Hina Khan reveals struggle with neuropathic pains as she travels to Ahmedabad for first outing since starting chemo: ‘Legs numb ho jate hai’

What is hot and cold fermentation therapy?

Hot and cold fermentation therapy is a non-invasive pain management technique involving the application of warm and cold water to affected areas. According to Dr Neeraj Goel, Director – Oncology Services at CK Birla Hospital in Delhi, this method alternates between hot water (40°C) and cold water (13°C) for 15–30 minutes, two to three times a day.

This therapy leverages the benefits of both temperatures:

• Hot water relaxes muscles, improves blood flow, and alleviates stiffness.
• Cold water reduces inflammation, numbs pain, and eases muscle spasms.

Together, they enhance circulation, reduce swelling, and promote recovery, making them particularly effective for neuropathic pain.

Neuropathic pain and chemotherapy

Neuropathic pain, often caused by nerve damage or dysfunction, is a common side effect of certain chemotherapy drugs like paclitaxel and cisplatin, Dr Goel said. This pain manifests as burning, tingling, or shooting sensations, particularly in the extremities. Chemotherapy-induced neuropathy results from nerve inflammation, oxidative stress, and damage to the protective covering of nerve cells.

The alternating use of heat and cold tackles multiple aspects of neuropathic pain, Dr Goel shared:

• Reduces oxidative stress on nerves.
• Promotes healing by improving oxygen and nutrient delivery to damaged tissues.
• Eases inflammation and muscle tension.

Additional management strategies

While hot and cold therapy is effective, Dr Goel noted a comprehensive approach to managing neuropathic pain may include:

• Medications such as gabapentin or pregabalin.
• Topical treatments like lidocaine patches.
• Physical therapy to strengthen muscles and improve mobility.
• Lifestyle changes include stress management, healthy eating, and regular exercise.

Precautions

When using hot and cold therapy:

• Avoid extreme temperatures to prevent burns or frostbite.
• Use a towel or cloth barrier to protect your skin.
• Consult a healthcare provider to ensure the therapy suits your condition.

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