Chilblains sound like something out of the Charles Dickens era, cold floors and wood-burning stoves make chilblains quite commonplace. We’re in deep winter now with weather-related health challenges. Sadly, the cozy sight of warming cold feet in front of a fire is an invitation for chilblains. These small itchy painful swellings can occur on toes, and they hurt.
Chilblains normally clear up on their own, but they can be very painful and uncomfortable, and improper treatment can lead to greater problems. 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
To prevent chilblains, I recommend socks that keep your feet warm and wick away moisture. Merino wool and alpaca works well. The goal is to keep the feet dry, insulted and protected. In addition to socks, wearing thick-soled shoes also insulates feet from cold surfaces and helps to keep you warm. Inside the house, socks are not enough to insulate your feet from cold floors. Wear slippers.
Moisturize: Cold dry feet run the risk of developing cracks which are portals for bacterial infection. Moisturizing your feet daily, especially after bathing will enhance circulation, and the oil will seep into the skin and prevent cracks from developing. I recommend light weight natural oils like coconut and sesame for fragile older skin.
Exercise. Curl your toes tightly, spread them wide, and wiggle the toes up and down. Just a few repetitions will increase circulation and help with range of motion.
Stop Smoking. Smoking can narrow blood vessels, slow wound healing and contribute to the formation of chilblains.
I you still get chilblains, do not scratch. Use witch hazel or an edible oil to sooth the itching and burning. Rewarm the skin slowly and gently, without rubbing. Keep the affected skin away from sources of heat and keep blisters clean and covered. If you see any broken skin or swelling, seek help from your healthcare provider.
Dr. Kate Clayton-Jones
Greenfield