Hygiene is very important to help prevent smelly feet. Feet should be washed daily with soap and water and clean dry socks worn. Some synthetic materials used in shoes, when mixed with sweat and bacteria, can produce smelly feet. The podiatrist will recommend one of a variety of treatments for this condition.
There is excessive moisture that you can not control to your satisfaction that would require medical help and there are treatments that can provide mental and physical relief of excessive perspiration
nervous system. Emotional sweating is affected by different regions of the brain and may be a factor with regards to the development of this condition. It is for this reason that when under stress we tend to perspire more. Treatment clearly is to address factors that influence this. Things that overstimulate are sympathetic nervous system are attempted to be mitigated. Reducing stress, limiting caffeinated products can be quite helpful. First line of treatment is typically a topical antiperspirant most commonly with some type of aluminum chloride solution as a drying agent. Secondary therapy in severe cases can include use of botulinum toxin injections. These interfere with sympathetic nerve function by blocking the neurotransmitter acetylcholine. There are also oral systemic therapies to include anticholinergics, clonidine as well as beta blockers and benzodiazepines, however, there are side effects that limit primary use. Iontophoresis as a treatment based on electric current to inhibit sweating. Finally, in the most severe of cases when involving the upper extremities, endoscopic surgical thoracic sympathectomy has been performed.