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Dr. Mahtabifard and
Dr. Fuller are renowned,
board certified thoracic
surgeons who have trained
at the most prestigious
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Finding a Permanent End to Your Excessive Hand Sweating

Suffering from excessive sweating (hyperhidrosis) may seem like a minor problem to those who do not suffer from the condition, but to the thousands who are affected every day, hyperhidrosis can be a difficult obstacle. Most often, hyperhidrosis presents itself through excessive sweating in areas of the body that are difficult to conceal, such as the hands.

While sweaty palms have long affected the lives of people living with the condition, there are now ways to permanently stop the condition. Understanding both the causes and solutions to hyperhidrosis can help everyone make informed choices concerning their treatment plan.

The Reasons Behind Hyperhidrosis

Sweating is a natural part of how the body reacts to both physical and mental stress. This reaction is controlled by a group of nerves that run through the back of the chest cavity, signaling when sweat should be produced. However, when this sympathetic nerve chain produces signals for sweating too often or in excess of the proper amount, excess sweat can crop up during any and all daily situations.

Because of advancements in treatment options and a thorough understanding of what causes hyperhidrosis, putting an end to excessive sweating is more possible than ever. By understanding the solutions, you can be equipped to make the best choice for improving your everyday life.

Today’s Skilled Treatments for Excessive Sweating

Modern advancements in hyperhidrosis treatment have resulted in several possible solutions to excessive sweating. While each person’s needs are unique to his or her situation, these options allow for individualized treatment.

treatment for sweaty palmsHyperhidrosis medications are able to reduce mild symptoms and can be a temporary solution while patients choose what more permanent treatment is right for them. Botox injections into the areas affected by excessive sweating can block the secretion for fast relief. Frequently, a single Botox treatment will remain effective for as long as six months. Iontophoresis can specifically help sweating hands or feet by soaking the extremities in ionized minerals, but multiple at-home treatments are required each week.

However, minimally invasive hyperhidrosis surgery is the most effective and permanent way to end excessive sweating of the hands. Through this thoracic surgery, the sympathetic nerves are disrupted, eliminating their signals that cause the hands to sweat excessively.

Through the help of a skilled thoracic surgeon you can eliminate your palmar hyperhidrosis and put an end to embarrassing excessive sweating.

Finding Skilled Help for Hyperhidrosis

If you are experiencing excessive sweating of the hands that is taking a toll on your daily life, know that there is a solution to your condition. The team at West Coast Associates for Minimally Invasive Thoracic Surgery has helped countless patients put an end to their sweaty palms for good. To learn more about how we can help you, call 310.854.0909 or contact us online. Through an appointment with an experienced medical professional, you can find the best solution to your problem.


Symptoms of Esophageal Cancer

Esophageal cancer is the 6th leading cause of cancer-related deaths in the country. One reason the prognosis is often so bleak is because diagnosis is usually very late into the progression of the disease. Knowing the causes, warning signs and symptoms is very important to beating this kind of cancer.

Esophageal Cancer Causes

There is no single cause of esophageal cancer, but there are things that can greatly increase the risk. Some of those factors include drinking alcohol and/or smoking or chewing tobacco. All of these actions can be stopped, and that would decrease the chances of developing this form of cancer.

Some risk factors are not voluntary, and may actually stem from other diseases. These include achalasia (trouble swallowing because the esophagus can’t relax), GERD (gastro-esophageal reflux disease), or Barrett’s esophagus. Tumors may also form along the esophagus after radiation treatment in surrounding areas in the body.

Symptoms of Esophageal Cancer

The early signs of this form of cancer can be subtle, so any sudden changes should be checked by your doctor. The most common symptoms include having trouble swallowing, unplanned or unexplained weight loss, pressure or pain in the chest, increased frequency of heartburn and acid reflux, and coughing with a sore throat.

Unfortunately, esophageal cancer doesn’t necessarily carry any symptoms at all. So if you are diagnosed with any corresponding conditions, regular cancer screenings are vital. These conditions include Barrett’s esophagus and GERD.

Diagnosing Esophageal Cancer

Endoscopy is a test that uses a small camera that is fed into the esophagus to inspect suspected cancers or irritated tissues. After a growth has been found, a biopsy will be ordered. This outpatient procedure involves removing a small sample of the suspected area. Tests are performed on the sample and a diagnosis is made. Once cancer has been found, the doctor may order a variety of other tests including endoscopic ultrasonic exam (EUS), or a PET/CT exam. This can give the doctor an idea of the extent of the disease so he can plan the proper course of action.

