Amanda Mills is training to be an occupational therapist.
But she worried she couldn't do her job well because her hands and feet were often dripping with sweat.
I would touch a kid, and they were like why are your hands sweaty, or they're wet, and it was kind of embarrassing. I was like, oh I just ran 'em under some water or something, kind of play it off.
Hey there how you doing?
Good, how are you?
Jimmy Knight also suffers from the condition, called hyperhidrosis. It's not caused by nervousness or temperature.
It can be 30 degrees outside, and I can still be sweating.
How has it affected your life?
Well it takes a toll. It doesn't exactly look good to walk into a meeting and you're just sweating profusely in your underarm, so it's tough.
Does either arm sweat more than the other?
People don't realize how debilitating it can be if you have excessive sweating, particularly on the hands, or in the underarms.
When they are meeting somebody, the first thing they think about is am I sweating, you know, do I have something on my shirt?
So, they are people who are kind of hyper vigilant about these conditions, and it just makes them tense.
Treatment begins with oral medications and prescription strength antiperspirants.
But you know, at least 30 to 40 percent of the people just can't tolerate it. Or, it doesn't work. For underarms, the next level of treatment, really is botox injections.
He's not even flinching. Are you feeling this much?
When you get the dose right, it's very effective, typically for about 6 months.
For those who sweat on the hands and feet, like Amanda, botox may not be the answer.
That does work, but it's very limited, and is extremely painful to have 30 injections in the hand.
Instead, Amanda underwent a 20 minute laparoscopic surgery.
This is her small incision.
Through a small incision under each arm Dr. Miller accessed the sympathetic nerve on each rib that is responsible for sweating.
That's a nice separation, and that's the end of a nerve right there.
Hey, how are you?
And when she woke up, Amanda's hands and feet were dry.
Warm and toasty. Your patients are going to love you now. You have nice dry warm hands.
After the surgery, I'm feeling wonderful. I don't really have any compensatory sweating, just a little bit. I feel like I'm sweating like a normal person now, which is excellent.
Which one? Does this one?
It makes me feel a lot more confident since I've had the surgery. I'm not nervous, like oh no, my hands are really sweaty today, what are the kids going to say.
I just go and touch and don't even think about it any more.
For WebMD, I'm Sandee LaMotte.