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Chilblains Treatment

Discussion in 'General Issues and Discussion Forum' started by NewsBot, Jul 6, 2012.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1

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    Chilblains: An evidence-based analysis of pharmacologic options
    P. Azevedo1, J. Neto2, M. L. Torres3; 1USF Fânzeres, Porto, Portugal, 2USF S. João de Sobrado, Porto, Portugal, 3USF Viver Mais, Oporto, Portugal.
    From WONCA Conference - Vienna
     
  2. Admin2

    Admin2 Administrator Staff Member

  3. stevewells

    stevewells Active Member

    Dear Admin

    Do we have any information on the SORT scale please - I would like to understand how treatments that show a benefit and treatments that show NO benefit can be on the same level on a scale of evidence - thanks
     
  4. MJJ

    MJJ Active Member

    Could it be that there is the same level of evidence showing that the vasodilators work as there is showing that UV and vitamin D don't? In other words the level of evidence has nothing to do with the efficacy of the treatment, just with how confident they are with saying that it either does or doesn't work. That would be my guess.
     
  5. They can be scored the same in terms of evidence level because the same level of evidence exists for the testing of their efficacy, this does not mean they are equally efficacious. For example, treatment A has been investigated in 6 high quality placebo controlled trials which have shown that this treatment is no better than a placebo; treatment B has received attention in 6 placebo controlled trials which have shown treatment B to be better than a placebo- same level of evidence for both treatments but one is demonstrably more efficacious than a placebo, while the other is not. Hope that makes sense. Here's some stuff on SORT:
    http://www.aafp.org/afp/2004/0201/p548.html
    http://www.stfm.org/fmhub/fm2004/February/Barry141.pdf
     
  6. Jo BB

    Jo BB Active Member

    Practising on the sunny Gold Coast,Queensland Australia we still have patients presenting with chilblains every Winter. One of our issues is that our patients do not believe we can have a "winter" and may rug up the upper body but not their feet! This may be either systemic or occupation. During the Autumn I start dispensing 1mm plastazote innersoles to place under the shoe innersole + advice. Believe it or not we have one case of frostbite with a shopkeeper with scleroderma.
    Cheers JO
     
  7. Philip Mann

    Philip Mann Member

    I practice in Northern Costa Blanca in Spain and see far more Chilblains than I used to see when practicing in the UK. Houses tend to have poor insulation and tiled floors. About two years ago I had a patient with very sore chilblains, and decided to do some Low Level Laser to try to help with the pain. The results were very good not only did it stop the pain but also the chilblains resolved very quickly. Now I laser all chilblains and even open ones resolve much quicker than previously. I suspect that the local vasodilation and increased cell metabolisum is what´s happening.
    Is anyone else using Laser on chilblains and what are your experiences?
     
  8. Jo BB

    Jo BB Active Member

    Sounds interesting. The plastazote innersoles are used as a preventative and are very cost effective. I buy a sheet of approximately 1mx1m for $8 and and can dispense quite a few pairs.I tend to use the 1mm for women's shoes and 2mm for men's.
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Pattern of chilblains in a high altitude region of Ladakh, India
    Lt Col G.K. Singh et al
    Medical Journal Armed Forces India (in press)
     
  10. MARK SHERIDAN

    MARK SHERIDAN Member

    Hi there Jo BB. I practice here in Ireland ,Plastazote is also great for Raynards conition.Like your quote
     
  11. Craig Payne

    Craig Payne Moderator

    Articles:
    6
    Picked up this tip from a runner who used it to beat chilblains:

     
    Last edited by a moderator: Sep 22, 2016
  12. MARK SHERIDAN

    MARK SHERIDAN Member

    Hi there Jo BB,Mark Sheridan here again .Betadine solution is also very good .It tends to form a seal around the chilblains areas .Many thanks MARK.
     
  13. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Treatment for chilblains ???

    Efficacy and safety of Korean red ginseng for cold hypersensitivity in the hands and feet: a randomized, double-blind, placebo-controlled trial.
    Park KS et al
    J Ethnopharmacol. 2014 Dec 2;158 Pt A:25-32
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Topical Nitroglycerine in Perniosis/Chilblains.
    Verma P.
    Skinmed. 2015 May-Jun;13(3):176-7.
     
  15. wdd

    wdd Well-Known Member

    The long acting, vasodilatory effects of local anaesthesia produces almost miraculous resolution of chilblains if given at the level of the ankle. Which is no more than you would expect but it is not a treatment that is used by podiatrists. I wonder why not?

    Bill
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
  17. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Chilblain, persisting pain and treatment in vain
    K.V.S. Hari Kumar, F.M.H. Ahmad
    Apollo Medicine; Article in Press
     
  18. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Treatment of primary perniosis with oral pentoxifylline (a double-blind placebo-controlled randomized therapeutic trial)
    Nameer K. Al-Sudany
    Dermatologic Therapy; Early View
     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    A rare study on indigenous uses of medicinal plant home-made remedies
    for the treatment of chilblains in Bandipora, Kashmir, India

    Parvaiz Ahmad Lone et al
    Annals of Phytomedicine 5(1): 135-141, 2016
     
  20. HansMassage

    HansMassage Active Member

    Restriced movement of the foot from footwear can also lead to restricted vasodialation and trigger points in the leg which further restrict blood flow. Trigger point treatment followed by plantar flexion dorsiflexion can increase blood flow and lymphatic drainage.
     
  21. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Assessing the effectiveness of topical betamethasone to treat chronic chilblains: a randomised clinical trial in primary care
    Ibo H Souwer, Jacobus HJ Bor, Paul Smits and Antoine LM Lagro-Janssen
    Br J Gen Pract 13 February 2017; bjgp17X689413. DOI: https://doi.org/10.3399/bjgp17X689413
     
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