Cold Feet? It Could Be Raynaud’s or Chilblains

Why Are My Feet Always Cold?

Occasionally cold feet are normal—especially in cooler temperatures. But if your feet are regularly cold, numb, discoloured, or painful, you may have an underlying circulation issue such as Raynaud’s Phenomenon or Chilblains.

Raynaud’s Phenomenon

What is it?

Raynaud’s is a condition where small blood vessels in the fingers and toes overreact to cold or stress, temporarily reducing blood flow. This causes colour changes and uncomfortable symptoms in the affected areas.

Symptoms:

• Cold, pale, or white toes when exposed to cold
• Numbness or tingling in the feet
• Colour changes: white ➝ blue ➝ red as circulation returns
• Pain, throbbing or burning sensation during rewarming

Triggers:

• Cold weather or handling cold objects
• Sudden temperature changes
• Emotional stress

How to Manage Raynaud’s:

• Keep feet warm with thermal socks and lined shoes
• Avoid sudden temperature changes
• Keep your whole body warm, not just your feet
• Avoid smoking (it constricts blood vessels)
• Stay active to promote circulation
• In severe cases, medication may be prescribed via your GP

Chilblains (Pernio)

What Are Chilblains?

Chilblains are painful, inflammatory skin lesions that occur when cold skin is suddenly exposed to warmth. They’re caused by poor circulation and the body’s inability to respond effectively to temperature changes.

Symptoms:

• Red, purple, or dark patches on toes or heels
• Swelling, itching, or burning
• Tenderness or blistering in severe cases
• Skin breakdown or ulceration (in high-risk patients)

What Causes Them?

• Cold, damp weather exposure
• Rewarming too quickly (e.g. sitting near a heater)
• Tight shoes that reduce blood circulation
• Underlying vascular or autoimmune issues

Prevention & Self-Care Tips:

• Keep feet warm and dry at all times
• Avoid direct heat (e.g. heaters or hot water bottles) on cold feet—warm gradually
• Use insulated shoes and thermal insoles
• Moisturise daily to prevent skin breakdown
• Avoid smoking and stay physically active
• Seek help early if lesions blister or ulcerate

How We Can Help at Rowlands Podiatry

We offer comprehensive care for patients suffering from cold feet, Raynaud’s, and Chilblains:

• Clinical assessment to rule out other vascular or neurological causes
• Circulatory health checks, including Doppler ultrasound
• Skin care guidance for prevention and recovery
• Footwear advice to reduce pressure and improve warmth
• Referral to GP or vascular specialists if symptoms are severe or persistent

When to Seek Professional Help:

• If colour changes or coldness occur regularly
• If you develop ulcers, broken skin, or an infection
• If symptoms are affecting your ability to walk or wear shoes comfortably

Don’t Ignore Cold Feet

Ongoing cold feet may be a sign of something more serious. Early assessment and care can help reduce long-term complications and discomfort.

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🌐 Visit: www.rowlandsfootcare.com