Contact a Thoracic Surgeon Today

If you are experiencing any of these symptoms or would just like to learn more about esophageal cancer surgery in Los Angeles contact Dr. Mahtabifard and Dr. Fuller at the West Coast Associates for Minimally Invasive Thoracic Surgery to schedule an appointment. Call us at 310-776-6905 or connect with us online.

Top 4 Symptoms of Thoracic Outlet Syndrome

At West Coast Associates for Minimally Invasive Thoracic Surgery, we are committed to providing our patients with the best and most effective treatment options for thoracic outlet syndrome (TOS). Comprised of three different forms, thoracic outlet syndrome is a condition in which nerves, arteries, and veins within the shoulder cavity are compressed, leading to a pain, numbness, and more.

Do you experience chronic pain in the shoulders and arms? If so, it’s possible that you may suffer from thoracic outlet syndrome. With proper treatment, thoracic outlet syndrome is a highly-treatable condition, but because the condition can vary from patient to patient, accurately diagnosing the different types of TOS can be fairly difficult. At West Coast Associates to Minimally Invasive Thoracic Surgery, our thoracic surgeons are experts in treating the condition. To schedule an appointment with our physicians, please call 310.854.0909.

Top Four Symptoms of Thoracic Outlet Syndrome

Thoracic outlet syndrome is categorized into three types: vascular, neurogenic, and arterial TOS. Depending on which form of the condition a patient has, he or she could experience various symptoms, including pain, fatigue, and more. Though there are many symptoms associated with TOS, the following are the most identifiable and common.

Wasting of the thumb

When a patient suffers from neurogenic thoracic outlet syndrome, it’s possible that he or she could experience wasting in the fleshy base of the thumb. Called Gilliatt-Sumner hand, this condition occurs when the muscles around the base of the thumb begin to atrophy. This atrophy occurs because blood flow is being restricted to the hand due to compression within the thoracic outlet.

Numbness of the hands and fingers

Similar to Gillatt-Sumner hand, numbness can occur in patients suffering from TOS because of reduced blood flow to the extremities. Though not as severe as Gillatt-Sumner hand, numbness in the fingers could make gripping things difficult and uncomfortable, and even result in fatigue in the hand and arm.

Most often, this numbness occurs in the fourth and fifth fingers of the hand, and can be identified by a tingling, needle-like sensation in the fingers.

Discoloration of the arms and hands

When arteries and veins in the shoulder are compressed, less blood reaches the arms and hand. As mentioned, sometimes this can result in numbness in the extremities. Other times, however, this lack of blood can cause discoloration to occur in the affected arm, as well as causing the hand to become cold and pale. This poor circulation can also result in a weakened or even absent pulse in the arm.

Shoulder and Neck Pain

Aches and pains in the shoulder and neck are some of the common symptoms of thoracic outlet syndrome. The pain can be sharp and burning, and may even extend down the shoulder to the arms and hands themselves.

Contact a Thoracic Expert Today

If you suffer from one or more of the above symptoms, it’s likely that you may be suffering from thoracic outlet syndrome. At West Coast Associates for Minimally Invasive Thoracic Surgery, renowned surgeons Dr. Mahtabifard and Dr. Fuller are highly experienced in treating this condition. To schedule an appointment at either our Beverly Hills or Santa Monica office, please contact us today by calling 310.854.0909.

What Is A Thoracic Surgeon?

thoracic-surgery-los-angeles-mahtabifardVery few people actually know what a thoracic surgeon does until they need one themselves. A thoracic surgeon is a doctor who specifically focuses on operations that have to do with the heart, lungs, esophagus, and other organs located in the chest (thoracic cavity). The term thoracic surgeon is a catchall that can also be used for a cardiovascular surgeon, a general thoracic surgeon, a heart surgeon, and a cardiothoracic surgeon.

A thoracic surgeon graduates from medical school and normally undergoes a general surgery residency for 5 years after school. After their residency, they will undergo another 2-3 year residency through an approved cardiothoracic surgery program. Some surgeons opt to have additional training after to specialize in certain areas, such as minimally invasive surgery, but this is not necessary.

