Scleroderma - I would be interested in what physiotherapy treatment techniques have been used for this condition and the outcomes obtained.
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In early phase we meat circulatory disorders, so we fight them first; with hydrotherapy, electrotherapeutic modalities and heat pack. Most of all with every day kinesitherapy, breathing exercises (because the nature of illness) and special attention to joints of hands and fingers (because tendency of illness to damage them hard).
Outcome is bad-shorter life time, but long before that hard invalidity because damage of the hands.
You should try to get better general state of organism, slow down damage of the hands and not allowed infection.