Treatment is often difficult – there is no single simple solution for the chronic fluctuating pain experienced Some degree of trial and error is often needed.
A good supportive relationship with family doctorand specialist is helpful. Avoid hanging the legs down, don’t use heavy warm blankets at night. Alcohol causes blood vessels to dilate so may aggravate the symptoms. Heat and exercise often make symptoms worse. Using ice packs should be avoided on the affected area as it aggravates the symptoms
Capsaicin cream applied regularly may reduce the pain in the skin as does Amitryptiline cream. or lLdocaine patches. Gabapentin or Amitryptiyline in small doses taken regularly may be helpful in controlling the chronic pain and discomfort.
Sometimes assistance must be sought from Pain Management experts.