# Is this EM? Picture

**URL:** <https://forum.livingwitherythromelalgia.org/t/is-this-em-picture/3432>\
**Category:** Symptoms and Treatments\
**Created:** [July 19, 2018, 2:58pm UTC](https://forum.livingwitherythromelalgia.org/t/is-this-em-picture/3432 "2018-07-19T14:58:56Z")\
**Posts on this page:** 1\
**Showing post:** 5

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**Author:** ![leosinho](https://avatars.discourse-cdn.com/v4/letter/l/85e7bf/32.png) [@leosinho](https://forum.livingwitherythromelalgia.org/u/leosinho)\
**Post date:** [July 21, 2018, 5:43pm UTC](https://forum.livingwitherythromelalgia.org/t/is-this-em-picture/3432/5 "2018-07-21T17:43:23Z")

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> [@Stan](#):
>
> Hi  
> May or may not be EM. Unfortunately the pic provided is not diagnostic. There are other possibilities too. If it is triggered by heat, physical activity and relieved by cooling and elevation it’s more likely to be, but I suggest don’t jump to conclusions. Have you seen your doctor?  
> Stan

Hi, what else could it be? Yes its triggered by heat, and relieved by elevation.

Have seen a doctor yes, but they dont take it serious. Anyways, i have heard that this condition can be removed from surgery, is it true? Have seen some cases which got 100% better. Some examples:

> **[Stereotactic surgery of erythromelalgia - PubMed](https://pubmed.ncbi.nlm.nih.gov/2080386/)**
>
> Erythromelalgia is a very rare vascular disease affecting children and is accompanied by severe burning pain in the extremities. The disease is practically incurable. There are no recommendations in the literature concerning the possibility of...

> **[Successful thoracoscopic sympathectomy for primary erythromelalgia in the...](https://link.springer.com/article/10.1007/s11748-004-0003-5)**
>
> Erythromelalgia is known as a rare syndrome of unknown etiology, characterized by redness with burning pain, edema associated with increased skin temperature in the upper and/or lower extremities. Various treatments such as drug therapies and...

[Thoughts of getting a sympathectomy? - #7 by liz2](https://forum.livingwitherythromelalgia.org/t/thoughts-of-getting-a-sympathectomy/265/7) (The last post)

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