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Tailored advice and therapy to reduce your chilblains

Chilblains themselves are generally not serious but they can get painful and affect your daily life. Complications may arise if the condition is not properly managed. In severe cases, open sores may develop, increasing the risk of infection. If you notice any signs of infection, or if the chilblains are causing persistent discomfort, contact us as soon as possible for an appointment.

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Chilblains

What are chilblains?

Chilblains are small, itchy, red or purple swellings on the skin, which can become increasingly painful, swell and then dry out, leaving cracks in the skin that expose the foot to the risk of infection. They occur on the toes (particularly the smaller ones), fingers, the face (especially the nose) and the lobes of the ears. They can also appear on areas of the feet exposed to pressure, such as on a bunion or where the second toe is squeezed by tight shoes. Chilblains can lead to blisters and break down to become a small ulcer prone to infection.

Although chilblains are common, the condition mainly affects young adults working outdoors in cold places or people who do not wear socks in winter. Elderly people, with reduced circulation, people who do not exercise enough, and those suffering from anaemia, are also susceptible.

Chilblains

What causes chilblains?

Chilblains develop when the tiny blood vessels under the skin constrict in cold conditions, reducing the flow of blood until the area warms up again, causing some leakage of fluid into the surrounding tissue. They are caused by the skin’s abnormal reaction to cold, but not everyone develops them as this highly depends on the efficiency of your circulation.

People with poor circulation and other health problems involving their blood vessels are likely to be more prone to developing chilblains. In addition, damp or draughty conditions, dietary factors, and hormonal imbalance can also be contributory factors. It is thought that rapid temperature changes from cold to hot can also be a cause. If the skin is cool and rapidly warmed up next to a fire or by the use of a hot water bottle, chilblains may occur.

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What are the treatment options for chilblains?

  • Home remedies

    There are a number of ways you can calm your chilblains and reduce pain. If you have developed chilblains, do not scratch them, but use soothing lotions such as witch hazel and calamine on them to take away most of the discomfort.

    If a chilblain has ulcerated and caused a deep break within the skin, soak your feet in a warm salt water bath and cover with a clean plaster. If this happens, you should see a podiatrist immediately who will be able to help heal your skin.

    If the chilblains have not broken, you can paint them with a mixture of Friars Balsam and a weak solution of iodine, which your pharmacist may make up for you. At night, rub some lanolin ointment well into the feet to help retain the heat.

  • MLS laser therapy

    At Podiatry Station we strive to remain ahead of our competitors, by offering our patients the latest treatment options with the use of modern technology. MLS Class IV laser therapy is an invaluable tool for helping to clear up chilblains. The light therapy works to increase the diameter of the surrounding blood vessels, which means that a greater volume of blood can get to the toes and healing can occur much faster than it would normally. Laser therapy is safe, has no side effects, and can be used on the most fragile of skin without causing any further damage.

    If you experience any foot care issues that do not resolve themselves naturally or through routine foot care within a week, it is recommended to seek the help of a podiatrist as soon as possible.

Frequently asked questions

During the onset of winter, susceptible people will experience burning and itching on their hands and feet. Upon entering a warm room, the itching and burning is intensified. There may also be some swelling or redness and in extreme cases the surface of the skin may break and sores (ulcers) may develop.

The best way to prevent chilblains is to keep your legs, feet, and body warm, especially if your circulation is poor and your mobility is limited. The whole body, and not just the feet, needs to be kept warm.

Chilblains are a skin condition that occurs in response to repeated exposure to cold, damp conditions. They result from the narrowing and subsequent dilation of small blood vessels in response to temperature changes. This condition is more common in colder climates. Prolonged exposure to cold, followed by rapid warming, can cause inflammation in the affected areas, typically on extremities like fingers and toes.

To prevent chilblains, it’s essential to keep the extremities warm and dry. Dress in layers, including warm socks and insulated footwear. Avoid tight or constricting shoes that can restrict blood flow. Use gloves or mittens to protect your hands and keep them dry. Take breaks from cold exposure to warm up, and make sure your home is adequately heated. Moisturise the skin regularly to maintain its health and elasticity.

Mild cases of chilblains can often be treated at home. Keep the affected areas warm, clean, and dry. Avoid scratching the affected skin to prevent further irritation. Over-the-counter creams containing corticosteroids can help alleviate itching and inflammation. However, if the symptoms persist, worsen, or if there are signs of infection, it’s advisable to seek medical attention. Podiatrists can provide appropriate treatments and advice on managing the condition.

While chilblains themselves are generally not serious, complications may arise if the condition is not properly managed. In severe cases, open sores may develop, increasing the risk of infection. If you notice signs of infection such as redness, swelling, or discharge, or if the chilblains are causing persistent discomfort, seek medical attention promptly. People with existing circulation issues, such as those with diabetes, should be particularly vigilant and consult with a healthcare professional for guidance.

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  • Tuesday & Sunday: Closed