Chilblains to choroba znana również jako pernio lub perniosis. w języku polskim można ją określać jako „obmrożenie” lub „pernioza”, choć nie jest to t
Charakterystyka, pielęgnacja i opieka

Chilblains (pernio, perniosis) to zapalenie drobnych naczyń skóry wywołane ekspozycją na zimno w warunkach wilgotnych, manifestujące się bolesnymi, swędzącymi, czerwono-fioletowymi obrzękami, najczęściej na palcach rąk i stóp. Objawy rozwijają się w ciągu 12-24 godzin po ekspozycji i utrzymują się 1-3 tygodnie. Diagnostyka opiera się na badaniu klinicznym i wywiadzie, z różnicowaniem względem odmrożeń, choroby Raynauda czy tocznia rumieniowatego. Leczenie obejmuje unikanie zimna, stopniowe ogrzewanie, stosowanie nawilżających kremów, NLPZ (np. ibuprofen) oraz w cięższych przypadkach miejscowe kortykosteroidy (triamcynolon 0,1%), leki rozszerzające naczynia (nifedypina, pentoksyfilina, nitrogliceryna 0,2%). Skuteczność nifedypiny jest dyskusyjna, a jej stosowanie może wiązać się z działaniami niepożądanymi, takimi jak hipotonia i obrzęki.

Charakterystyka Chilblains – pernio (obmrożenie, pernioza)

Chilblains to choroba znana również jako pernio lub perniosis. w języku polskim można ją określać jako „obmrożenie” lub „pernioza”, choć nie jest to typowe odmrożenie. Jest to stan zapalny małych naczyń krwionośnych w skórze, który powstaje w odpowiedzi na narażenie na zimno, ale nie zamarzające temperatury, szczególnie w wilgotnych warunkach12. Chilblains manifestują się jako bolesne, swędzące, czerwone lub fioletowe obrzęki na skórze, najczęściej na palcach rąk i stóp, ale mogą również występować na uszach, nosie czy udach23.

Schorzenie to dotyka około 10% populacji, głównie osoby starsze, prowadzące siedzący tryb życia oraz osoby z problemami krążeniowymi4. Objawy zwykle rozwijają się w ciągu 12-24 godzin po ekspozycji na zimno i mogą utrzymywać się przez 1-3 tygodnie56.

Objawy Chilblains

Charakterystycznymi objawami chilblains są:

Objawy często nasilają się po wejściu z zimnego otoczenia do ciepłego pomieszczenia9. W skrajnych przypadkach może dojść do pękania skóry, co zwiększa ryzyko zakażenia8.

Diagnostyka i rozpoznanie Chilblains

Rozpoznanie chilblains opiera się głównie na badaniu klinicznym oraz wywiadzie dotyczącym ekspozycji na zimno10. Lekarz dokładnie ogląda zmiany skórne i przeprowadza szczegółowy wywiad dotyczący objawów oraz niedawnego narażenia na zimno. W większości przypadków nie są konieczne dodatkowe badania diagnostyczne2.

Chilblains można sklasyfikować jako idiopatyczne (pierwotne), gdy nie ma powiązanej przyczyny, oraz wtórne, gdy można zidentyfikować przyczynę2. W przypadku ciężkich, nawracających objawów lub jeśli chilblains utrzymują się poza sezonem zimowym, mogą być wskazane dalsze badania w celu wykluczenia chorób układowych, takich jak choroby tkanki łącznej czy zaburzenia hematologiczne11.

Różnicowanie z innymi chorobami

Chilblains należy różnicować z innymi schorzeniami wywołanymi zimnem, takimi jak:

  • Odmrożenia (frostbite) – poważniejsze uszkodzenie tkanek spowodowane zamarzaniem12
  • Choroba Raynauda – zaburzenie krążenia charakteryzujące się zmianą koloru skóry palców w odpowiedzi na zimno lub stres12
  • Inne zmiany skórne, takie jak toczeń rumieniowaty lub krioglobulinemia13

Podolog lub lekarz dermatolog potrafi odróżnić chilblains od innych podobnych schorzeń skórnych po przeprowadzeniu dokładnego badania i wywiadu14.

Leczenie Chilblains

Leczenie chilblains skupia się głównie na łagodzeniu objawów, zapobieganiu powikłaniom i eliminowaniu czynników wywołujących7. W większości przypadków chilblains ustępują samoistnie w ciągu 1-3 tygodni, o ile unika się dalszej ekspozycji na zimno56.

Samodzielne postępowanie

Podstawowe metody leczenia, które można stosować w domu, obejmują:

  • Utrzymywanie ciepła całego ciała, zwłaszcza dłoni i stóp1
  • Stopniowe ogrzewanie skóry po ekspozycji na zimno, bez pocierania czy masowania15
  • Stosowanie nawilżających kremów, aby zapobiec pękaniu skóry16
  • Używanie łagodzących preparatów, takich jak kalamin lub wyciąg z oczaru wirginijskiego, aby zmniejszyć świąd1718
  • Stosowanie niesterydowych leków przeciwzapalnych (NLPZ), takich jak ibuprofen, w celu złagodzenia bólu i obrzęku1
  • Unikanie drapania zmian, co może prowadzić do infekcji5

Ważne jest również utrzymywanie higieny skóry i ochrona wszelkich pęknięć przed infekcją poprzez stosowanie środków antyseptycznych i odpowiednich opatrunków5.

Leczenie farmakologiczne

Jeśli objawy nie ustępują po 2-3 tygodniach samodzielnego leczenia, lekarz może zalecić:

  • Miejscowe kortykosteroidy (np. krem z triamcynolonem 0,1%) w celu zmniejszenia stanu zapalnego i świądu1519
  • Leki rozszerzające naczynia krwionośne, takie jak nifedypina (Procardia) – bloker kanału wapniowego, który poprawia przepływ krwi i leczy chilblains1511
  • Pentoksyfilina (Pentoxil, Trental) – lek poprawiający krążenie krwi20
  • Miejscowe preparaty z nitrogliceryną 0,2% – maść rozszerzająca naczynia krwionośne11

Warto zaznaczyć, że skuteczność nifedypiny była kwestionowana w niektórych badaniach, które sugerowały, że może nie być bardziej skuteczna niż placebo w leczeniu przewlekłych chilblains, a nawet może powodować działania niepożądane, takie jak obniżenie ciśnienia krwi i obrzęki21.

