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Here you will be able to access useful information and videos relating to the treatment of Hyperhidrosis using our iontophoresis machines.

If you require help or support we will be pleased to provide it. We can provide telephone, email, and even video responses to your questions or comments. We will not post any information regarding your identity, but most support questions will be added to this site to help others and to build a community that shares tips and experiences of treating Hyperhidrosis.

If you have a question please ask us initially via email or in the comments section below. You will need to request an account log in and password from us in order to post comments on this site. Please email or call us and we will set you up so you can respond, ask questions and post advice to other iontophoresis users.

Common and frequently asked questions will be added to our FAQ page.

Planter Hyperhidrosis – treating excessively sweating feet

As a basic regime:

To treat the feet you should:

  1. Turn on, plug in cables and set the machine to P100 (Direct Current) The green LED next to ‘Pulse’ on the control panel should be OFF
  2. Set the time to 20 minutes.
  3. Set the power to 25V
  4. The LCD screen should now show 20:25 (which is 20 minutes and 25 volts)
  5. Fill the trays with around 500 – 700ml of warm tap water (or enough to cover the entire foot halfway up the side of the toe)
  6. Place your feet in the trays. Each trays should have one electrode covered with a towel
  7. As the feet enter the water, the machine will close the circuit. Power will drop to 0 then rise to the pre-set level of 25Volts
  8. If comfortable, increase the power to the maximum comfortable level (when under load the machine moves in ¼ volt increments so you have to press the button 4 times to increase or decrease 1 volt).
  9. Remain in the water with feet immersed for the full 20 minute session. Timer will auto count down.
  10. When the work ‘END’ is displayed, removed feet, power off, disconnect and clean and dry equipment.

Sessions should be performed daily until results are seen. This can take 10 days or 6 week and depends on the patients, severity of condition, quality of water and treatment regime.

Iontophoresis Machine connectivity / resistance issue

Soft water does not help with connectivity and this may be the issue with the split (hand and foot) sessions you attempted and also the foot only session.

The 1mA measurement on the screen during hand treatments is indicative of a wet dermis with low resistance. You can ‘feel’ the voltage but the current (measured in mA0 is not altering. This is because the machine is attempting to give you the set mA but cannot provide enough voltage to do so, due to the low resistance in the circuit. This is how the machine should respond.

Our advice:

Continue with daily hand only sessions. Set the machine to the recommended 15 mA and perform sessions for the 15 minutes, even when you only see 1mA on screen. Remember, the device will be outputting up to 60v in power. If you find this uncomfortable, lower the mA to 10 or 12mA and continue with daily sessions. After 10-15 days you will most likely see an improvement in your hand sweating and a change on the display as your dermis dries and resistance increases the voltage will have something to bit against and the current will rise.

Also,

The soft water will not help when you move on to treating the feet. The higher resistance in this area will need better water quality. Try adding a pinch of bicarbonate of soda to each water tray when treating feet or switch to a bottled mineral water to see if that helps lower resistance and improve therapy.

Electrode cleaning and replacement

When scale is visible on the electrodes, we would suggest this is the time to soak them for around 30 minutes in a 50/50 water solution. The actual time frame for this varies on a case by case basis as usage levels, water quality etc all vary from patient to patient.

For the electrode de-scale, soak them for around 30 minutes in a 50/50 water vinegar solution, rinse off thoroughly and then towel dry them. Daily cleaning is best done with warm water only and avoid using detergents on the equipment. If you want to sterilise use a sterilising liquid such as Milton.

Electrodes are consumable item and so will require ‘periodic’ replacement. Again, no set time as much depends on use, water quality and care. If you machine is no longer providing results then that would indicated replacement is needed.

Iontophoresis for sweaty feet. Quick guide

To treat the feet you should:

  1. Turn on, plug in cables and set the machine to P100 (Direct Current) The green LED next to ‘Pulse’ on the control panel should be OFF
  2. Set the time to 20 minutes.
  3. Set the power to 25V
  4. The LCD screen should now show 20:25 (which is 20 minutes and 25 volts)
  5. Fill the trays with around 500 – 700ml of warm tap water (or enough to cover the entire foot halfway up the side of the toe)
  6. Place your feet in the trays. Each trays should have one electrode covered with a towel
  7. As the feet enter the water, the machine will close the circuit. Power will drop to 0 then rise to the pre-set level of 25Volts
  8. If comfortable, increase the power to the maximum comfortable level (when under load the machine moves in ¼ volt increments so you have to press the button 4 times to increase or decrease 1 volt).
  9. Remain in the water with feet immersed for the full 20 minute session. Timer will auto count down.
  10. When the work ‘END’ is displayed, removed feet, power off, disconnect and clean and dry equipment.

 

Sessions should be performed daily until results are seen. This can take 10 days or 6 week and depends on the patients, severity of condition, quality of water and treatment regime.

Dual Iontophoresis Treatment Advice

 

Dual treatments. You should only perform 1 x 20 minute session per day.

Multiple sessions can have a negative affect on response. This is because you treat one area, then move on to the next and undo the benefit of the first by migrating current from first treatment area to the second.

