Hyperhidrosis management

Autonomic dysreflexia can trigger vasodilation above the level of injury, cause sweating. Refer to autonomic dysreflexia pathophysiology and management for more information.

  • Evaluate other potential health issues that can cause sweating and check for any associated rise in temperature. This can be discussed with the treating medical officer.  
  • If hyperhidrosis is not due to autonomic dysreflexia, consider anticholinergic medications, such as propantheline bromide.

  

Post sweating management 

  • Regulate temperature post-sweating, when the skin is ‘wet’.  
  • Consider skin management and pressure injury risk from the increased moisture. 

References

Hagen EM. Acute complications of spinal cord injuries. World J Orthop 2015; 6(1): 17-23 [PMID: 25621207 DOI: 10.5312/wjo.v6.i1.17

Krassioukov A, Blackmer J, Teasell RW, Eng JJ (2014). Autonomic Dysreflexia Following Spinal Cord Injury. In Eng JJ, Teasell RW, Miller WC, Wolfe DL, Townson AF, Hsieh JTC, Connolly SJ, Noonan VK, Loh E, McIntyre A, Querée M, editors. Spinal Cord Injury Rehabilitation Evidence. Version 6.0. Vancouver: p 1- 50