Erythromelalgia

Specialist in Tampa, FL

What is Erythromelalgia?

Erythromelalgia is a neurovascular pain disorder that causes:

  • Burning pain (often severe)
  • Redness of the skin
  • Increased skin temperature
  • Episodes triggered by heat, activity, or stress

Symptoms may come and go or become persistent over time. Many patients struggle for years before receiving an accurate diagnosis.

What Causes Erythromelalgia?

Erythromelalgia may be:

  • Primary (idiopathic or genetic) – Often related to nerve dysfunction affecting pain signaling
  • Secondary – Associated with conditions such as:
    • Peripheral neuropathy
    • Autoimmune disorders
    • Blood disorders
    • Nerve injuries or post-surgical changes

Because of its complexity, erythromelalgia requires a specialized approach focused on both nerve and vascular components of pain.

How is Erythromelalgia Diagnosed?

At Tampa Pain MD, diagnosis begins with a comprehensive evaluation, including:

  • Detailed medical history and symptom review
  • Physical examination during flare-ups (when possible)
  • Identification of nerve involvement
  • Diagnostic nerve blocks to pinpoint pain sources

Treatment Options for Erythromelalgia

We use a multi-modal, opioid-free approach focused on long-term relief and improved function.

  • Sympathetic Nerve Blocks
    Target overactive nerves contributing to burning pain and vascular changes
  • Peripheral Nerve Blocks
    Provide both diagnostic insight and therapeutic relief
  • IV Lidocaine Infusions
    Help stabilize nerve activity and reduce chronic pain
  • IV Ketamine Therapy
    Effective for severe, treatment-resistant neuropathic pain
  • Cryoneurolysis (Cryoanalgesia)
    A cutting-edge therapy that temporarily disrupts pain signaling in affected nerves
  • Capsaicin Patch (High-Concentration 8%)

A prescription-strength topical treatment that targets overactive pain fibers in the skin. Applied in-office, it can provide long-lasting relief for certain types of neuropathic pain by reducing nerve hypersensitivity.

Why Choose Tampa Pain MD?

  • Fellowship-trained, board-certified pain specialist
  • Expertise in complex nerve pain conditions
  • Advanced ultrasound-guided or fluoroscopy-guided procedures
  • Concierge-style care with direct physician access
  • Focus on opioid-free, evidence-based treatments

Contact Us

If you are struggling with erythromelalgia or unexplained burning nerve pain, we can help.

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