primary text-3xl ml-1 drop-shadow-xl'\u003e\u003c/i\u003e\n\u003c/span\u003e\n\u003c/a\u003e\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n"}