How Does A Thoracic Surgeon Become Board Certified?

A thoracic surgeon is board certified through the American Board of Thoracic Surgery (ABTS) that sets the standards for thoracic surgeons in the United States. Board certification is based on completing approved residency training, holding a completed and unrestricted medical license, and remaining in good ethical standing. After these qualifications have been met, doctors have to pass both a written and an oral examination. The written examination tests for broad topics and general knowledge, while the oral examination tests for skills and knowledge in a clinical setting.

How You See A Thoracic Surgeon And Why

A primary care physician refers patients to a thoracic surgeon for specific problems affecting the organs within the chest (lungs, esophagus, heart, etc.). The reason why a patient will see a thoracic surgeon, as opposed to a cardiologist or pulmonologist, is because they specifically perform surgeries. Cardiologists and pulmonologists normally treat their patients’ problems with medication as opposed to surgery.

Book An Appointment With Los Angeles’s Premier Thoracic Surgeons

Ali Mahtabifard, MD, and Clark B. Fuller, MD, are two of the most experienced thoracic surgeons in Los Angeles. They specialize in a groundbreaking type of procedure called video-assisted thoracic surgery, or VATS, that allows for formerly invasive procedures to be completed with less invasive measures. Both doctors work out of the West Coast Associates for Minimally Invasive Thoracic Surgery, located in Beverly Hills. Dr. Mahtabifard and Dr. Fuller specialize in a number of areas, including lung cancer, malignant and benign esophageal diseases, hyperhidrosis/excessive sweating, thymoma, and myasthenia gravis. Contact our office at 310.854.0909 today to schedule your consultation.

Josh Beckett Back After Thoracic Outlet Surgery

thoracic outlet syndromeLos Angeles Dodgers pitcher Josh Beckett has said he’s feeling good and ready for a comeback after leaving the team in July 2013 due to thoracic outlet syndrome. Beckett has said that he had experienced numbness and tingling in his pitching hand for several years.

What Is Thoracic Outlet Syndrome?

Thoracic outlet syndrome refers to a group of disorders caused by compression, injury, or irritation of the nerves and blood vessels in the neck and chest. Thoracic outlet syndrome is often the result of a fractured collarbone or extra cervical rib. This shrinks the space for the vessels and nerves to pass through and often causes compression. Other possible causes include:

  • Tumors
  • Stress
  • Depression
  • Sleeping trouble
  • Repetitive arm movement
  • Neck or back injury
  • Bad posture

The most common symptoms of thoracic outlet syndrome are neck, shoulder, and arm pain, as well as numbness.

Thoracic Outlet Surgery

Los Angeles Dodgers pitcher Josh Beckett underwent a procedure called thoracic outlet surgery. The purpose of this procedure was to remove a rib that was putting pressure on a nerve and causing numbness in the fingers of his pitching hand.

While thoracic outlet syndrome can be treated in a variety of ways, surgery is sometimes necessary. The purpose of thoracic outlet surgery is to relieve the compression by removing the source. This is typically done by removing the first rib – as in the case of Josh Beckett – or removing any muscles or fibrous bands that may be causing compression. This is traditionally performed through an incision in the underarm, although it can also be done through an incision above the collarbone.

Video-assisted thoracoscopic surgery, also known as VATS, is a type of minimally invasive thoracic surgery. The advantages of this approach are less scarring, less pain, faster recovery, and a lower risk of complications. In addition to using VATS for thoracic outlet surgery, Los Angeles surgeons at West Coast Associates for Minimally Invasive Thoracic Surgery can also use the technique to treat lung cancer, pulmonary nodules, esophageal cancer, emphysema, hyperhidrosis, and a number of other disorders.

Contact an Expert in Thoracic Outlet Surgery

Los Angeles Dodgers pitcher Josh Beckett isn’t alone in suffering from thoracic outlet syndrome. Athletes and non-athletes alike experience the pain and numbness associated with nerve and blood vessel compression in the chest and neck. But patients with thoracic outlet syndrome don’t have to continue to suffer. The top thoracic surgeons at West Coast Associates for Minimally Invasive Thoracic Surgery can help. Call us today at 310.854.0909 to schedule your consultation.

By Ali Mahtabifard, M.D., and Clark B. Fuller, M.D. | ©2019 West Coast Associates for Minimally Invasive Thoracic Surgery
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