Raynaud’s Syndrome

 A vasospastic disorder resulting in constriction of peripheral blood vessels and decreased perfusion to the area.

Manifestations:

Constriction of the peripheral blood vessels.

Affecting the  fingers, toes, and occasionally other extremities.

This condition can also cause nails to become brittle with longitudinal ridges.

Fingers, toes, ears and/or nose experience sporadic attacks of blood flow interruption due to exposure to cold. Numbness, tingling and burning sensations may also be present.

CREST Syndrome

Pathophysiology:

peripheral affected blood vessels are damaged, either through trauma such as due to repeated exposure to vibration over a long period of time or ideopathic.

The skin and muscles do not get the necessary oxygen from the blood and eventually die.

Sensitivity to temperature change and trauma occur as the tissues are not adequately perfused and nourished.

Treatment and Management:

Symptom management

  1. Pain Management
  2. Protection of affected area from trauma
  • Avoid environmental triggers, e.g. cold, vibration, etc. Emotional stress is another recognized trigger; although the various sources of stress can not all be avoided, it is possible to learn healthier, more effective ways of dealing with them, which will reduce stress and its damaging physical effects overall.
  • Keep your hands, feet and head warm—especially your fingers, toes, ears and nose—by wearing mittens, insulated footwear, a ski mask; by using hand and foot warmers, etc.
  • Quit smoking.
  • Avoid caffeine and other stimulants and vasoconstrictors that have not been prescribed to you by your doctor. Read product labels; caffeine is found not only in coffee and tea, stay-awake pills, many soft drinks and candies, but also in some cosmetics, soaps and shampoos(shower shock caffinated bar and alpecin sampoo).
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