Erythromelalgia is a infrequent unpleasant condition which is not easy to take care of and largely impacts the feet and also hands. This condition is characterised through the symptoms of redness, warmth as well as burning discomfort. The attacks for this condition are recurrent and last anywhere from minutes to days. Attacks will most likely start out with a mild itching, but after that progress to severe pain and a burning sensation. The feet or hands will end up hotter, sensitive as well as bloated along with take on a red hue. The episodes are certainly crippling and will probably have a considerable impact on the patient by having an affect on the standard of life as well as the ability to carry out many of the normal activities of day to day life.
There are two different types of erythromelalgia. There is the primary kind which is likely to have an effect on younger individuals and is probably because of a inherited genetic trait which make nerve fibers more active. The alternative variety tends to affect older individuals and it is resulting from an underpinning medical condition for example all forms of diabetes, gout, some blood disorders as well as a adverse affect to certain prescription drugs. There are a variety of conditions that are similar and doctors will need to differentiate it from these included in the examination. These include problems like persistent pain disorders, chilblains and burning feet disorder.
Dealing with erythromelalgia is complicated as there is hardly any one therapy that appears to help everybody and also the reaction to medication is very diverse among individuals. The main strategy is usually to stay away from circumstances that set off an episode such as a hot bath, environmental triggers or certain foods. Lots of people with it do find relief from cooling with the aid of air conditioning and cooling gels. A few do make use of immersion of the feet or hands into icy water however, this is not advisable as it could lead to moisture accumulation in the skin and maybe chilblains and they might possibly develop a secondary bacterial infection.
With the second variety of erythromelalgia, management is generally aimed at therapy for the underpinning condition, and this is frequently very helpful. With the primary type of erythromelalgia the treating of the pain is often much more challenging with the reaction to different medicines being different among individuals. Often anti-inflammatory medicines are tried out, but they are often unhelpful. Drugs that inhibit the channels in the nerve fibres which make the nerve impulses over active are often experimented with and they do have a tendency to help some people. The anticonvulsant drug treatments which include gabapentin might help a few. Usually there are some topical ointment drugs which quite a few find effective for example capsaicin. With the toughest cases sympathetic block or surgery on the back nerves which will involve surgical procedures on the lower back could be performed. Nevertheless, the outcomes of these are mixed. When the pain is extreme and the disorder is difficult to handle and it has such an impact on the day to day life of those that have erythromelalgia it's a good idea that all those with erythromelalgia get a consultation with a pain treatment expert and also clinical psychologists to help them handle the pain and discover the techniques that happen to be useful for dealing with the pain.