Wskazania do konsultacji lekarskiej

Należy skonsultować się z lekarzem, jeśli:

  • Objawy utrzymują się dłużej niż 2-3 tygodnie9
  • Ból jest intensywny lub nasilający się16
  • Skóra pęka lub występują oznaki infekcji (zwiększony obrzęk, zaczerwienienie, ropna wydzielina)9
  • Chilblains nawracają regularnie lub występują poza sezonem zimowym1611
  • Pacjent cierpi na cukrzycę lub inne choroby utrudniające gojenie11

Specjalistyczna opieka podiatryczna i pielęgniarska w Chilblains

Podiatrzy i pielęgniarki specjalistyczne odgrywają kluczową rolę w leczeniu i zapobieganiu chilblains, szczególnie u osób z grupy podwyższonego ryzyka22.

Rola podiatrów

Podiatrzy mogą zapewnić kompleksową opiekę, która obejmuje:

  • Ocenę stopnia nasilenia chilblains i wykluczenie innych schorzeń14
  • Leczenie owrzodzeń lub pęcherzy, jeśli się pojawiły23
  • Stosowanie technik odciążających (podkładki, taping), aby zmniejszyć ucisk na dotknięte obszary24
  • Edukację na temat odpowiedniego obuwia i pielęgnacji stóp25
  • Specjalistyczne zabiegi, takie jak terapia laserowa (K-laser) lub kąpiele parafinowe, które mogą poprawić krążenie i zapobiegać chilblains2526

Regularne wizyty u podiatry są szczególnie ważne dla osób starszych lub z cukrzycą, u których występuje zwiększone ryzyko powikłań4.

Opieka pielęgniarska

Pielęgniarki odgrywają kluczową rolę w leczeniu chilblains, zapewniając:

  • Ocenę stanu skóry i wczesne wykrywanie oznak infekcji23
  • Prawidłowe oczyszczanie i opatrywanie zmian, zwłaszcza jeśli doszło do pęknięcia skóry5
  • Edukację pacjenta na temat samodzielnej pielęgnacji i zapobiegania nawrotom27
  • Monitorowanie skuteczności leczenia i dostosowywanie planu opieki28
  • Zapewnienie wsparcia w stosowaniu przepisanych leków i preparatów miejscowych19

Współpraca między lekarzami, podiatrami i pielęgniarkami jest kluczowa dla zapewnienia kompleksowej opieki i skutecznego leczenia chilblains27.

Zapobieganie Chilblains

Profilaktyka jest najskuteczniejszą metodą radzenia sobie z chilblains. Poniżej przedstawiono kluczowe strategie zapobiegawcze2930.

Ogólne zasady profilaktyki

  • Unikanie lub ograniczanie ekspozycji na zimno i wilgoć29
  • Stopniowe ogrzewanie skóry po przebywaniu na zimnie29
  • Ubieranie się warstwowo w luźną odzież29
  • Noszenie rękawiczek, szalika, czapki i ciepłego, wodoodpornego obuwia29
  • Utrzymywanie komfortowej temperatury w domu i miejscu pracy29
  • Rzucenie palenia, które może wpływać na zwężenie naczyń krwionośnych2931

Specjalna ochrona stóp

Stopy są szczególnie narażone na chilblains, dlatego warto stosować następujące środki ostrożności:

  • Noszenie ciepłych, najlepiej wełnianych skarpet (zalecane są skarpety z wełny merynosowej)4
  • Stosowanie dobrej jakości kapci w domu, aby unikać chodzenia boso po zimnych podłogach lub kafelkach25
  • Codzienne nawilżanie stóp, szczególnie po kąpieli, co poprawia krążenie i zapobiega pękaniu skóry4
  • Przechowywanie butów w ciepłym pomieszczeniu, a nie w zimnym przedpokoju czy na zewnątrz18
  • Stosowanie wkładek termicznych do butów32

Poprawa krążenia

Dobra cyrkulacja krwi jest kluczowa w zapobieganiu chilblains. Można ją poprawić poprzez:

  • Regularne ćwiczenia fizyczne, które rozgrzewają ciało i poprawiają przepływ krwi do stóp42
  • Unikanie ciasnej odzieży, która może ograniczać krążenie18
  • Spożywanie ciepłych posiłków w ciągu dnia, aby ogrzać całe ciało18
  • Stosowanie preparatów na bazie mentolu lub eukaliptusa, które zwiększają krążenie8
  • Unikanie palenia i picia napojów zawierających kofeinę, które mogą hamować prawidłowy przepływ krwi20

Osoby z nawracającymi chilblains mogą w okresie zimowym profilaktycznie przyjmować leki przepisane przez lekarza, które zapobiegają powrotowi objawów6.

Powikłania Chilblains

Choć chilblains zazwyczaj nie powodują trwałych uszkodzeń, w niektórych przypadkach mogą wystąpić powikłania6.

Najczęstsze powikłania

  • Infekcje – jeśli skóra pęka lub tworzą się pęcherze, zwiększa się ryzyko zakażenia bakteryjnego19
  • Owrzodzenia – w ciężkich przypadkach mogą się rozwinąć owrzodzenia, które trudno się goją25
  • Przewlekłe chilblains – objawy mogą utrzymywać się przez długi czas lub regularnie nawracać w sezonie zimowym2
  • Blizny – szczególnie jeśli doszło do głębokich uszkodzeń skóry31

Zapobieganie powikłaniom

Aby zmniejszyć ryzyko powikłań, należy:

  • Unikać drapania zmian, które może prowadzić do przerwania ciągłości skóry4
  • Utrzymywać skórę czystą i nawilżoną16
  • W przypadku pęknięć skóry stosować środki antyseptyczne i odpowiednie opatrunki5
  • Regularnie monitorować stan zmian, szczególnie u osób z cukrzycą lub zaburzeniami krążenia11
  • Skonsultować się z lekarzem, jeśli objawy się nasilają lub pojawiają się oznaki infekcji7

Szczególną ostrożność powinny zachować osoby z cukrzycą, u których rany na stopach mogą być trudniejsze do wyleczenia11.

Chilblains u osób z grupy ryzyka

Niektóre osoby są bardziej narażone na rozwój chilblains i mogą wymagać specjalnej opieki4.

