How To Wear Heels With Hyperhidrosis: Combating Sweaty Feet in Heels

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Strutting in Stilettos with Hyperhidrosis: Tackling Sweaty Feet in Heels

High heels can elevate your style and confidence, but for those grappling with hyperhidrosis, it can be a slippery slope. Hyperhidrosis, or excessive perspiration, especially in the feet, can transform a graceful strut into a precarious balancing act. Uncovering how to wear heels with hyperhidrosis brings its own unique challenges.

In this piece, we’ll delve into the hurdles of strutting in heels with sweaty feet, comprehend the concept of plantar hyperhidrosis, and unearth effective strategies and products to help you retain your composure while flaunting in high heels.

Deciphering Plantar Hyperhidrosis

Before we dive into the solutions, let’s understand what plantar hyperhidrosis entails. Plantar hyperhidrosis is a medical condition marked by excessive perspiration of the feet. It often coexists with palmar hyperhidrosis, resulting in excessively sweaty hands.

While perspiration is a natural process to regulate body temperature, individuals with this condition experience an intensified and uncontrolled version of it, leading to copious sweaty feet in heels.

The Struggle is Genuine

So, why is this a nuisance, and what makes it so problematic? The combination of hyperhidrosis and high heels can certainly put a damper on your day. Here are some reasons why plantar hyperhidrosis can be a genuine challenge:

  • Foot Odor: Excessive perspiration increases the likelihood of foot odor. The embarrassment of removing your heels and releasing an unpleasant aroma can be unbearable.
  • Blisters and Sores: Moisture in your shoes can result in painful blisters and sores, making the experience of wearing heels torturous.
  • Skin Infections: Constant dampness is a perfect breeding ground for fungal and bacterial infections, which can be uncomfortable and difficult to treat.
  • Shoe Damage: Perspiration can also damage your favorite pair of heels, causing them to deteriorate faster and lose shape.
  • Discomfort: Constant dampness can be uncomfortable and distracting, making it hard to focus on anything other than your sweaty feet in heels.

Combating Sweaty Feet in Heels

Having highlighted the struggle, let’s delve into some practical solutions for those grappling with plantar hyperhidrosis, essentially addressing how to wear heels with hyperhidrosis. Here are some tips, strategies, and products to help you confidently strut in heels:

  • Well-Fitting Shoes: Start with the basics – ensure your shoes fit well. Tight shoes can exacerbate perspiration. Opt for breathable materials and choose the right shoe size.
  • Use Deodorant: Applying antiperspirant or foot-specific deodorant can help curb perspiration. Simply apply some on the soles and between your toes before slipping into your heels.
  • Moisture-Wicking Insoles: Consider using moisture-wicking insoles in your heels. These absorb perspiration and keep your feet dry.
  • Foot Pads and Cushions: Gel or silicone foot pads and cushions can create a barrier between your feet and your heels, reducing friction and discomfort.
  • Change Socks: Carry an extra pair of socks if you’re planning a long day in heels. Changing into fresh, dry socks can make a world of difference.
  • Foot Soaks: Regular foot soaks in warm water with Epsom salt can help curb sweating and keep your feet fresh.
  • Stress Reduction: Stress can trigger excessive perspiration, so consider incorporating relaxation techniques into your routine, such as meditation or yoga.

The Center for Hyperhidrosis Approach

While these solutions are effective in managing plantar hyperhidrosis, some individuals may require a more comprehensive treatment. This is where The Center for Hyperhidrosis (CHH) steps in. CHH specializes in diagnosing and treating hyperhidrosis, offering a variety of advanced solutions, including:

  • General Measures: Simple everyday measures can be employed to reduce the effects of plantar hyperhidrosis. One such measure involves layering white cotton socks to enhance sweat absorption. Regularly drying out your footwear can also prolong their lifespan.
  • Antiperspirants and Topical Treatments: These options are effective in preventing perspiration from surfacing on the hands, feet, and underarms. They offer a localized solution to minimize sweat production.
  • Oral Medications: For short-term relief from plantar hyperhidrosis, your physician may prescribe medications like anticholinergic tablets, glycopyrrolate, propranolol, gabapentin, and clonazepam. These medications are typically used for a limited duration to provide temporary respite from excessive perspiration.
  • Iontophoresis: Considered one of the most effective treatments for sweaty feet in heels, iontophoresis employs a gentle electric current applied through the water to regulate hyperactive sweat glands, significantly reducing perspiration.
  • Botox®: Botox injections are another option that temporarily binds receptors, preventing the activation of sweat glands. While effective, it can be uncomfortable, and the treatment’s effects usually wear off within 3-4 months.
  • Combination Therapy: A combination of over-the-counter products, such as shoe inserts and foot powders, along with antiperspirants or iontophoresis, can be employed to combat excessive perspiration in the feet. Shoes designed for hyperhidrosis can be particularly beneficial in reducing the impact of excessive perspiration, which often leads to damp and potentially odorous footwear.
  • Shoe Inserts: These inserts are excellent for absorbing perspiration and preserving your shoes from the detrimental effects of moisture. Some specialized products like SummerSoles® inserts can even be worn with open-toed shoes or flip-flops.
  • Foot Powders: Products like Gold Bond® or Scholl’s® foot powders, specifically designed for sweaty feet, can effectively absorb moisture, keeping your feet fresh and dry.

Alongside these solutions, various shoes for hyperhidrosis and high heels catered to this condition are available. This footwear offers a respite for those learning how to wear heels with hyperhidrosis. Explore these options to ensure your feet stay comfortable and confident, even in your favorite pair of heels.

By consulting with experts at CHH, you can explore these treatments and find a solution that works best for you, giving you the freedom to strut in heels without worry.


Strutting in heels with sweaty feet, especially for those with hyperhidrosis, can be a daunting task. But it’s not an insurmountable challenge. With a combination of the right products, strategies, and expert guidance, you can confidently step out in your favorite pair of stilettos without fear of slips, odors, or discomfort.

For those who find their struggles with hyperhidrosis overwhelming, don’t hesitate to seek help from specialists like CHH. Our expertise and range of treatments can provide lasting relief and help you put your best foot forward in heels once again. Contact us today to get started!

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