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Taken fom Dr. Hooshmans study

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In the area of original nerve damage (e.g., hand or foot), the hyperthermia

points to damage and paralysis of vasoconstrictive function of sympathetic

system (the central hyperthermic area). The central hyperthermia usually

points to the apex of damaged tissue resulting in heat leakage, as well as

accumulation of substance P and nitric oxide. This is an important

therapeutic clue to avoid further trauma. Traumatic procedures such as

surgical exploration, nerve blocks, Clonidine Patch, Capsaicin, or EMG needle

insertion should not be applied to the damaged hyperthermic area in the

extremity which may lead to further damage and aggravation of the condition.

In acute stage, the damaged area is hyperthermic. After a few weeks, the

hyperthermic area shrinks. In some cases the hyperthermia persists due to

permanent damage to sympathetic nerve fibers. This bodes a poor prognosis.

Well, I had an EMG, cortisone injections in every metatarsal head of the

original injury and of course nerve blocks.

Hugs,

Deb

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