What causes Smelly and Sweaty Feet?
When wearing shoes for extended periods of time, the sweat that the foot produces is not able to evaporate like it does from other parts of the body. Very quickly the sweat becomes smelly due to the bacteria from the sweat multiplying and causing the odour. Fresh sweat doesn't actually smell, it's the breeding bacteria that causes the odour. These conditions are also the perfect breeding ground for Athlete's Foot, which also smells badly and contributes to the smell. All of this is normal for most people, but there are a small group of people who suffer from Palmoplanter hyperhydrosis, other wise known as excessive seating of the feet. In these cases, sufferers are unable to stop feet from constantly sweating which leads to very smelly feet which are soaked in sweat. The resulting damp socks compound the problem which results in a vicious cycle.
What is Botox?
Botulinum Toxin, more commonly known as Botox, was first licensed for cosmetic use in the UK in 1994 and has wide a number of cosmetic uses. Botox works by temporarily paralysing the muscle into which it is injected. It is usually used around the facial area to prevent wrinkles, but recently it has been found to be beneficial for those suffering with excess sweating problems. Aside from the feet, Botox can be used in the armpits and hands to prevent sweating.
How does the Botox Work to Stop Sweating?
The Botox is injected into the foot anything up to 36 times in small doses. The Botox paralyses specifically chosen muscles in the foot, which blocks the nerves that cause the body to produce excess sweat. The injections last between four and six months, after which time the problem will reoccur due to the paralysis lifting. The treatment will have to be continuously redone for the problem to be fixed. Most patients say that the injections can be very painful although they do get easier each time. As it's a relatively new procedure, the long term viability of treating excess sweating using Botox is unknown.
How Much does it Cost?
The cost for this surgery depends on which hospital you go to and where in the country you live. On average it will cost £400 each time and the treatment will need to be done two or three times a year. In some cases treatment may be available on the NHS however it would be advised to talk to your GP to discuss the best option.

