Erythromelalgia is a infrequent painful disorder that is not easy to manage and largely has an effect on the feet as well as the hands. This condition is identified by the symptoms of redness, increased temperature and also burning discomfort. The episodes with this disorder are intermittent and range from minutes to several days. Episodes will usually begin with a low grade itchiness, however after that moves on to extreme pain and a burning discomfort. The feet or hands will end up warmer, sensitive and also swollen and also take on a red shade. The attacks are quite crippling and will probably have a major effect on the person by having an affect on the standard of life as well as the capacity to accomplish some of the normal things to do of daily life.
There are two types of erythromelalgia. There is the primary type which tends to have an impact on younger individuals and it is most likely because of a inherited genetic trait that make nerve cells more excitable. The alternative kind has a tendency to have an impact on older people and is because of an underlying condition including diabetes, rheumatoid arthritis, some blood conditions as well as a adverse affect to certain drug treatments. There are a variety of problems that resemble erythromelalgia and physicians will probably need to distinguish it from them included in the examination. Included in this are disorders like persistent pain syndromes, chilblains as well as burning foot syndrome.
The treating of erythromelalgia is difficult because there is no one therapy that appears to assist everyone along with the response to medication is quite variable among individuals. The main method is to prevent circumstances which trigger an episode such as a warm bath, environment triggers or particular foods. Most people with it will find relief from cooling down with the aid of an air conditioner and also cooling gels. Many do turn to immersion of the limb into cold water however, this is not encouraged as this can result in moisture accumulation in the skin and even chilblains plus they could possibly have a secondary infection.
For the second type of erythromelalgia, management will likely be aimed at treatments for the underpinning condition, and this is frequently very useful. For the primary variety of erythromelalgia the management of the pain sensation is usually considerably more challenging with the reaction to different prescription drugs being different between people. Often anti-inflammatory drugs are tried out, but they are usually unhelpful. Medication that block the channels in the nerve fibres that make the nerve impulses over active in many cases are experimented with and these do generally assist some people. The anticonvulsant prescription drugs for example gabapentin may help some people. There are a few topical ointment medicines which a few find very helpful which include capsaicin. In the most extreme cases sympathetic block or a sympathectomy which does involve surgical procedures on the lower back could be carried out. Nonetheless, the final results of these are varying. Because the discomfort is serious and the problem is difficult to manage and it has such an impact on the everyday life of those who have got erythromelalgia experts recommend that all those with it get a assessment with a pain treatment expert and clinical psychologists to help them take care of the symptoms and learn the strategies which might be helpful for coping with it.