Neurological Associates

Pain Management Center

Vero Beach, Florida

H. Hooshmand, M. D.

DIPLOMATE AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY

BOARD CERTIFIED IN ELECTROENCEPHOLOGRAPHY

BOARD CERTIFIED IN ELECTROMYOGRAPHY  

BOARD CERTIFIED IN AMERICAN BOARD OF ELECTODIAGNOSTIC MEDICINE

INTRACTABLE NEUROLOGY

EPILEPSY, PAIN, MS

An International Referral Center dedicated to Treatment, Education and Research

 

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RSD PUZZLE #5
Why Not Use Ice For RSD Therapy


"Why not apply alternative ice and heat treatment to the extremity as it is done commonly in the Physical Therapy Departments?"

The practice of alternate ice and heat application only has its place in the neurophysiological experiments and diagnostic tests for the function of the sympathetic system. Application of ice results in stimulation of the sympathetic system and secondary constriction of the superficial sympathetic vasoconstrictors. On the other hand, the heat application results in the dilatation of superficial blood vessels and relaxation of the vasoconstrictor activity of the sympathetic nervous system. Obviously, in RSD, the goal is to warm up the extremity, to dilate the superficial blood vessels, and to slow down the simultaneous inflammation and increased circulation in the deep structures of the extremity (which result in osteoporosis and fracture of the bones). As the heat application helps the patient, the ice application negates the beneficial effects of the heat. The end result is a zero therapeutic effect.

Ice application has its place in acute soft tissue injuries but has no place in treatment of complex chronic pain of RSD.



H. Hooshmand, M.D.

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Copyright © 1997-2006 H. Hooshmand, M.D. No part of this publication may be reproduced, transmitted, stored in a retrieval system other than this specific media, transcribed, or translated into any language without the expressed written permission from the author; H. Hooshmand, M.D. and Eric Phillips and CMNE. This material is for informational and education purposes. It is not meant to take the place of your physician. Before starting, changing, or stopping any treatments or medicines consult your physician.


Send e-mail to Eric Phillips: EricmP9512@aol.com with questions or comments about this media and content.

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The material on the Neurological Associates Pain Management Center Homepage and all it's associated, linked or reference pages is for informational and education purposes. It is not meant to take the place of your physician. Before starting, changing, or stopping any treatments or medicines consult your physician. H. Hooshmand, M.D., Neurological Associates Pain Management Center and Associates will not be held liable for any damage or loss as a result of information provided on this page or associated documentation. Again, this WEB SITE is simply published as an information source and should not be used to treat or make judgments on RSD/CRPS. All associated material on this web site may not be copied, reproduced or quoted without expressed written permission from the owner; Copyright © 1999-2006 H. Hooshmand, M.D.

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Web Site designed and maintained by:

Eric M. Phillips; E-mail: EricmP9512@aol.com

This page was last updated on 3/11/2000.
                  
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