Osoby starsze

U osób starszych chilblains występują częściej ze względu na:

  • Pogorszone krążenie związane z wiekiem17
  • Cieńszą skórę, bardziej podatną na uszkodzenia4
  • Ograniczoną mobilność, która wpływa na krążenie23

W tej grupie szczególnie ważna jest profilaktyka oraz regularne wizyty u podiatry, który może wcześnie wykryć problemy i rozpocząć odpowiednie leczenie4.

Osoby z zaburzeniami krążenia

U osób z zaburzeniami krążenia chilblains mogą być poważniejsze i trudniejsze do wyleczenia. Dotyczy to szczególnie:

W tych przypadkach konieczna jest ścisła współpraca z lekarzem, który może zalecić specjalistyczne leczenie, np. leki poprawiające krążenie11.

Osoby o siedzącym trybie życia

Osoby prowadzące siedzący tryb życia mają zwiększone ryzyko rozwoju chilblains ze względu na gorsze krążenie4. W ich przypadku zaleca się:

  • Regularne przerwy na aktywność fizyczną4
  • Ćwiczenia poprawiające krążenie, nawet wykonywane na siedząco17
  • Szczególną dbałość o ciepłe obuwie i odpowiednią odzież2

Właściwa edukacja i wdrożenie odpowiednich środków zapobiegawczych może znacząco zmniejszyć ryzyko wystąpienia chilblains u osób z grupy podwyższonego ryzyka27.

Podsumowanie i zalecenia praktyczne

Chilblains to schorzenie, które można skutecznie leczyć i zapobiegać jego nawrotom, stosując odpowiednie środki ostrożności30. Kluczowe zalecenia obejmują:

  • Utrzymywanie stałej, komfortowej temperatury ciała, szczególnie kończyn6
  • Ubieranie się odpowiednio do warunków pogodowych, ze szczególnym uwzględnieniem ochrony dłoni i stóp29
  • Stopniowe ogrzewanie skóry po ekspozycji na zimno29
  • Regularne nawilżanie skóry, aby zapobiec jej pękaniu16
  • Unikanie czynników ryzyka, takich jak palenie tytoniu29
  • W przypadku wystąpienia chilblains – zapewnienie odpowiedniej pielęgnacji i ochrony przed infekcją5
  • Konsultacja z lekarzem, jeśli objawy utrzymują się dłużej niż 2-3 tygodnie lub są szczególnie nasilone9

