Draper, UT -- (SBWIRE) -- 07/23/2013 -- Dr. David Nielson is a Texas based cardio-thoracic surgeon who specializes in micro-endoscopic chest surgery. Dr. Nielson is widely known as a hyperhydrosis expert and sweating specialist with his innovative, least invasive treatment for patients who suffer from (excessive sweating of the hands, face, and/or armpits, Raynaud’s Syndrome, and Facial Blushing. These conditions are all connected to an over-active sympathetic nerve chain. Micro-endoscopic thoracic sympathectomy (Micro ETS), created by Dr. Nielson, is the least invasive, most advanced surgery for people suffering from these ailments. One of the most experienced endoscopic thoracic surgeon performing ETS surgery, Dr. Nielson emphasizes that extensive ETS surgical experience is essential to eliminating excessive sweating of the hands, face, and/or armpits.
Dr. Nielson's Micro ETS procedure has the quickest recovery time and has a high success rate for those suffering from hyperhidrosis of the hands. During the procedure, Dr. Nielson makes a single incision, one-twelfth of an inch per side , under each arm and inserts a 2mm scope. Nielson compares the size of his instruments to angel hair pasta. Once Dr. Nielson identifies the sympathetic nerve, he precisely divides it to instantly lessen hyperhidrosis symptoms and bring warmth to cold hands. The procedure takes 30 minutes. The patient is able to leave two to four hours after the procedure.
Board Certified Cardiac & Thoracic Surgery Endoscopic Cardiothoracic Surgery
Board Certified General Surgery
Micro ETS Surgery - Created Micro 1/12th Inch Single Incision Endoscopic Thoracic Sympathectomy for Hyperhidrosis, Blushing, and Raynaud's
SDLA® - Created Sub Dermal Laser Ablation for excessive sweating of the underarms, and other body regions.
The Offices of David H Nielson, MD
1202 E Sonterra Blvd, Suite 101
San Antonio, Texas 78258
(877) 837-9379 (Toll Free)
(210) 490-7464 (Phone)
(210) 490-2506 (FAX)
Facial Blushing = Facial blushing is often misdiagnosed as rosacea. A red face is a typical manifestation of this condition. Fear of social situations can bring on blushing and is known as erythrophobia. Blushing commonly originates at the upper chest or base of the neck and extends up to the forehead, ears and can even spread down to include the trunk and legs. Facial sweat often accompanies blushing and feelings of burning or tingling. Hyperpyrexia (feelings of burning or tingling) is commonly associated with blushing and is actually much more debilitating to the individual than the mere appearance of blushing on the skin. This condition of hyperpyrexia associated with facial blushing is little understood and not typically recognized by many physicians. Functional impairment arises from the intense "burning" sensation that becomes so uncomfortable that the individual has to actually stop what they are doing because of the severe inability to concentrate or follow through with the task at hand.
Many patients have described the feeling they experience from hyperpyrexia as "hot flash or burning." This sensation envelops their face/head/neck to such an extent that they seek seclusion to "cool off". Medications are seldom helpful for this intense "hot or burning" feeling. Beta blockers (i.e.: Propranolol are commonly used but to little avail). Even when the individual is relaxed, blushing episodes may occur. Sometimes excess sweating of the scalp and face is associated with blushing / hyperpyrexia attacks. This condition often causes the individual to become self-conscious, nonproductive at work or school during the episodes, and to develop a low self-esteem. Some patients that Dr. Nielson has treated have actually become so severely dysfunctional that they quit work and would move from job to job.
Many physicians don't recognize that these blushing episodes are commonly associated with hyperpyrexia of the face which is actually what is so debilitating and causes the severe functional impairment. The combination of facial blushing with the warm/burning sensation of the head commonly makes the individual extremely anxious and quite uncomfortable. This uncomfortable feeling can be so intense that the individual can lose all ability to concentrate and function properly. Medications commonly used to prevent or control blushing include beta blockers (Inderal) and anxiolytics (sedatives). These medications are usually of limited benefit in reducing blushing intensity and frequency of episodes.
