Chilblains: Cold Weather Woes For Your Feet and Toes!

Red, itchy and swollen toes are common symptoms of chilblains

It’s that time of year again when the low temperatures are making our feet feel frozen, numb and cold. All you want to do is find warmth in a nice hot shower, electric blanket, hot water bottle or heater. You may not know it yet, but sometimes exposing your feet to extreme changes in temperatures can cause chilblains. Chilblains present as itchy and painful red lumps on your toes that can drive you up the wall!

CHILBLAINS: What are chilblains?

Chilblains (also called erythema pernio) are small itchy, red (and sometimes blue to purple) swellings on the skin, which can be painful. Chilblains are a reaction to severe cold weather when our capillaries shrink to keep the warmth of our blood close to our bodies and not close to the skin where heat is lost. When we rewarm the feet too quickly, this can lead to leakage of fluid and blood into the toes leading to chilblains. The fluid and blood in the tissue can cause redness and cause irritation and itching and sometimes they can break down to become a small ulcer prone to infection.

CHILBLAINS: Who is at risk of getting chilblains?

Particular population groups prone to getting chilblains are:

  • People who smoke (this can lead to constriction of arteries as well as peripheral arterial disease)
  • People with connective tissue disorders (for example lupus)
  • People who suffer from Raynauds syndrome
  • People with a family history of chilblains
  • People with poor circulation such as those are living with Diabetes
  • Those who enjoy the outdoors but neglect to keep their feet warm and dry

CHILBLAINS: What are the symptoms of chilblains?


Chilblains usually cause discomfort, pain and can be extremely itchy. They usually appear as red / purple lumps and in some cases they can blister and scab over. They usually last for a week or longer and subside with appropriate treatment or when the warmer weather arrives. Chilblains occur mainly on the extremities (toes, fingers, nose, ears) and over bony areas (knuckles).

 

 

CHILBLAINS: How do I avoid getting chilblains?

These are the steps you need to take to prevent chilblains happening to you:

  • Keep your feet warm at all times
  • Try not to go from cold to hot quickly
  •  If your feet are cold it is important to warm them up slowly
  • Avoid jumping in a hot shower or putting your feet in front of the heater straight after coming in from the cold. Make sure the water temperature isn’t too hot to start with but slowly increase the temperature.
  • Instead, slip on a pair of slippers or some thick woollen socks and slowly warm them up or using heat bag to warm them up slowly.
  • Avoid walking around barefoot. Instead, wear socks and slippers/shoes to keep your feet warm.

CHILBLAINS: How do I treat chilblains at home?

Red and purple lumps

If you have chilblains, these are some home treatments you can try:

  • Resist the urge to scratch, as this will further damage the skin.
  • Use calamine lotion or witch hazel to soothe the itching
  • Rub Deep Heat or similar onto the feet to promote heat and circulation
  • Wear woollen or cotton socks.
  • Keep your whole body warm.

It’s important that you make sure what you have is a chilblain before commencing any home remedies. If you’re not sure then seek help from a podiatrist.

Our Podiatrists can distinguish chilblains from many other skin conditions after taking a thorough history and inspecting the lesions on your feet. You will then be given a management plan that will not only treat the symptoms but also identify the root cause of why your chilblains have developed in the first place. We are big on preventative care so you will be able to learn ways you can avoid getting chilblains in the future.

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24 Comments. Leave new

  • Hi, Iv read what you should no do, but for me it’s quite the opposite. Iv had this problem for maybe 15 years and the only thing that I found that helped it actually putting my feet in really hot water with salt and tcp. When I put socks onc it actually makes it worse, so itchy.

    Reply
  • Hi,
    I’m 15 and I’ve had extremely sore and itchy toes and they feel quite swollen for about a week but no matter what I do the pain still stays how do I get it to stop apart from the home remedies?
    Thanks

    Reply
    • Hi Ravi! Thanks for reaching out. I think the best way forward is for you to see a health professional (either GP or Podiatrist) that can assess your toes and give you an accurate diagnosis. From there you’ll be able to get the right treatment to help treat the cause of the problem. Good luck!

      Reply
  • My pinky toes have both been purple/swollen/and scaly kind of for a few months now…is it chilblains or is it something else I should get checked out? I’m only 15 and they don’t hurt or itch.

    Reply
  • Hiii!!!….Can you help me out to get rid of swelling of chilblains coz woollen socks and warming up my feets are not helping out very much…please….

    Reply
  • I am zainab 14 years. in winter on all my foot fingers i feel itching especially in cold weather. can i use deep heat creem

    Reply
  • Pretty sure I have developed chaplains from walking barefoot and poor circulation in my feet. I’ve read about Covid toe but the research doesn’t seem to lean towards this being a result of the actual Coronavirus. I have no other symptoms and don’t think this warrants a Covid test. What do you recommend?

    Reply
    • Hi Megan, thank you for reaching out. Spending more time bare feet during winter would likely cause chilblains. However, not seeing your feet we’re unable to give you a definitive answer. Perhaps play on the side of caution and get it checked out by your doctor?

      Reply
  • [email protected]
    Respected Sir some medicines for it ?

    Reply
  • For the past 2 nights about 5 minutes after I get into bed I get a pulsing sharp pain shoot through one toe on my left foot (the one beside my big toe). It’s Ok when standing and it doesn’t bother me at all during the day. But starts immediately again when I lie down. No redness or sores on my toe, but it’s driving me mad…I’ve recently had pneumonia and been on steroids. I suffered chilblains as a child. Don’t think that’s what it is as I’ve no open sores the way I used to. It’s just a pulsing about every 30 seconds. Can’t sleep with it. Eases after I take 2 ibuprofen and 2 paracetamol. Any ideas to what it could be please?

    Reply
    • Symptoms are interesting. Doesn’t sound like chilblains though. Could be a neurological condition? If it doesn’t subside I would highly recommend you seek medical advice. Sorry can’t help much without assessing your foot properly.

      Reply
  • My toes and fingers itch a lot…especially the area around my cuticles…there was swelling too and blisters…could that be chilblains??

    Reply
    • Hi Hilda, thanks for reading our blog. It’s quite challenging to diagnose skin conditions without inspecting your fingers and toes closely and asking lots of questions. My best tip is to see either a podiatrist or doctor to get an accurate diagnosis so that you can treat the symptoms asap.

      Reply
  • Avatar
    george paolucci
    November 4, 2020 10:43 am

    Hi. Can you get chillblains without getting sores and itching ?

    Reply
  • Can you get a red rash on the tops of your feet and rash on your hands with cillblains?

    Reply

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