Dzięki właściwej profilaktyce i szybkiemu reagowaniu na pierwsze objawy, można skutecznie kontrolować chilblains i zapobiegać powikłaniom33. W przypadku pacjentów z grupy podwyższonego ryzyka zaleca się regularny kontakt z lekarzem lub podiatrą, którzy mogą zapewnić specjalistyczną opiekę i dostosować leczenie do indywidualnych potrzeb94.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Chilblains (Pernio): What Is It, Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/21817-chilblains-pernio
    Chilblains are inflamed, painful skin patches. Typically, these patches develop after exposure to cold but not freezing air. Most of the time, chilblains heal without treatment. […] Chilblains, also known as pernio, are small patches of inflamed skin. They develop after exposure to air thats cold or damp (but not freezing). Usually, chilblains form on your fingers or toes. […] Chilblains are typically red, bluish or purplish. They may feel itchy, tender or painful. […] It can be frustrating to get tender, inflamed patches of skin when the temperature drops especially on visible places like your hands. But know that there are steps you can take to try to prevent them. Your healthcare provider can offer medications, as well. […] Often, chilblains go away on their own as long as you avoid the cold and/or damp weather conditions. If you still have chilblains symptoms after two or three weeks, you may need to see a healthcare provider for treatment.
  • #1 Chilblains (Pernio): What Is It, Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/21817-chilblains-pernio
    Your provider may prescribe medications. These medicines can soothe pain or itching. Some medicines also lower your chances that chilblains will come back. […] Some at-home remedies that may ease pain and swelling from chilblains include: Keeping your hands and feet warm (in mittens or hand warmers), Wearing layered clothing or blankets, Wearing a hat to help keep your whole body warm, Moisturizing the affected skin with unscented lotion, Taking nonsteroidal anti-inflammatory drugs (NSAIDs), like ibuprofen (Advil, Motrin), Soaking the affected skin in warm water for short periods of time only. […] Chilblains usually go away within one to three weeks. If youre at high risk, chilblains may return every year when the weather changes. If chilblains keep coming back, your healthcare provider may give you a medication to prevent chilblains from developing as frequently.
  • #2 Chilblains (Pernio): Symptoms and Management — DermNet
    https://dermnetnz.org/topics/chilblains
    Chilblains are tender and/or itchy bumps on acral sites following exposure to damp, cold, non-freezing conditions causing a localised form of vasculitis. Chilblains are also called pernio or perniosis. […] Chilblains commonly occur on the fingers, toes, and ears (acral sites). However, chilblains can develop on any areas exposed to chronic cold, such as the thighs/hips of horse riders (equestrian panniculitis). Chilblains develop several hours after exposure to damp cold and last for more than 24 hours. […] Severe chilblains may blister, or become eroded and ulcerated. […] Chilblains are usually diagnosed clinically. Investigations are sometimes required to exclude differential diagnoses or look for causes of secondary chilblains. […] Chilblains are classified as idiopathic (primary) if there is no associated cause, and secondary if a cause can be identified.
  • #2 Chilblains (Pernio): Symptoms and Management — DermNet
    https://dermnetnz.org/topics/chilblains
    Avoiding cold, wet environments if possible […] Wearing warm, dry clothing during cold weather to protect hands, feet, and ears […] Vigorous exercise to keep warm and improve circulation […] Keep indoor areas warm and dry […] Soaking hands in warm water before exposure […] Cessation of smoking and other vasoconstrictors. […] Chilblains usually resolve spontaneously in 1-3 weeks. However, chilblains can become chronic. Recurrences may occur with subsequent exposures or annually.
  • #3 How to Avoid Chilblains – LifePath
    https://lifepathma.org/stories/how-to-avoid-chilblains/?print=print
    Chilblains affect about ten percent of the population, primarily the elderly, people who are sedentary, and people with circulation problems. […] Chilblains are a cousin to frostbite, and can also occur on the nose, ears, and fingers. As a foot care professional, my primary concern is its manifestation on the feet. […] Symptoms of chilblains include the following: The skin on the toes is swollen, and often feels like it is burning, with the area feeling painful to the touch. Also, the skin over a chilblain may blister, which may delay healing and lead to infection. Chilblains may become increasingly painful and take on a dark blue appearance. […] Prevention is the first response to chilblains. Keeping feet warm and well insulated with socks or slippers that do not trap sweat next to skin is the first and best defense.
  • #4 How to Avoid Chilblains – LifePath
    https://lifepathma.org/stories/how-to-avoid-chilblains/
    Were approaching deep winter now with shorter days, long cold nights, and weather-related health challenges. Managing the transition from cold air to warm air, and from warm rooms to cold floors, is important for your feet. When feet get cold, but the body is warm, small itchy painful swellings called chilblains can occur on toes, and they hurt. […] Chilblains affect about ten percent of the population, primarily the elderly, people who are sedentary, and people with circulation problems. […] Prevention is the first response to chilblains. Keeping feet warm and well insulated with socks or slippers that do not trap sweat next to skin is the first and best defense. […] The goal is to keep the feet dry, insulated, and protected. […] Investing in merino wool socks and quality slippers is well worth the money.
  • #4 How to Avoid Chilblains – LifePath
    https://lifepathma.org/stories/how-to-avoid-chilblains/
    Moisturizing your feet daily, especially after bathing, will not only enhance circulationthe oil will seep into the skin and prevent cracks from developing. […] Gentle exercises that improve blood flow to feet also warms the body and helps to prevent chilblains. […] If you do get chilblains, do not scratch, as scratching can break the skin and lead to infections. […] Ongoing professional foot care is the best course of action to help identify problems early and begin appropriate care, especially among the elderly or those with diabetes and its concurrent circulation problems.
  • #5 Chilblains | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/skin-hair-and-nails/chilblains/
    Chilblains can be uncomfortable, but they usually get better on their own within a few weeks. […] Do not scratch your skin if you have chilblains. It can break easily and become infected. […] Chilblains often get better on their own without treatment. […] A soothing lotion, such as calamine or witch hazel, can help relieve itching. A pharmacist can give you advice about the right product for you. […] If your chilblains are severe and keep returning, your GP may prescribe a medication called nifedipine. You take nifedipine as a daily tablet or capsule. It works by relaxing the blood vessels, improving your circulation. […] Nifedipine can help existing chilblains heal, or can be taken to stop them developing. […] If youre more at risk of chilblains, you help prevent them by: staying out of the cold where possible, looking after your feet, improving your circulation. […] You can reduce your risk of infection by cleaning any breaks in your skin with antiseptic, covering the area with an antiseptic dressing, changing the dressing every other day until your skin heals.
  • #6 Chilblains (perniosis) – symptoms and treatment | healthdirect
    https://www.healthdirect.gov.au/chilblains
