Erythromelalgia is a infrequent unpleasant disorder this is not easy to manage and typically impacts your feet as well as hands. It is described by the symptoms of redness, warmth and burning discomfort. The episodes from this disorder are recurrent and last anywhere from a few minutes to days. Attacks will most likely start out with a straightforward itching, but after that progress to extreme pain and a burning pain. The feet or hands will end up hotter, tender as well as swollen along with look a red tone. The attacks are really crippling and can have a substantial effect on the person by having an impact on the standard of life as well as the capacity to undertake many of the usual actions of everyday life.
There's two types of erythromelalgia. There is the primary kind which tends to have an impact on younger people and it is most probably as a result of hereditary genetic trait that will make nerve fibers more active. The second kind usually have an affect on older persons and is due to an underpinning medical problem including diabetes, rheumatoid arthritis, some blood problems or as a side affect to specific medications. There are a number of disorders that resemble erythromelalgia and physicians will likely need to distinguish it from these as part of the analysis. These include disorders such as persistent pain syndromes, Raynauds as well as burning foot syndrome.
The treating of erythromelalgia is difficult as there is no one therapy that appears to help everyone and also the reaction to treatment methods are really varied between people. The initial approach is usually to stay clear of circumstances which bring about an attack such as a warm bath, environmental triggers or particular foods. Lots of people with it will find relief from cooling down with the aid of air conditioning and cooling skin gels. Many do resort to immersion of the feet or hands in cold water however, this is just not advisable as it may lead to maceration of the skin and even chilblains and they could possibly have a secondary bacterial infection.
With the second variety of erythromelalgia, treatment is generally aimed toward management of the underlying condition, and this is often very helpful. For the primary kind of erythromelalgia the management of the pain is usually a great deal more complicated with the reaction to several medications being diverse between individuals. Often anti-inflammatory drugs are tested out, but are frequently not helpful. Drugs that block the channels in the nerve cells which make the nerve impulses overactive are often tested out and they do generally help some. The anticonvulsant drug treatments such as gabapentin might help quite a few. There are some topical cream drugs which a few find helpful such as capsaicin. In the toughest circumstances sympathetic block or a sympathectomy which will involve surgical procedures on the lower back might be performed. However, the outcomes of surgery are mixed. Because the discomfort is extreme and the condition is hard to deal with and has such an impact on the daily life of those who have got erythromelalgia it's a good idea that all those with erythromelalgia get a assessment with a pain management professional and also clinical psychologists to assist them to take care of the symptoms and learn the strategies which can be good for coping with it.