Chilblains are a common problem on the feet in colder climates, so they are seasonal. They most commonly affect the toes, but can affect the fingers, nose and ears. You often see questions in forums and online groups from people who are desperate for help, as a lot of treatments do not necessarily work for everyone. There is not a lot of research on chilblains being done to guide clinicians on the best approach to them.
Chilblains typically appear initially as reddish lesions that start to itch. As they become more chronic they take on a darker bluish appearance. They may eventually breakdown and ulcerate with an infection developing if they are not looked after properly.
The best treatment for chilblains is prevention. This means not allowing the feet to get cold and keeping them warm with footwear and socks that are well insulated. It is also important that if the foot does get cold that it be warmed up slowly and not put in front of a hot heat source after being outside in the cold. Once the chilblain has developed, there are various creams that can be used to help stimulate the circulation. If the skin has been broken, then proper care of the wound is important.
There are some food such as beetroot juice that have been recommended for those with chilblains as they can stimulate the circulation a little. In the more severe cases, there are drips that a doctor can prescribe that keep the circulation open. This can be very effective but it does have a number of side effects.
If chilblains become chronic and the self-care measures are not helping, then visiting a podiatrist may be a good idea to get more advice and the best treatment.
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