    Chilblains are not a serious condition and usually there are no long-term effects. […] Chilblains are itchy, swollen and painful lumps or patches of skin on your fingers and toes, which form due to cold. […] They usually heal in 1 to 3 weeks but can come back when exposed to cold. […] Wear warm clothes, especially gloves and socks to prevent or improve chilblains. […] Chilblains will usually improve with warmer weather. […] The best treatment is staying warm and protecting your affected skin. You need to keep your whole body warm, not just your feet and hands. This keeps your warm blood circulating. […] Other self-care measures include the following: try to avoid scratching, which can cause infection; use a moisturiser to relieve the itching; massage the affected area if it’s not too painful or ulcerated.
  • #6 Chilblains (perniosis) – symptoms and treatment | healthdirect
    https://www.healthdirect.gov.au/chilblains
    Once you have had chilblains they can come back. This can happen even after brief exposure to cold. So, it’s important to stay warm. […] Your doctor might suggest or prescribe corticosteroid cream or ointment to reduce itching and swelling; applying dressings to the affected skin; medicine or patches to expand your blood vessels and increase blood flow to the affected areas. […] You can lower your risk of getting chilblains by keeping your hands, feet and body warm; avoiding cold, damp and windy conditions; exercising regularly to improve your circulation; not smoking, as this affects your circulation. […] Wear loose, warm clothes that cover your arms and legs. Wear gloves on your hands to help prevent chilblains on your fingers. Thick socks with closed shoes will help prevent chilblains on your toes. […] If you have severe chilblains that keep coming back, you may be advised to take medicine when the weather is cold. This will help to prevent the chilblains from returning. Talk to your doctor about whether this may be suitable for you.
  • #7 Chilblains (Pernio)
    https://lakecountyin.gov/departments/health/nursing-clinic/diseases-and-conditions/enviro-health-conditions/chilblains-pernio
    Chilblains, also known as pernio, are a common skin condition that results from prolonged exposure to cold and damp environments. They manifest as painful, itchy, and swollen lesions on the skin, typically affecting the extremities such as fingers, toes, ears, and nose. […] Understanding the causes, symptoms, diagnosis, and management of chilblains is essential for effective treatment and prevention. […] Effective management of chilblains focuses on alleviating symptoms, preventing complications, and addressing underlying causes: […] Consult a healthcare provider if symptoms are severe, persistent, or if there are signs of infection, such as increased redness, warmth, or pus. […] Preventing chilblains involves adopting strategies to minimize exposure to cold and maintain skin health: […] By adopting preventive measures, seeking timely medical care, and raising awareness, individuals can protect themselves from the risks associated with chilblains and maintain overall skin health in cold conditions.
  • #8 Chilblains – The Foot Care Group
    https://thefootcaregroup.co.uk/chilblains/
    Chilblains are incredibly painful for something so small – they mostly occur on your toes but they can also affect other parts of your feet as well as fingers and hands. […] Symptoms include:- burning skin, red, blue or white swollen areas, severe itching, dry skin, leading to splits and cracks, infections, in severe cases ulceration can occur. […] It is most important not to scratch chilblains as the skin can break easily and become infected. […] There are lots of things you can do to help prevent chilblains if you are vulnerable to them. These include:- Keep out of the cold as much as possible, Look after your feet, Keep active to help improve your circulation, If you get cold, warm up gradually, Stop smoking, Wear warm clothes, especially on your hands and feet, bed socks at night if you get cold feet in bed, Wear well fitting shoes and avoid pressure spots on your feet, Moisturise your feet to help prevent skin cracking, Make sure your shoes are dry, Warm your hands and feet before going out into the cold, Increase circulation by using menthol or eucalyptus based rubs, See a podiatrist for regular professional treatments.
  • #9 Chilblain – Therapeutics in Dermatology
    https://www.therapeutique-dermatologique.org/spip.php?article1789
    In most cases, chilblains will get better on their own within few weeks. It is important to see a doctor if the chilblains do not improve after two to three weeks, if the symptoms are severe and recurrent, if there are signs of infection (swelling and pus coming out of the affected area, fever, feeling unwell or shivering), or if the chilblains persist into the warm months. […] The management of chilblains should focus in measures to minimize cold exposure. Patients should wear appropriately insulated clothing and avoid cold breezes or cold places.
  • #10 Chilblains – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/chilblains/diagnosis-treatment/drc-20351103
    To diagnose chilblains, your health care provider will look at the affected skin and talk with you about your symptoms and any recent cold exposure. […] Chilblains can be treated at home with self-care, including keeping your hands and feet warm and dry. […] If your chilblains symptoms don’t clear up with self-care, your health care provider may suggest medicine, including a topical corticosteroid. […] For symptoms that don’t respond to other treatment, your health care provider might prescribe a blood pressure medicine such as nifedipine (Procardia). […] Chilblains symptoms usually clear up in 2 or 3 weeks after cold exposure. […] Try to keep the affected area warm and dry.
  • #11 Chilblains (Pernio) Causes, Symptoms, and Treatment
    https://www.verywellhealth.com/chilblains-5219587
    While chilblains will often go away on its own without treatment, you should seek care if: Symptoms persist for more than two to three weeks; You develop open sores with pus coming out of them; You develop high fever and chills (signs of a secondary infection); Chilblains keeps coming back repeatedly; You have diabetes (as foot sores are more difficult to treat with diabetes).
  • #11 Chilblains (Pernio) Causes, Symptoms, and Treatment
    https://www.verywellhealth.com/chilblains-5219587
    Chilblains is a condition in which swelling, itchiness, and discoloration of the skin occur after exposure to cold temperatures. It usually happens after hours of exposure, often causing tiny bumps and blisters that take anywhere from one to three weeks to heal. […] Chilblains is generally harmless but can become chronic or recurrent in some people or lead to complications like skin ulcers. Chilblains generally clears on its own but may require a mild topical steroid and oral or topical vasodilators for people with severe or chronic symptoms. […] In severe cases, a healthcare provider may prescribe topical or oral medications to improve blood flow and relieve inflammation. These include: Afeditab (nifedipine): An oral vasodilator drug commonly used to treat high blood pressure; Pentoxol (pentoxifylline): An oral vasodilator and anti-inflammatory drug often prescribed for people with peripheral artery disease; Topical betamethasone 0.1%: A mild steroid cream that can help relieve swelling and itch; Topical nitroglycerin 0.2%: A topical vasodilator ointment often prescribed for people with angina.
  • #12 Chilblains (cold feet) – Podiatrist in Ridgefield, CT | Advanced Foot Care Center
    https://www.allanrosenthaldpm.com/articles/general/514200-chilblains-cold-feet/
    Raynaud’s disease, another condition related to cold exposure, can be confused with chilblains. This section provides insights into the differences between Raynaud’s disease and chilblains, helping readers distinguish between the two. […] Chilblains, or cold feet, maybe a common cold-related ailment, but understanding its causes, symptoms, and preventive measures is crucial for effective management. This comprehensive guide aims to empower individuals to navigate cold weather safely, armed with knowledge about chilblains and strategies for prevention and relief. By unraveling the complexities of this condition, we hope to contribute to the well-being of those facing the discomfort of cold feet.
  • #13 Perniosis chilblains
    https://www.pcds.org.uk/clinical-guidance/perniosis
