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Hyperhidrosis Feet

from 1.200,00 €
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Dr. Thomas Ackermann Practice · Herzogenaurach Hyperhidrosis of the Feet – effective treatment, without compromise.
The sole of the foot places special demands on treatment – both anatomically and medically. As a **specialist in anesthesiology**, I administer a **foot block** (regional anesthesia at the ankle) before Botulinumtoxin Typ A injections. This eliminates the biggest obstacle to this treatment: pain. Less sweating. More quality of life.
Investment: € 1,200 – 2,000 · Billed according to GOÄ · transparent pricing. **What distinguishes this treatment:**
* **Medical Foot Block:** Regional anesthesia before Botulinumtoxin Typ A injection – based on anesthesiological expertise
* **Precise Coverage:** Toe pads and balls of the feet are fully treated
* **Specialist Standard:** Individualized dosage, GOÄ billing, no assembly line treatment

Your Treatment Experience

Description

What distinguishes plantar hyperhidrosis from other areas

Sweaty feet affect daily life in a very concrete way: Closed shoes become uncomfortable, certain floors risky, and the risk of fungal infections increases. Many sufferers change their socks several times a day or avoid certain situations. This is not a matter of sensitivity – it is a medical problem that can be treated.

Plantar hyperhidrosis presents special medical requirements: The stratum corneum of the sole of the foot is so thick that topical anesthetic creams cannot penetrate sufficiently. Those who want to perform the treatment comfortably need precise regional anesthesia – the foot block. Patients from Herzogenaurach, Erlangen, and the greater Nuremberg area can find this approach in our practice.

The Foot Block: Regional Anesthesia before Botulinum toxin type A Treatment

As a specialist in anesthesiology, I perform an ankle block (foot block at the ankle) before every sole of the foot treatment. This selectively numbs the five nerves that supply the plantar surface:

  • Nervus tibialis posterior (medial, behind the medial malleolus)
  • Nervus peroneus superficialis (dorsum of the foot, subcutaneously)
  • Nervus peroneus profundus (between the extensor tendons)
  • Nervus saphenus (medial near the medial malleolus)
  • Nervus suralis (lateral between the lateral malleolus and Achilles tendon)

The block takes approximately 10 minutes and lasts 45 to 60 minutes – sufficient for the complete treatment of both soles of the feet. You will not feel any pain during the entire Botulinum toxin type A injection. Only when the anesthesia wears off can you walk normally again.

How Botulinum Toxin Works for Sweaty Feet

Botulinum Toxin Type A specifically inhibits the nerve impulses that stimulate the sweat glands of the sole of the foot to produce sweat. The glands are temporarily inactivated – without affecting the skin itself, without restricting the natural mobility of the feet, and without systemic effects.

  • Onset of effect: 3 to 5 days after treatment
  • Full result: visible after approx. 2 weeks
  • Duration of effect: 3 to 5 months – often longer with regular treatment
  • Dosage: 75 to 100 units per sole of the foot – individually adjusted

This is how your treatment works

  1. Consultation:Medical history, Minor’s test (starch test for sweat measurement), clarification of your situation and treatment goals.
  2. Perform foot block:Regional anesthesia of both feet at the ankle. Onset time approx. 10 minutes – during this time your feet are completely pain-free.
  3. Botulinum toxin type A injection:Systematic, close-meshed injection (every 1–1.5 cm) over the entire plantar surface – including toe pads and edges of the feet. Since the feet are completely anesthetized, a more complete coverage is possible than without a block.
  4. Observation and aftercare:Short resting phase. Walking may be restricted for 2 to 6 hours – please plan for an accompanying person or no driving immediately after the treatment.

Frequently asked questions about hyperhidrosis treatment on the feet

+Is the treatment really completely pain-free?
The foot block anesthetizes all five nerves of the plantar surface at the ankle. While the block is active, the Botulinum toxin type A injections are not painful. Slight pressure sensations on the top of the foot may still be noticeable – this is individual and well tolerated.
+Can I walk normally after the treatment?
For 2 to 6 hours after the treatment, your feet will still be numb. During this time, walking is restricted – please plan accordingly so that you do not drive yourself and ideally have an accompanying person. After the anesthesia wears off, you will be fully mobile.
+When does the effect start and how long does it last?
The first results are noticeable after 3 to 5 days. The full result appears after about 2 weeks. The duration of action is 3 to 5 months – slightly shorter than with armpit or hand treatments due to the mechanical stress on the soles of the feet. With regular follow-up treatment, the interval is extended for many patients.
+Why is foot treatment more painful than armpit treatment?
The sole of the foot is supplied by five separate nerves and has a pronounced density of sensory nerve endings. At the same time, the stratum corneum of the sole of the foot is so thick that topical anesthetic creams do not penetrate sufficiently. Without regional anesthesia, plantar treatment is therefore significantly more uncomfortable than, for example, armpit treatment. The foot block medically solves this problem.
+Does the treatment also help against foot odor?
Yes – indirectly. Foot odor is not caused by the sweat itself, but by the bacterial decomposition in the moist environment. If sweat production is significantly reduced, the moisture in shoes and socks also decreases considerably. Many patients report that odor and skin problems (e.g., recurring fungal infections) significantly improve after treatment.
+What does the treatment cost and is it covered by health insurance?
Depending on the effort, sweat quantity, and necessary Botulinum toxin type A dose, the treatment costs between € 1,200 and € 2,000 per session (incl. foot block and Botulinum toxin type A for both soles of the feet). The higher price compared to armpit treatment reflects the significantly greater treatment effort: more Botulinum toxin type A units, additional regional anesthesia, and the anatomically more demanding injection technique. Since this is an individually planned private service, billing is transparent according to GOÄ. We clarify the exact costs in the initial consultation – without hidden surcharges.

Personal consultation – in Herzogenaurach or by phone.

Erlangen · Nuremberg · Herzogenaurach · Fürth

About brand
The Dr. Thomas Ackermann Brand Aesthetics with a medical foundation. This brand stands for a clear conviction: Beauty requires safety. As a specialist in anesthesiology, I combine precise craftsmanship in my private practice in Herzogenaurach with a deep understanding of low-pain treatments and natural proportions.
The goal: your personality in focus. Not short-lived trends, but a timeless, healthy radiance.
The pillars of my work: Safety & comfort: maximum pain reduction Natural look: focus on freshness and recovery Holistic approach: aesthetics meets inner health