Chilblains: Cold Feet, Hot Problem
Chilblains: Cold Feet, Hot Problem
As podiatrists, we often see patients baffled by itchy, red, and sometimes painful toes during colder months. The culprit? Chilblains—a common but often overlooked condition caused by abnormal vascular response to cold exposure.
When skin is exposed to cold, especially damp conditions, small blood vessels can constrict. If rewarmed too quickly, these vessels may leak, leading to inflammation, swelling, and sometimes blistering.
Chilblains typically affect the toes, fingers, ears, and nose.
Who’s at Risk?
Some people are more prone to developing chilblains than others, especially those who:
- Have poor peripheral circulation
- Suffer from conditions like Raynaud’s disease or lupus
- Wear tight or damp footwear in cold weather
- Move quickly from cold to warm environments
How a Podiatrist Can Help
If you suspect chilblains, don’t just wait for them to go away. A podiatrist can help by:
- Confirming the diagnosis (chilblains can mimic other skin or circulatory issues)
- Recommending topical treatments to reduce inflammation and itching
- Advising on footwear and sock choices to maintain warmth without trapping moisture
- Screening for underlying circulatory or autoimmune conditions if symptoms are persistent
Prevention Tips
- Keep your feet warm, dry, and layered—but avoid direct heat on cold skin.
- Rewarm gradually after coming in from the cold.
- Choose well-fitting shoes with room for thermal socks.
- Moisturize daily to maintain skin integrity and reduce the risk of cracking.
- Stay active to promote circulation.
Chilblains may seem like a minor nuisance, but they’re your body’s way of signaling that your circulation may need attention. With the right approach—both preventative and therapeutic—you can keep your toes cosy and healthy all winter long.
If you’re dealing with persistent or painful symptoms, don’t tough it out. Book a visit with your podiatrist and let us help you put your best foot forward—pun intended!
