The whole paper is available HERE
It is the fall of '06 issue.
The whole issue is available online so one can see how the field of wound care related to stasis/venous ulcers views the issues related to that.
Cold makes me spasm-y and has done since early on in the disease. The heat was only an issue when I started to progress.
Nerves are always reduced in terms of transmission in the heat for normal people as well as MSers, but in MSers, once they have a lesion burden that means they have more nerves that are demyelinated or scarred and not transmitting the nerve impulses well to begin with, heat makes that even worse. Add to that the fact of veins draining the heat away from the brain through the emissary veins and you have a double whammy for the MSer in terms of heat management.
For some years I thought the diagnosis of MS might be in doubt because I was not heat intolerant....
Oh, to be still in denial.............those were the days.........