Use of a Microwave Device for Treatment of Amputation Residual Limb Hyperhidrosis

Mula, Kaitlyn N.; Winston, Jamal; Pace, Sarah; Kentosh, Joshua B.

doi:10.1097/dss.0000000000000837

Cited by 5 publications

(6 citation statements)

References 3 publications

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“…93 A case report of an individual with acquired limb loss using microwave thermolysis on the residual limb reported subjective improvement in sweating and less slippage within the prosthesis. 26 This resulted in Adapted with permission from tables by Lezanski-Guida et al 87 greater stamina for the individual in the report, with only transient edema and erythema reported as side effects. 26…”

Section: Microwave Thermolysismentioning

confidence: 99%

“…26 This resulted in Adapted with permission from tables by Lezanski-Guida et al 87 greater stamina for the individual in the report, with only transient edema and erythema reported as side effects. 26…”

Section: Microwave Thermolysismentioning

confidence: 99%

“…Other patients will present with findings that are indirectly the result of excess perspiration such as impaired fit or loss of suction, which can lead to complaints of decreased stamina with the prosthesis or, in the worst-case scenario, overt falls. 25,26 Assessment methods for residual limb hyperhidrosis There are currently no studies formally detailing what objectively or subjectively constitutes HH of a residual limb. Clearly defined qualitative and quantitative assessment methods for HH of the residual limb are needed to aid in diagnosis.…”

Section: Approach To Diagnosismentioning

confidence: 99%

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Hyperhidrosis of the residual limb: a narrative review of the measurement and treatment of excess perspiration affecting individuals with amputation

Lannan

Powell

Kim

et al. 2021

Prosthetics &Amp; Orthotics International

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Background: Hyperhidrosis (HH) is a relatively common disorder involving excessive sweating, typically of the palms or axilla. HH can also frequently occur after limb amputation, where the remaining residual limb excessively perspires, leading to an increased risk of dermatological disorders and functional limitations, such as the inability to comfortably or safely wear a prosthesis. Although many treatments have been proposed to treat HH within the dermatology community, they are not widely known by healthcare providers typically involved in caring for individuals with acquired limb loss. Objectives: To appraise the current state of quantitative and qualitative assessment of HH within the residual limb and examine existing and future treatment strategies for this problem. Study design: Narrative Literature Review. Methods: A literature review focused on the assessment and treatment of excessive sweating of residual limbs. Results: There is currently no objective or subjective standard to assess or diagnose HH of the residual limb. Conventional therapies for HH do not always translate to the population of individuals with limb loss. Emerging modalities for treating HH show promise toward a permanent resolution of excess perspiration but require additional studies within people with amputation.Conclusions: Further research is needed to quantify standard values to objectively and subjectively assess and diagnose hyperhidrosis of the residual limb. New and developing treatments for hyperhidrosis require additional studies to assess efficacy and safety in the residual limb.

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Section: Microwave Thermolysismentioning

confidence: 99%

Section: Microwave Thermolysismentioning

confidence: 99%

Section: Approach To Diagnosismentioning

confidence: 99%

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Hyperhidrosis of the residual limb: a narrative review of the measurement and treatment of excess perspiration affecting individuals with amputation

Lannan

Powell

Kim

et al. 2021

Prosthetics &Amp; Orthotics International

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“…Then the pad is weighed again and the difference is calculated per axillae (41). Table 3 (38)(39)(40)(42)(43)(44)(45)(46) describes the clinical studies and case reports investigating the use of microwave treatment for axillary hyperhidrosis and osmidrosis.…”

Section: Clinical Evidencementioning

confidence: 99%

Potential use of microwave technology in dermatology

Gupta

Venkataraman

Joshi

et al. 2022

Journal of Dermatological Treatment

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Acknowledgement: We thank Dr. Lovleen Tina Joshi and Dr. Lee P Hutt for the preliminary in vitro data on the use of microwaves to inhibit dermatophytes. We also extend our thanks and acknowledge Dr. Ivan Robert Bristow (Private practice, Lymington, UK) and Dr. Christopher Webb of the Podiatry Centre, Portsmouth, UK, for the preliminary patient data on the successful use of microwaves to treat toenail dermatophytoma.

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“…Except from diverse topical antiperspirants and aluminium chloride preparations, botulinum toxin A and B have been successfully employed on patients with stump hyperhidrosis, while one case report has demonstrated efficacy of microwave ablation on this condition. 3,4 Systemic anticholinergic drugs have shown benefit in reducing sweat production in patients with hyperhidrosis, but their adverse event profile limits their use. Topical anticholinergic agents block the activation of acetylcholine receptors in peripheral sweat glands, inhibiting sweat production.…”

mentioning

confidence: 99%