Dr. David Nielson

Dr. David H. Nielson Receives Reliability Award for Effectiveness in Crockett County Texas from G3 Development (UT) Yuku for His Treatment Results with Hyperhidrosis Facial Flushing Sub-Dermal Laser Ablation and 'ETSandReversals' in Cass County Texas

 

San Antonio, TX -- (SBWIRE) -- 08/12/2013 -- 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)

Dr. David H. Nielson Receives Reliability Award for Effectiveness in Crockett County Texas from G3 Development (UT) Yuku for his Treatment Results with Hyperhidrosis Facial Flushing Sub-Dermal Laser Ablation and 'ETSandReversals' in Cass County Texas

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Hyperhidrosis - Overview of hyperhidrosis symptoms and treatment options.   Sweating is necessary to control body temperature during times of exercise and warm/hot surroundings. Sweating is regulated by the sympathetic nervous system. In 0.6 to 1.0% of the population, this system is revved-up and works at a very high level causing sweating to occur at inappropriate times in specific areas of the body. This condition is known as hyperhidrosis.  Classification - Causes of hyperhidrosis can be primary or secondary.  Regions of the body affected - Scalp, facial (face), palmar (hands), axillary (armpits), truncal (trunk), plantar (feet

Primary or idiopathic hyperhidrosis - Hyperhidrosis without a known cause. A more frequent condition than secondary hyperhidrosis. Localized commonly in the hands, armpits, scalp, face, and/or feet. Starts during childhood or early adolescence, worsens during puberty, and then persists for the rest of one's life. Nervousness and psychiatric disorders are rarely the cause. The excessive sweating is very embarrassing and social, professional, and intimate relationships are often seriously affected.

Secondary hyperhidrosis - Caused by an underlying condition. Usually causes excess sweating of the entire body, however. Some of these conditions are;   endocrine disorders such as hyperthyroidism, endocrine treatment for malignant disease, menopause, obesity, psychiatric disorders, systemic malignant disease.

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. 

Treatments for Hyperhidrosis = Prescription Deodorant and Antiperspirant Products. A popular treatment available to hyperhidrosis patients is that of prescription deodorant and antiperspirant products. These are much stronger than those available over the counter, and may be a big benefit to the person who deals with excessive sweating. Drysol is one of the strongest prescription antiperspirants, while Xerac AC may work for milder cases.
Botox Treatment = Some individuals with hyperhidrosis have found some success with Botox treatments as well. A Botox injection is a relatively fast procedure which takes only about 10 minutes, yet can last for about six months. This will reduce sweating in some patients. Botox or Botulinum toxin has been used for 10 years in the United States of America for various cosmetic as well as medical procedures. The FDA approved Botox Cosmetic in 2002, but that was only after many years of research and development. In 1895 the bacteria “Bacillus botulinum” was identified by Professor Emile Pierre Van Ermengem of Belgium. Then in the 1920s Dr. Herman Sommer isolated Botulinum Toxin Type A as a stable acid precipitate. In the 1950s Botulinum Toxin Type A was discovered to reduce temporary muscle activity by blocking the motor nerve ending. During the 1960s and 1970s research and development continued as Botulinum Toxin Type A was used to treat crossed eyes called strabisum. Botox has been approved by the FDA for specific uses in the United States from 1989 through 2010. In 2004 Botox was approved by the FDA for Hyperhidrosis Treatment or Excessive Sweating Treatment.
Liposuction Treatment = Another procedure which is relatively new in treating excessive sweating is liposuction. This procedure disrupts the ability of the axilla to produce sweat. This procedure has also been shown to be successful in some patients.
MiraDry Treatment = Another new treatment for hyperhidrosis is known as the MiraDry Treatment. This procedure uses microwave frequencies to cook the sweat glands. This procedure is quite new, and because of this its effectiveness is unproven, and its side effects are unknown.
Lumbar Sympathectomy

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.