Cryoneurolysis for Spasticity in a Pediatric Patient With Cold Urticaria Managed With Targeted Skin Warming: A Case Report
Paul Winston · 2026
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Description
Paul Winston reports, in 2026, a single case that tests a listed ban on a cold based nerve treatment. Cryoneurolysis freezes a nerve to ease stiff, tight muscles, and it can free movement for months. Cold urticaria, a hive reaction to cold that can turn severe, normally rules the treatment out. His patient was a 10 year old girl with cerebral palsy whose toe walking had returned after surgery.
Winston used careful skin warming to keep her skin above the point that triggers hives, while guiding the cold probe to nerve branches. She carried an epinephrine pen as a backup, yet no reaction occurred. Her muscle tone and walking improved clearly. The case suggests the ban may bend when heat guard steps are planned with care.
Catalog record
| CREATOR | Paul Winston |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 19521 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |