Erythromelalgia is a infrequent unpleasant condition which is challenging to deal with and primarily impacts the feet and also the hands. It is characterized by the triad of redness, warmth as well as burning discomfort. The attacks from this disorder are recurrent and last anywhere from minutes to several days. Episodes will usually get started with a mild itching, however after that progress to severe pain and the burning sensation. The feet or hands will end up hotter, tender and also swollen in addition to take on a red colour. The episodes are really disabling and may have a critical effect on the person by having an impact on the quality of life and also the ability to carry out many of the usual functions of everyday life.
There are 2 different types of erythromelalgia. There is the primary variety that has a tendency to affect younger individuals and it is most likely due to a hereditary genetic trait that make nerve fibers more active. The alternative variety tends to have an affect on older persons and it is because of an underpinning problem which include all forms of diabetes, rheumatoid arthritis, some blood problems or as a adverse affect to particular drugs. There are a variety of problems which resemble erythromelalgia and physicians will need to differentiate it from them as part of the examination. These include disorders such as persistent pain syndromes, Raynauds and also burning foot symptoms.
Treating erythromelalgia is difficult because there is no one therapy that seems to help everyone along with the reaction to treatment is rather diverse among individuals. The primary strategy is to keep away from situations which trigger an episode such as a hot bath, environmental triggers or certain foods. Lots of people with erythromelalgia will find help by cooling down with the aid of an air conditioner in addition to cooling skin gels. Many do turn to immersion of the arm or leg into cold water but this is just not recommended as it could lead to maceration of the skin and maybe chilblains plus they may perhaps develop a secondary infection.
With the second type of erythromelalgia, treatment will likely be directed at therapy for the underlying medical condition, and this is frequently very beneficial. With the primary variety of erythromelalgia the treating of the pain can often be considerably more complicated with the reaction to different medications being different among people. Often anti-inflammatory medicines are tested out, but they are often not helpful. Medicine which hinder the channels in the nerve fibres that will make the nerves over active are sometimes tested out and these do tend to help some people. The anticonvulsant medicines such as gabapentin could help some people. There are some topical ointment drugs that a few find helpful which include capsaicin. With the most severe circumstances sympathetic block or a sympathectomy that will involve surgical procedures on the lower back may be carried out. Nevertheless, the results of these are mixed. Because the discomfort is severe and the problem is hard to take care of and it has such an affect on the everyday life of those who have got erythromelalgia it is strongly recommended that all individuals with erythromelalgia have a discussion with a pain treatment professional and also clinical psychologists to help them deal with the symptoms and discover the strategies which are helpful for coping.