Raynaud's Disease = Episodic vasospasm (constriction of small arteries) of the fingers or toes. It is characterized by digital (fingers or toes) blanching or white color, cyanosis (blue), a feeling of numbness or dulled sensory response and rubor (red) after cold exposure and rewarming. It can also be induced by anxiety or stress. This condition is primarily confined to the fingers and toes but can affect areas of the body such as your nose, cheeks, ears and even tongue.
Primary Raynaud's phenomenon is also called Raynaud's disease. Criteria for Raynaud's disease include episodic digital ischemia (sequence of color changes in the skin in response to cold or stress), a numb, prickly feeling of the fingers, or stinging pain upon warming or relief of stress, absence of arterial occlusion, bilateral distribution, absence of symptoms or signs of other diseases that also cause Raynaud's phenomenon, and duration of symptoms for 2 years or longer. Most people with Raynaud's Disease develop symptoms before they reach 40 years of age. It can occur in young children. Raynaud's Disease affects women three to five times more frequently than men. The prevalence is lower in warm climates than in cold climates.
Etiology - The mechanisms postulated to cause Raynaud's phenomenon include increased sympathetic nervous system activity, heightened digital vascular reactivity to vasoconstrictive stimuli, circulating vasoactive hormones, and decreased intravascular pressure. The sympathetic nervous system mediates the digital vasoconstrictive response to cold exposure and emotional stress but has been discounted as a primary mechanism. Some investigators have suggested that increased sensitivity, increased numbers of postsynaptic alpha2-adrenergic receptors, or both enhance the vasoconstrictive reactivity to sympathetic stimulation.
One Hyperhidrosis treatment option has existed for a longer period of time is the Lumbar Sympathectomy. This surgery is done from the back, near the spine. The goal of this surgery is to stop feet sweating, but it may not be effective for some patients, depending on their anatomy. T3/4 is another option, although this can lead to increased head sweating and blushing. Some patients still experience persistent palmar sweating because the T2 neural pathway is still intact and carries nerve signals to the sweat glands in the palms.
Micro ETS = Some other treatments which are commonly used by hyperhidrosis specialists include Micro ETS and ETS-C. Micro ETS stands for Micro Endoscopic Thoracic Sympathectomy. This is done through a single incision that is only 1/12th of an inch. The lungs are not collapsed, and the pain is very minimal because there is only one tiny incision.
ETS-C = ETS-C is the essentially same procedure, but clamps are used to interrupt the sympathetic nerve. This procedure is supposed to be reversible, but is not for many people. The clamp crushes the nerve to the point that it is similar to cutting it.
SDLA = Sub-dermal Laser Ablation – SDLA – is a procedure that uses a 1 mm laser fiber under the skin which precisely targets the sweat glands.
Herb Treatment = One of the least intrusive treatments may be the new herb treatment. This is useful for minor to moderate cases of excessive sweating. Some like to try this option because it uses natural remedies. Some people are weary because this new herb treatment still has to prove itself. There are obviously a lot of different options for those who suffer with hyperhidrosis. The best option for one person may not work well for another person. The best way to make the decision is in consultation with a medical professional who is an expert in the field of excessive sweating.
Dr. Dave H. Nielson Receives Compliance Award for Ethics in Deaf Smith County Texas from G3 Development (UT) Yuku for his Treatment Results with Hyperhidrosis Facial Flushing Sub-Dermal Laser Ablation and 'ETSandReversals' in Cochran County Texas
ABOUT DR. DAVID NIELSON
Dr. David Nielson is a Texas based cardio-thoracic surgeon who specializes in micro-endoscopic chest surgery. Dr. Nielson is widely known as a hyperhydrosis expert and sweating specialist with his innovative, least invasive treatment for patients who suffer from (excessive sweating of the hands, face, and/or armpits, Raynaud’s Syndrome, and Facial Blushing. These conditions are all connected to an over-active sympathetic nerve chain. Micro-endoscopic thoracic sympathectomy (Micro ETS), created by Dr. Nielson, is the least invasive, most advanced surgery for people suffering from these ailments. One of the most experienced endoscopic thoracic surgeon performing ETS surgery, Dr. Nielson emphasizes that extensive ETS surgical experience is essential to eliminating excessive sweating of the hands, face, and/or armpits.