Excessive foot sweating, also known as plantar hyperhidrosis, is a problem that affects many people and can lead to discomfort and additional problems such as odor and infection. Here is a complete guide to better understand this condition and how to manage it effectively.
What is plantar hyperhidrosis?
Plantar hyperhidrosis refers to excessive sweating of the feet. This condition can be triggered by several factors, including genetics, hormonal disorders, stress and anxiety. Excessive sweating of the feet not only causes discomfort, but can also lead to hygiene and health problems, such as fungal and bacterial infections.
Causes of excessive foot sweating
Genetic Factors Genetic predisposition plays an important role in hyperhidrosis. If there is a family history of excessive sweating, this condition is more likely to occur. Hormonal Disorders Hormonal changes, especially during puberty, pregnancy or menopause, can increase sweat production. Stress and Anxiety Stress and anxiety are common triggers of excessive sweating. Stressful situations can activate the sweat glands, increasing sweating.
Symptoms and complications
The main symptom of plantar hyperhidrosis is excessive sweating of the feet, which may be constant or episodic. Complications include:
- Bromhidrosis: Bad odor due to bacterial decomposition of sweat.
- Fungal and Bacterial Infections: The humid environment favors the growth of fungi and bacteria.
- Skin Problems: Blisters, skin maceration and dermatitis.
Treatments for excessive sweating of the feet

Antiperspirants Topical antiperspirants, which contain aluminum chloride, are a common solution to reduce sweating. Iontophoresis This treatment involves the application of a mild electrical current through water to temporarily reduce sweat gland activity. Botulinum Toxin (Botox) Botox injections can temporarily block the nerves that stimulate the sweat glands. Oral Medications In some cases, anticholinergic medications may be prescribed to reduce sweating. Surgery In severe cases, surgery may be an option. Endoscopic thoracic sympathectomy (ETS) is a procedure that cuts the nerves responsible for excessive sweating.
Tips for managing sweat on a daily basis
- Wear Breathable Footwear: Opt for shoes made of materials that allow ventilation.
- Choose Cotton Socks: Cotton socks help absorb moisture and keep feet dry.
- Proper Hygiene: Wash your feet daily with soap and water and dry them well.
- Change Shoes and Socks: Change shoes and socks regularly to avoid accumulation of sweat and bacteria.
- Apply Antiperspirant Powder: Powders specifically for feet can help keep them dry.
Conclusion
Managing excessive foot sweating requires a combination of treatments and good hygiene habits. At Clinica San Roman, we offer personalized treatments for plantar hyperhidrosis. If you are dealing with excessive foot sweating, contact us today to schedule an appointment. Our team of experts is here to help you find the best solution for your problem.