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Raynaud’s Phenomenon and Chilblains: Symptoms, Causes and Treatment

Podiatrist holding patients ankles together

Cold hands and feet are common during the winter months, but for some people, the discomfort goes beyond feeling chilly. Conditions such as Raynaud’s phenomenon and chilblains affect circulation and skin health and can cause significant pain if not managed properly.

Understanding the symptoms and knowing when to seek advice can help you protect your feet and hands during colder weather.

What Is Raynaud’s Phenomenon?

Raynaud’s phenomenon is a condition that affects blood circulation. It occurs when the small blood vessels in the fingers and toes suddenly narrow (spasm), reducing blood flow to the area. These episodes are often triggered by cold temperatures or stress.

Common Symptoms of Raynaud’s

One of the most recognisable signs of Raynaud’s is a change in skin colour in the fingers or toes. These colour changes usually happen in stages:

  • White or pale: Blood flow is reduced, causing numbness and coldness
  • Blue or purple: Reduced oxygen levels in the tissues
  • Red: Blood flow returns, often with tingling, throbbing or discomfort

During an episode, affected areas may feel cold, numb or painful. As circulation returns, the skin can become sore or sensitive.

Managing Raynaud’s Phenomenon

Although there is no cure, Raynaud’s can usually be managed effectively with the right care.

Self-Care at Home

  • Gentle massage to encourage circulation
  • Lukewarm water (never hot) to warm hands or feet gradually
  • Keeping warm with thick socks, gloves and insulated footwear
  • Avoiding sudden temperature changes, such as placing cold hands directly onto a hot surface

Medical Treatment

For more severe or frequent symptoms, your GP may prescribe medication that helps relax blood vessels and improve blood flow.

If you experience frequent episodes or worsening symptoms, it’s important to seek professional advice.

What Are Chilblains?

Chilblains (also known as pernio) are painful, itchy areas of inflamed skin that develop after exposure to cold, damp conditions. They are caused by damage to small blood vessels when the skin warms up too quickly after being cold. Chilblains commonly affect the toes, fingers, heels and ears.

Symptoms of Chilblains

  • Intense itching or burning
  • Red or purple patches of swollen skin
  • Tender or painful areas
  • Blisters or open sores in more severe cases

Treating and Preventing Chilblains

Treatment focuses on relieving symptoms and preventing further damage.

What Can Help

  • Keeping feet and hands warm and dry
  • Avoiding cold, damp conditions where possible
  • Applying soothing creams, such as calamine lotion, to reduce itching
  • Avoiding scratching, as this can damage the skin and increase infection risk

If the skin becomes broken or shows signs of infection, a doctor may prescribe oral antibiotics.

When to Seek Professional Advice

If symptoms are severe, recurring, or not improving, it’s important to seek advice from a healthcare professional. A podiatrist can assess circulation, skin health and footwear and offer tailored advice to help prevent ongoing problems.

Book an Appointment

If you are experiencing symptoms of Raynaud’s phenomenon, chilblains, or any other foot health concerns, our experienced podiatry team is here to help.

Call us on 01603 737188 or submit an online enquiry through our website to arrange an appointment.

Keeping your feet healthy and comfortable during colder months starts with the right care and expert advice.

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