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Condition guide · Nurse-led

Hyperhidrosis

Sweating far more than your body needs — what it is, why it happens, and how our nurse-led treatment can help.

Dr Arvin Rodrigues, Consultant Clinical Neurophysiologist · GMC 6079103
Reviewed by Dr Arvin RodriguesConsultant Clinical Neurophysiologist · GMC 6079103
Last reviewed · View profile →

Also under:Aesthetic Treatments

Hyperhidrosis assessment at Bridge House Clinic
What is hyperhidrosis?

Hyperhidrosis is sweating that's far heavier than your body needs to control its temperature — often soaking the underarms, palms, soles or face even when you're cool and at rest.

It's a common and very manageable condition, not a sign of poor hygiene. Sweating can feel embarrassing and get in the way of work and daily life, but there are effective treatments — and our clinic nurse can talk you through the options.

01Symptoms

Symptoms of hyperhidrosis.

Symptoms often start in the teens or twenties and tend to come on regardless of the temperature or how active you are.

01Visible, excessive sweatingSweat that soaks through clothing — most often the underarms, but also the palms, soles or face.
02Sweating without an obvious triggerIt happens even when you're cool, resting or not stressed — not just with heat or exercise.
03Damp or clammy hands and feetPalms and soles that feel constantly moist, making it awkward to grip, write or shake hands.
04An impact on daily lifeChanging clothes during the day, avoiding pale fabrics, or feeling self-conscious at work or socially.
Sound familiar?Book an assessment with a consultant and get a clear picture — usually the same or next week.→
02Causes & risk factors

Why it happens.

In most cases there's no underlying illness — the sweat glands are simply overactive, often in specific areas like the underarms, hands or feet. Sometimes sweating is linked to another factor, which is worth having checked.

Overactive sweat glands (primary hyperhidrosis)
Often runs in the family
Usually starts in the teens or twenties
Hormonal changes, such as the menopause
Some medications or medical conditions
Anxiety, which can make it worse
03When to get it checked

Don't wait for it to settle.

Early assessment helps you get the right treatment sooner. See a specialist if:

I.It's affecting your daily life or confidenceIf sweating is interfering with work, relationships or what you wear, it's worth seeking help rather than putting up with it.
II.Antiperspirants and self-help aren't enoughWhen strong antiperspirants and simple measures haven't controlled it, there are more effective treatments to consider.
III.The sweating has changed or started suddenlyNew, one-sided, or night-time sweating — or sweating that's begun later in life — should be assessed to rule out an underlying cause.
Book an assessment→
Hyperhidrosis examination by a consultant
Diagnosing hyperhidrosis at Bridge House Clinic
04How it's diagnosed

Assessed at a nurse consultation.

Hyperhidrosis is diagnosed clinically — at a nurse consultation (£50), Hannah Thomas, our clinic nurse, talks through your symptoms and looks at the affected areas. No special scans are needed; your history and the examination show the pattern and help decide whether botulinum toxin treatment is suitable for you.

05Treatment

How hyperhidrosis is treated.

We start with the least invasive option that's likely to help, and build up only if you need more.

01Antiperspirants & self-help

Stronger, prescription-strength antiperspirants and simple everyday measures are the usual first step and help many people.

02Botulinum toxin injections

Small injections that calm the overactive sweat glands in the underarms, hands or feet — a well-established treatment when antiperspirants aren't enough, with results that build over a few days and last several months. Underarms £450; hands or feet £450 each.

See nurse-led treatment options & pricingYour assessment is a £50 nurse consultation with Hannah Thomas, our clinic nurse. Treatment is £450 for the underarms and £450 each for the hands or feet, so you always know the price before going ahead.→
Why Bridge House
I.
Same or next-week appointments

Seen in days — not months on a list.

II.
Consultant-led care

A named specialist, not a junior — all the way through.

III.
Transparent, fixed pricing

Every price published and confirmed in writing.

IV.
No NHS waiting list

Seen privately, without the wait.

V.
Private insurance accepted

We bill major UK insurers directly.

07FAQ

Common questions.

Can't find your answer? Call us — a real person picks up.

01244 982032
Is hyperhidrosis serious or a sign of something wrong? +

For most people it isn't a sign of any underlying illness — the sweat glands are simply overactive. It's still worth being assessed, especially if the sweating has started suddenly or changed.

How does Toxin help with excessive sweating? +

Small injections into the affected area — the underarms, hands or feet — temporarily calm the overactive sweat glands there, reducing sweating. The effect builds over a few days and lasts several months, after which the treatment can be repeated. Underarms are £450; hands or feet £450 each.

What should I try before Toxin? +

Treatment usually starts with the least invasive options — prescription-strength antiperspirants and simple everyday measures. Toxin is considered when these aren't enough. At your nurse consultation, Hannah will talk you through the options that make sense for you.

How much does treatment cost? +

A nurse consultation is £50. Treatment of the underarms is £450, and of the hands or feet £450 each — the price is confirmed before you go ahead, so there are no surprises.

Take the first step

Don't put up with it.

Book an assessment with a consultant and get a clear picture — and a plan.