    Chilblains are itchy and/or tender red-purple, acral, nodules that occur as a reaction to cold. They are often idiopathic, but can be secondary to an underlying condition. […] Most cases are primary (idiopathic), however, some cases are secondary to an underlying condition. […] Chilblains are most frequent in young and middle-aged women, and children. […] Lesions, which arise several hours after exposure to the cold, can be itchy and/or have a burning pain. […] The most common sites are the fingers and toes. […] Most lesions last for 2-3 weeks, but some can be much more persistent over the winter. […] When an underlying cause is suspected (eg more severe and persistent symptoms, ulceration and necrosis, other significant skin changes) it is important to investigate for possible haematological malignancy, connective tissue disorders or cryoglobulinaemia. […] Reduce exposure to cold, damp conditions and other triggers. […] Wear warm gloves and socks – hand and foot warmers may help. […] Nifedipine is effective in the treatment and prevention of chilblains.
  • #14 How To Treat Chilblains at Home | The Footcare Clinic
    https://www.thefootcareclinic.com.au/how-to-treat-and-fix-chilblains/
    Chilblains usually cause discomfort, pain and can be extremely itchy. […] If you have chilblains, these are some home treatments you can try: Resist the urge to scratch, as this will further damage the skin. […] It’s important that you make sure what you have is a chilblain before commencing any home remedies. […] Our Podiatrists can distinguish chilblains from many other skin conditions after taking a thorough history and inspecting the lesions on your feet. […] We are big on preventative care so you will be able to learn ways you can avoid getting chilblains in the future. […] If you’re not sure, then seek help from a podiatrist. […] At our clinic we invest in the latest innovative technology and had great success with Low Level Laser Therapy to treat chilblains. […] You can book online or call our friendly help team on (03) 9711 7562 to book an appointment.
  • #15 Chilblains | Health Library | Memorial Health System
    https://www.mhsystem.org/health-library/con-20155443/
    Chilblains symptoms usually clear up in 2 or 3 weeks after cold exposure. In the meantime, try the following tips to ease your symptoms: Rewarm the skin slowly and gently, without massaging, rubbing or applying direct heat. Avoid cold exposure whenever possible. Keep the affected skin dry and warm, but away from sources of heat. Apply lotion to alleviate itching, such as hydrocortisone cream available in drugstores. Keep any blisters and sores clean and covered. Avoid scratching the affected skin. If you smoke, try to quit, as smoking can narrow your blood vessels and slow wound healing.
  • #15 Chilblains | Health Library | Memorial Health System
    https://www.mhsystem.org/health-library/con-20155443/
    Chilblains can be prevented by limiting your time in the cold, dressing warmly and covering exposed skin. If you do get chilblains, keeping the skin warm and dry can help ease the symptoms. […] To prevent chilblains: Avoid or limit your exposure to the cold. When you come in from the cold, rewarm the skin gradually. Dress in layers of loose clothing and wear mittens, a scarf and a hat, and warm, water-resistant footwear. Cover all exposed skin as completely as possible when going outside in cold weather. Keep your hands, feet and face dry and warm. Keep your home and workplace comfortably warm. Don’t smoke. […] Chilblains can be treated at home with self-care, including keeping your hands and feet warm and dry. If your chilblains symptoms don’t clear up with self-care, your health care provider may suggest medicine, including: A topical corticosteroid. If your chilblains symptoms include sores, applying a corticosteroid such as triamcinolone 0.1% cream might help clear them up. Blood pressure medicine. For symptoms that don’t respond to other treatment, your health care provider might prescribe a blood pressure medicine such as nifedipine (Procardia). It’s a type of calcium channel blocker that treats chilblains by improving blood flow.
  • #16 Chilblains: Symptoms, Pictures, Causes, Treatment, More
    https://www.healthline.com/health/chilblains
    As your chilblains heal, apply a gentle, fragrance-free lotion to the area to keep your skin moisturized. This is especially important if your chilblains have blisters. Keeping your skin clean and moisturized will reduce your risk of developing an infection. […] Make an appointment with a doctor if: you get chilblains frequently, they don’t seem to heal, you think they might be infected, you get them during the warm seasons.
  • #16 Chilblains: Symptoms, Pictures, Causes, Treatment, More
    https://www.healthline.com/health/chilblains
    Chilblains usually go away on their own within 3 weeks. In many cases, your symptoms will start to subside as you warm up. But If you have poor circulation or diabetes, your chilblains may not heal well. […] If you have ongoing itching, the doctor might prescribe a corticosteroid cream to reduce inflammation. […] In some cases, the doctor might also prescribe blood pressure medications to help open up the small vessels near your skin’s surface. This will also help to reduce inflammation and pain. […] You may be able to prevent chilblains by protecting your hands and feet from exposure to the cold. […] Always contact a doctor if your symptoms last for more than 3 weeks, the pain is severe, or you don’t seem to be getting better. […] While it’s usually best to let chilblains run their course, there are a few things you can do at home to ease your pain.
  • #17 Chilblains | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/chilblains
    Chilblains are patches of red, swollen and itchy skin, thought to be caused by a combination of cold weather and poor circulation. […] Elderly or sedentary people are most susceptible to developing chilblains. […] Suggestions for treating chilblains at home include: Resist the urge to scratch, as this will further damage the skin. Massage calamine lotion or witch hazel into the skin to soothe the itching. Your chemist may also supply a suitable product. Lanolin or similar, rubbed into the feet, can help retain body heat. Wear woollen or cotton socks and try to keep your feet dry. Keep your whole body warm. Gentle exercise will improve circulation to your feet. […] Severe, ulcerating or recurring chilblains need professional attention. A qualified podiatrist can treat your chilblains and offer advice on prevention. […] If you suffer from severe and recurring chilblains, your doctor may prescribe a preventive drug.
  • #18 Leaflet: A guide to Chilblains – Sirona care & health
    https://sirona-cic.org.uk/advice-information/leaflet-library/leaflet-a-guide-to-chilblains/
    Soothing lotions such as calamine or witch hazel will reduce the burning sensation. […] If a broken chilblain has occurred a sterile dressing will be required. […] Do not scratch chilblains as this can lead to infection. […] Your local Pharmacist can advise you on what medications are most suitable. […] Keep yourself warm by wearing trousers rather than a skirt and several thin layers of clothing rather than one thick layer. […] Thick soled shoes or thermal insoles will protect your feet from the cold ground, but do remember to allow enough room for thicker stockings or socks. […] Avoid any tight clothing that may constrict the circulation. […] Keep your house warm and do remember to warm your bed before climbing in at night. […] Keep your shoes at warm room temperature, not in a cold porch or outhouse.
  • #18 Leaflet: A guide to Chilblains – Sirona care & health
    https://sirona-cic.org.uk/advice-information/leaflet-library/leaflet-a-guide-to-chilblains/
    Have a hot meal during the day to warm your whole body up. […] Keep exposure to cold to a minimum and always ensure that your feet are warmed slowly, not by using a hot water bottle or sitting close to the fire. […] If you are susceptible, use a good chilblain cream to ward off chilblains (see your local Pharmacist). […] Avoid wearing garters/tight hold up stockings/socks. […] Always seek advice from a trained Health Care Professional e.g. Podiatrist, GP, Practice Nurse or Pharmacist.
  • #19 Chilblains: Symptoms, complications, and treatment
