Cold feet and chilblains: advice and treatment in Radlett

If cold weather leaves you with painful, swollen, itchy toes, you may have chilblains. They happen when your feet get cold and then warm up too quickly. They are uncomfortable but treatable, and can usually be prevented.

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Why do my feet get cold?

When you are cold, the blood vessels in your feet narrow to keep your core warm. Warming up too fast can overwhelm those vessels, causing inflammation and chilblains: red, swollen, itchy toes.

A foot on a hot water bottle
A common cause of chilblains is heating the toes too quickly

What are chilblains?

Chilblains (erythema pernio) are red, itchy, painful swellings that appear when your toes get cold and then warm up too quickly. They can also affect the ears, nose, cheeks and hands. Sometimes cold feet are a sign of a medical condition such as Raynaud’s disease.

Red chilblain toes
Redness of the toes is a common sign of chilblains

Prevention is key

Keep feet warm

The best way to avoid chilblains is not to let your feet get too cold in the first place.

Warm up gradually

If your feet do get cold, warm them slowly. Do not jump into a hot bath.

Protect your skin

Keep your feet dry and moisturised, especially in cold weather.

If you have frequent problems, a podiatrist can assess you for any underlying causes.

MLS and MiS laser for chilblains

MLS laser therapy is a non-invasive treatment that uses specific wavelengths of light to reduce inflammation and improve blood circulation. Some studies suggest it can speed up healing and reduce discomfort. We have found the MLS and MiS lasers beneficial in reducing pain and inflammation and improving circulation. They can be used to prevent chilblains, or to treat red and sore ones.

Three sessions are needed initially, every 2-3 days, and then continued as needed. Read a research study on MLS laser and chilblains. More about MLS and MiS laser.

Raynaud’s disease

Raynaud’s causes fingers and toes to turn white, then blue, and feel numb or painful when cold or stressed. If you suspect Raynaud’s, see your doctor for diagnosis and management.

Diagram of the stages of Raynaud’s phenomenon
How blood flow is restricted and then returns in Raynaud’s phenomenon

Resources for finding warmth

Insulated footwear

  • Warm socks, such as ski socks or thermal socks, for example UNIQLO HeatTech socks
  • Insulating insoles, for example Pedag Viva
  • Warm, waterproof boots

Heated products

  • Electric socks and insoles (look for reputable brands)

Trusted sources

Information

Feet in thick cosy socks
Keep your feet warm with thick socks
Please note. This information is not a substitute for professional medical advice. If you have concerns about cold feet, chilblains or Raynaud’s disease, please consult a podiatrist or doctor. A&A Podiatrists is not responsible for the information on external websites or the products they sell. Please research carefully before purchasing.

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If you are struggling with the pain, let us help. Book online, or call 01923 856 235.

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A&A Podiatrists & Chiropodists
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