Embarrassing Illnesses

We asked podiatrist Mike O’Neill, from the Society of Chiropodists and Podiatrists, what he would want to know about chilblains.

I get cold feet in winter. Does that mean I will get chilblains?

Not necessarily. Many people have cold feet but not all of them will develop chilblains. If your circulation is efficient, you will be less likely to get chilblains.

Can I treat chilblains myself?

Yes, as long as they haven’t ulcerated. If you have diabetes or are undergoing medical treatment, ask your GP or podiatrist for advice.

Who is most at risk?

Chilblains mainly affect young adults working outdoors in cold places or people who do not wear socks or tights in winter. Other people who are susceptible include those who don’t take enough exercise and the elderly, whose circulation is less efficient.

How can I prevent chilblains?

• Dress warmly. Try wearing two thinner layers instead of one thick layer.
• Avoid wearing tight-fitting socks that cut off the blood circulation.
• Wear shoes with a thicker sole to prevent heat loss.
• Don't smoke, as smoking affects your blood circulation.
• In cold weather, eat regular meals and include at least one hot meal a day.

I’ve heard that leaning against a hot radiator causes chilblains. Is that true?

It’s true that if you’ve been out in the cold, you shouldn’t heat up too quickly with hot water bottles, by sitting in front of a very hot fire or leaning against a hot radiator. Try warming yourself gradually with simple foot exercises to get the blood circulating.