    https://www.medicalnewstoday.com/articles/172191
    Chilblains, also known as chilblain, pernio, and perniosis are small, itchy swellings on the skin associated with exposure to the cold. […] Treatments for chilblains, which consist mainly of topical remedies and medications, are usually effective and the patient makes a full recovery within a couple of weeks. If left untreated though, there is a risk of complications, such as skin ulcers, cracked or broken skin, and infections. […] The patient can treat chilblains that have not developed into an infection or skin ulcer with OTC medications purchased at a pharmacy. […] According to guidance from the British National Health Service (NHS), patients have good results from applying a mixture of friars balsam and a weak iodine solution (ask the doctor). […] Corticosteroid cream this may help with symptoms of inflammation and itching. If the skin is cracked the individual should see a doctor. Corticosteroid cream is available to purchase over-the-counter or online.
  • #20 Chilblains: Causes, Symptoms, Diagnosis, Treatment, and Prevention
    https://www.webmd.com/skin-problems-and-treatments/chilblains-causes-symptoms-diagnosis-treatment-and-prevention
    Chilblains will usually get better and go away without other treatment if you protect the areas from further cold or damp weather. If they still linger after several weeks, see your health care provider. […] Certain medications can improve your symptoms, make you more comfortable, and lessen the chances the chilblains will come back. Drugs your doctor might prescribe include: Oral medications, meaning you take them by mouth. Drugs such as nifedipine (Adalat) help widen your blood vessels. Pentoxifylline (Pentoxil, Trental) boosts your blood circulation. […] You can often treat chilblains on your own. Some ways include: Ease swelling and pain with over-the-counter, nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen. Soak the areas with chilblains in warm water for brief periods of time. Use unscented lotion to keep your skin moist. Wear layered clothing and cover up with blankets to stay warm. Keep your hands and feet cozy with mittens or other hand warmers, socks, and slippers. Wear a hat. Even if the chilblains arent on your ears, hats help retain your body warmth. Avoid going out in wet, cold weather. Avoid smoking and drinking caffeinated beverages. Caffeine and nicotine hamper healthy blood flow. Don’t try to heat up your hands or feet with hot water, a gas fire, water bottle, or a radiator. Too much heat applied too quickly can cause more pain and damage. Don’t pick at or scratch your skin.
  • #21 Nifedipine vs Placebo for Treatment of Chronic Chilblains: A Randomized Controlled Trial | Annals of Family Medicine
    https://www.annfammed.org/content/14/5/453/tab-figures-data
    The drug nifedipine is commonly prescribed for the treatment of chilblains, a condition with painful or itching lesions on the fingers, feet, ears or thighs due to exposure to cold. […] In this study, the drug nifedipine was no more effective than placebo for treating chronic chilblains and may even cause harm. […] Nifedipine was associated with a lower systolic blood pressure and a higher incidence of edema. […] The authors conclude that these findings underscore the importance of rigorous evaluation of treatments with adequate numbers of patients and control for potential cofounders before widespread adoption of nifedipine.
  • #22 How To Treat Chilblains | The Foot Clinic
    https://thefootclinic.net/how-to-treat-chilblains/
    Fast chilblain treatment is important as it can help to reduce your discomfort, prevent complications, and promote healing. At The Foot Clinic, we can provide appropriate care with an aim to help improve your symptoms and avoid further damage to the affected areas. […] At The Foot Clinic, we can provide comprehensive education on how to avoid chilblains, especially when you are undertaking risky activities or have underlying factors that increase the chance of developing chilblains. We can also deliver care to alleviate your symptoms and guide you on how to continue improving the issue. […] Treating chilblains is generally straightforward unless they have been left untreated for an extended time or are particularly severe. There are several steps we may undertake or advise to treat the affected areas. This can include elements such as warming up the area gently and slowly, applying appropriate and soothing creams that can help with the symptoms, and avoiding scratching the chilblains to prevent infection. […] At The Foot Clinic, we are qualified and experienced in delivering high-quality care to help alleviate your symptoms and avoid complications.
  • #23 Chilblains treatment :: Lancashire and South Cumbria NHS Foundation Trust
    https://www.lscft.nhs.uk/our-services/service-finder-z/podiatry/chilblains-treatment
    Chilblains (also called pernio) are small itchy, red (and sometimes purple) swellings on the skin, which can become increasingly painful, swell and dry out leaving cracks in the skin that expose the foot to the risk of infection. […] If you have developed chilblains do not scratch them. Instead use soothing lotions such as witch hazel and calamine to reduce the discomfort. […] If the chilblain has ulcerated, apply an antiseptic dressing. If you have diabetes or are undergoing medical treatment, it is important that you have the ulcer assessed by your GP or podiatrist. […] 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.
  • #24 Chilblains treatment | Skin care | General podiatry / chiropody | Treatments | Chiropody.co.uk | Leading chiropodist & Podiatrists in Manchester and Liverpool
    https://www.chiropody.co.uk/treatments/general-podiatry-and-chiropody/skin-care/chilblains-treatment.php
    Chilblains are small, itchy and often painful swellings or lumps which develop on the surface of the skin around the toes. […] A podiatrist may use the following treatment methods in the management of a chilblain; Assess the skin in the affected area looking for cracks or signs of infection. […] If the skin has broken or is ulcerated the area will be treated and dressed with a dry dressing. […] Provide the patient with advice and education on how to prevent the chilblains from recurring i.e. wearing the correct footwear to suit the weather conditions. […] Padding and strapping techniques may be used to relieve the pressure on the affected area. […] Chilblains treatment.
  • #25 What are Chilblains and How Do You Get Them? | Hurst Podiatry
    https://www.hurstpodiatry.com.au/blog/what-are-chilblains/
    Chilblains are a vasospastic disorder that causes swollen and itchy patches of skin in the extremities, most commonly in the fingers and toes, in response to cold weather. […] Podiatrists can diagnose and treat chilblains by assessing the affected toes and providing information on appropriate footwear and foot care during the cooler months. […] Home treatment options for chilblains include wearing warm socks, rewarming the affected skin slowly, keeping the affected skin dry and warm, and avoiding cold exposure. […] If left untreated, chilblains can progress and result in an open wound (ulcer) that can get infected and cause significant pain, and in worst case scenarios, lead to amputations. […] Chilblains are often quite difficult to treat but there are some treatment options that you can try at home as well as those that we could help with at our clinic.
  • #25 What are Chilblains and How Do You Get Them? | Hurst Podiatry
    https://www.hurstpodiatry.com.au/blog/what-are-chilblains/
    At hurst podiatry we offer K-laser treatment for chilblains which can be extremely effective against chilblains. […] Its important to be aware that if the chilblain lesions do ulcerate or blister, it is extremely important to prevent infection by appropriate dressing and ensuring the area is clean. […] If you dont treat the chilblains they can get progressively worse and result in an open wound (ulcer) which can get infected and cause significant pain if not dressed or looked after properly.
  • #26 Chilblains – Melbourne Podiatrists & Orthotics
    https://www.melbournepodiatristsandorthotics.com.au/conditions/skin/chilblains/
