Only when the burning is outrageously severe will direct cold actually benefit the patient. In more moderate stages the attempted remedy, ie. The terminology of gradients is oversimplified. Dysesthesia follows loss of fine touch, while hyperpathia follows retention of fine touch. Because touch is usually most impaired distally in central pain, this website refers to distal increase.
Proximal increase is a gradient in opposite direction from distal increase.
The CP hyperpathic response is greatest where dysesthesia and loss of touch sensation are the least. Barring a complete lesion, touch tends to be spared going proximally on the body. Consequently, this website refers to proximal increase as it pertains to hyperpathia, which follows touch retention. Adequate stimulus refers to the manner in which a given component is most effectively stimulated. Relieved by deep pressure refers to those aspects of central pain which are benefited by deep pressure or massage applied for a few minutes.