Does wrist nerve block influence the result of botulinum toxin A treatment in palmar hyperhidrosis?
Treatment of palmar hyperhidrosis with intracutaneous injections of botulinum toxin type A is painful, making anesthesia desirable. However, nerve blocks may be associated with reduced efficacy. In 20 patients with idiopathic palmar hyperhidrosis both palms were treated with intracutaneous injections of botulinum toxin type A after having randomly chosen one hand for anesthesia by median und ulnar nerve block and the other hand for cooling. There was no difference in efficacy of botulinum toxin A treatment between both palms but significantly greater injection pain after cooling compared with nerve block.
Hund
Martina
M
Department of Dermatology, University of Würzburg, Germany.
Rickert
Stefan
S
Kinkelin
Ilka
I
Naumann
Markus
M
Hamm
Henning
H
D000293:Adolescent; D000328:Adult; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D006945:Hyperhidrosis / Q000188:drug therapy* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D009407:Nerve Block; D009465:Neuromuscular Agents / Q000627:therapeutic use*; D014953:Wrist
D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A