    Chilblains, also known as pernio or perniosis, are small red, blue or purple lesions that develop on the skin as a reaction to cold temperature. They can often be swollen, painful and itchy. They are most common on the toes, heels and other weight bearing areas of the feet. […] The best form of treatment for chilblains is prevention. If you have cold feet or a history of chilblains you should avoid exposure to extremely cold temperatures. Try and keep the feet consistently warm by wearing thick socks. Wear slippers at home and avoid walking barefoot on cold floor boards or bathroom tiles. […] If you develop chilblains then our Melbourne podiatrists can advise you on the best treatment. This includes devices to reduce pressure on painful lesions, which can help prevent your chilblains from breaking down into ulceration. We can also advise you on the best creams and products to help reduce inflammation and promote healing. At our Melbourne clinic we also offer paraffin wax foot bath treatments which can help promote circulation and prevent chilblains if performed before the onset of winter. […] At our Melbourne foot clinic our podiatrists are experts in the diagnosis and treatment of conditions affecting the foot, ankle and lower leg. This includes diagnosis and treatment of chilblains.
  • #27 Pernio – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK549842/
    Patients should receive education regarding the pathogenesis and development of pernio lesions and how to effectively prevent outbreaks. Education should focus on prevention by avoiding the cold and ensuring that the patient uses insulated clothing, gloves, and socks to prevent unexpected exposure to cold environments. […] Pernio has many causes and requires management from an interprofessional team. Pernio caused by exposure to cold is best managed by the primary care provider or the emergency department.
  • #28 Understanding Chilblains: Podiatrists’ Role in Relief – Pro Health Care
    https://prohealthcare.com.au/chilblains_podiatry/
    Chilblains, while not life-threatening, can be incredibly uncomfortable and disruptive to daily life, particularly for those who experience them frequently. Chilblains are a condition where the small blood vessels in the skin become inflamed after exposure to cold. They typically occur on the extremities such as the fingers, toes, heels, and ears. Chilblains can cause redness, itching, swelling, and sometimes blistering or ulceration of the skin. […] Fortunately, podiatrists offer a range of treatments to help alleviate symptoms and manage this condition effectively. […] Podiatrists often prescribe topical creams or ointments containing ingredients such as corticosteroids, antihistamines, or vasodilators to help reduce inflammation, itching, and discomfort associated with chilblains. […] Keeping the skin moisturised is essential for managing chilblains. Podiatrists may recommend moisturising creams or emollients to help hydrate and protect the skin, preventing dryness and reducing the risk of chilblains development.
  • #29 Chilblains – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/chilblains/symptoms-causes/syc-20351097
    Chilblains can be prevented by limiting your time in the cold, dressing warmly and covering exposed skin. […] If you do get chilblains, keeping the skin warm and dry can help ease the symptoms. […] To prevent chilblains: Avoid or limit your exposure to the cold. […] When you come in from the cold, rewarm the skin gradually. […] Dress in layers of loose clothing and wear mittens, a scarf and a hat, and warm, water-resistant footwear. […] Cover all exposed skin as completely as possible when going outside in cold weather. […] Keep your hands, feet and face dry and warm. […] Keep your home and workplace comfortably warm. […] Don’t smoke.
  • #30 Chilblains | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/chilblains
    Chilblains can be prevented by limiting your time in the cold, dressing warmly and covering exposed skin. If you do get chilblains, keeping the skin warm and dry can help ease the symptoms. […] To prevent chilblains: Avoid or limit your exposure to the cold. When you come in from the cold, rewarm the skin gradually. Dress in layers of loose clothing and wear mittens, a scarf and a hat, and warm, water-resistant footwear. Cover all exposed skin as completely as possible when going outside in cold weather. Keep your hands, feet and face dry and warm. Keep your home and workplace comfortably warm. Don’t smoke. […] Chilblains can be treated at home with self-care, including keeping your hands and feet warm and dry. If your chilblains symptoms don’t clear up with self-care, your health care provider may suggest medicine, including: A topical corticosteroid. If your chilblains symptoms include sores, applying a corticosteroid such as triamcinolone 0.1% cream might help clear them up. Blood pressure medicine. For symptoms that don’t respond to other treatment, your health care provider might prescribe a blood pressure medicine such as nifedipine (Procardia). It’s a type of calcium channel blocker that treats chilblains by improving blood flow. […] Try to keep the affected area warm and dry.
  • #31
    https://fpnotebook.com/Derm/Environ/Chlblns.htm
    Non-freezing injury after cold, wet exposure followed within 24 hours by inflammatory lesions on the hands and feet. […] Rash on hands and feet. […] Multiple tender, erythematous, purplish Papules or Nodules. […] May progress to bullae or ulceration. […] Rest. […] Warmth (and avoid further cold exposure). […] Antipruritics. […] Analgesics. […] Specific measures that may reduce pain, speed healing and prevent progression. […] Chronic, relapsing course may occur with repeat cold exposure. […] Lesions may persist for weeks to months and ultimately resolve spontaneously. […] Scarring may occur. […] Adequate clothing and home heating. […] Short course of UV light at the beginning of winter. […] Tobacco Cessation.
  • #32 Chilblains | Maryville, IL | Foot Health Centers
    https://www.foothealthcenters.net/services/foot-ailments/vascular-and-nerve-issues/chilblains/
    Chilblains, also known as pernio and perniosis, are small, itchy red swellings that form on the toes and pressure areas of the feet several hours after being exposed to cold temperatures. […] Chilblains begin as small, itchy, red, swollen bumps on the toes and pressure areas of the feet that form several hours after exposure to cold temperatures. The itching usually intensifies when going into a warm room or heated area. […] Treatment of chilblains […] Cortisone creams can be applied to the area to relieve itching. Another important part of treatment is improving circulation. Applying lotion to the skin can help stimulate circulation and moisturize the skin to prevent cracking. […] A recurrence of chilblains can often be prevented by keeping the feet warm. This can be done by wearing thermal or insulating insoles in cold temperatures. If the feet do get cold it is important to warm them gradually to help the blood circulate.
  • #33 Chilblains
    https://www.mymlc.com/health-information/diseases-and-conditions/c/chilblains/?section=Symptoms
    If your chilblains don’t clear up with these home remedies, your doctor may recommend medication, including: Nifedipine (Procardia). This type of blood pressure medication treats chilblains by helping to open up blood vessels and improve circulation. […] The first line of treatment for chilblains generally includes measures to keep hands and feet warm and dry, such as keeping your indoor environment warm and dry, using gloves and socks, and changing damp gloves and socks when needed. […] To prevent chilblains: Avoid or limit your exposure to cold. Dress in layers of loose clothing and wear mittens and warm, water-resistant footwear. Cover all exposed skin as completely as possible when going outside in cold weather. Keep your hands, feet and face dry and warm. Keep your home and workplace comfortably warm. Don’t smoke. […] If your skin is exposed to cold, it’s helpful to rewarm it gradually because sudden rewarming of cold skin may worsen chilblains. […] Most people with chilblains don’t need to see a doctor. If you’re in pain or suspect you might have an infection, see your primary care doctor.