clear of it if you have lymphedema or an inflammatory cancer. I have
also seen it exacerbate pleural effusion and ascites. Be sure to
rehydrate as you sweat. Asparagus tea is useful. It is a good idea
to rest after a sauna. It is a good time for a lymphatic message or gua sha.
At our center we often use various diaphoretics (oral and topical)
along with oxygen (Von Ardenne's multistep therapy). It is quite
possible to ratchet up the core temperature, by jumping out and
taking a quick shower to cool off, dry off, and climb back into the
sauna. Temporary capillary constriction helps preserve core
temperature. When working with higher temperatures and with
hyperthermia synergists (e.g., prostaglandin J-2) you must be careful
to avoid malignant hyperthermia associated with calcium
dysregulation. The usual treatment is dantrolene.
Saunas can be done daily unless you work with the very high
temperatures in which case you wait about 4-5 days. The formation of
heat shock proteins gives no added advantage to doing it more
often. It takes several days for them to dissipate.
Always use common sense when using the sauna. You should not be
alone if you are going for high temperatures or are using oxygen. If
you are doing your sauna alone then tell a companion or staff person
and don't lock the door!! Don't attempt a Zalmanov bath on the same day.
Vincent
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