If you wish to treat both areas simultaneously then you can do this by placing both hands in one tray and both feet in the other and perform 1 x 20 minute session. Alternatively you can opt to purchase a Dual Treatment Set which provides all the extra equipment that is required. The downside of dual treatments is that the skin on the hands is thinner than the feet and so generally tolerates lower power levels than the feet require. Simultaneous treatments will limit the feet to what the hands can tolerate, often meaning longer treatment period for the feet to catch up.

Hidrex PSP1000 Iontophoresis machine Pulsed / Direct Current

 

There are two current types – pulsed and direct and the pulsed type has multiple settings. P100 = direct current with power applied 100% of the time. In direct current the pulse LED on left hand side of control panel will be off. When you switch to pulsed current, this LED illuminates and you can select different settings from P90 = power applied 90% of the time with a 10% break, to P50 = power applied 50% then breaks for 50%. Pulsed treatments give a milder sensation and are better suited for hands, underarms, sensitive skin etc, but due to the break in power, they are less efficient when compared to direct current treatments. If you perform a 20 minutes session in direct current, you get 20 minutes of voltage (or dosage). Switch to pulsed P50 and over the same 20 minutes session you actually only receive 10 minutes of dosage, so this is less efficient and will require more treatments overall to see the results.

The machine will deliver the maximum power it can considering the resistance in the circuit. Your body acts as resistor and there are many variables which will affect the amount of resistance your body offers. For example, body temp, moisture levels, BMI, skin type, skin thickness etc. As the skin dries the level of resistance changes and so this can be seen on the screen. You may set the machine to 40v but it meters the resistance and will supply maximum power it can safely provide based on the level of resistance. This is normal.

Axillae (Underarm) Iontophoresis Treatments

We recommend that underarm treatments are performed using pulsed current as this is a far more comfortable experience. Switching to pulsed current should enable you to increase the power which will help with overall results.

It is important to remain within comfortable levels at all times.

Reddening and mild irritation and or itching for 10-20 minutes after treatment is often reported and an expected response to the electrical stimulation.

Our  top ten recommendations:

  1. Switch to pulsed P90
  2. Increase power – but remain within comfortable levels
  3. If you cannot increase power, increase time to compensate. 2 x 10 minute sessions when in pulsed current is OK
  4. Ensure pads are soaking wet with warm water.
  5. Re-soak after first 10 minutes session
  6. Ensure skin is clean and clear of any topical products (deodorants, skin creams etc)
  7. Apply moderate pressure throughout to ensure good contact with skin
  8. Reduce underarm hair if present (hair is non-conductive)
  9. Perform daily sessions until dry
  10. Moisturise AFTER treatment to soothe skin.

Machine efficiency. Which machine type is best?

The core differences between the two types of current delivery centres around the efficiency of the machine and the sensitivity of the current. Pulsed current is milder and more sensitive on the skin. Direct current is more efficient.

If you don’t have sensitive skin or secondary skin conditions (such as eczema) then you may be fine with the cheaper GS (direct current) models of machines.

PS or pulsed current gives a milder treatment sensation at higher powers but pulsed current is less efficient in terms of treatment times. For example, direct current applies power to the treatment area 100% of the time, so a 20 minutes session will provide 20 minutes of dosage.

Pulsed current power is applied in an on / off pulsing cycle which on the Idromed machine is a 50% on / 50% off ratio so power is on for half the time of direct. This means a 20 minute session gives 10 minutes of actual dosage.

The Hidrex brand offers both pulsed and direct but the Hidrex PSP1000 is both pulsed and direct in one machine so can be switched to suit the patient / treatment area. You can also adjust the pulse cycle to enhance efficiency to 90% on / 10% off. This gives the patient the benefit of near direct current efficiency and pulsed current sensitivity.

Treatments of the torso

Some general advice regarding your treatment of the torso:

We recommend setting the machine to pulsed current. There are several different ‘strengths’ of pulsed current with P90 being the strongest and P50 the mildest. P100 = direct current. Set the machine to P90.

For treatment time we suggest a minimum time of 20 minutes per day but while treating the torso you may find it easier to split into 2 x 10 minutes session so that you can re-soak the electrode sponges and re-position the pads on the torso to treat a larger area.

The voltage level is patient specific and we recommend operating at the maximum comfortable level. On your first treatment start low, say 10volts and build up to your max comfortable level.

Soak the sponge covers in warm tap water. Set up your machine then apply electrodes to the body. You can hold them in place with a towel wrapped around the body. It is best to position one pad on the front and one on the back. Do not allow electrodes to be in close contact as this will shorten the circuit and prevent you getting any real current passing through the treatment area.

Perform sessions daily until result are seen. This can take 2-3 weeks so keep up with daily sessions. Once dry, you can stop treatments and then maintain periodically before sweating returns. If you allow sweating to return you will need to start back with daily session to regain control of sweating.

If you need any further help, please feel free to contact us.

Changes in power levels

It is also worth noting that as a patient dries, the amount of resistance offered by their body alters and this can be seen on the screen. All components in the circuit can affect current flow, skin wetness, skin thickness, body temperature, water temperature, water quality, patient hydration etc, etc. In basic terms, if a patient has very wet dermis, then resistance is low, currently flows easily and sometimes there is so little resistance the machine may not be able to deliver enough current to maintain a selected power level. On the other side, if resistance is too high then the machine cannot push the current through the body easily and with very high resistance the circuit will not close at all