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Rare Disorder Can Turn Fingers, Toes White or Blue When it’s Cold

Winter can be a tough season. It is long, dark, cold, and for many people, miserable. The short days with fewer sunlight hours can be depressing, and the frigid temperatures can force many people indoors for days on end. For some people, however, there is one more reason to hate the season: Raynaud’s.

What is Raynaud’s?

Raynaud's syndrome phenomena Adult hand.
Source: Shutterstock

Raynaud’s Disease is a condition in which some areas of your body, most often the fingers and toes, feel numb and cold as a response to cold temperatures. They will begin to change color, usually to a bright white, and sometimes they will begin to turn yellow and eventually blue. The change in skin color occurs because the small arteries that supply blood to your skin narrow, which restricts blood flow to that area. This is called a vasospasm and can result in numbness, a prickly feeling in the affected area, and pain, especially as the area begins to warm up.

Rachel Smith’s Story

A frostbitten male hand with Raynaud's syndrome, Raynaud's phenomenon or Raynaud's disease.
Source: Shutterstock

Rachel Smith experiences Raynaud’s attacks in her finger, toes, and ears. At first, her fingers turn deathly pale and she can’t feel anything, but eventually the pain sets in. “It feels like the tingling when your hand falls asleep, but magnify that by a thousand,” said the 32-year-old from Sacramento, California . It’s not just the outdoor cold that can induce an attack. Even seemingly harmless actions, like reaching into the freezer or holding a cold drink can cause her fingers to become white and painful.

Treatment

A frostbitten male hand with Raynaud's syndrome, Raynaud's phenomenon or Raynaud's disease.
Source: Shutterstock

Raynaud’s affects five to ten percent of Americans, but only one in ten people seek treatment. It is estimated that women are nine times more likely than men to have the condition, and although the disease isn’t disabling, it can affect your quality of life . There is no cure for Raynaud’s, however, there are ways to manage the symptoms. People who are affected by the condition should be sure to cover their extremities before going outside. If they do experience an attack, soaking the affected area in warm water is usually effective at alleviating symptoms .

For more severe cases, there are some medications available, such as alpha-1 blockers, calcium channel blockers, and other vasodilators which can help control symptoms. A topical nitroglycerin ointment can also be applied to affected areas to help relieve symptoms by improving blood flow and cardiac output while decreasing blood pressure. There are natural remedies that some with Raynauds have used. There is a lack of scientific support when it comes to their efficacy, however, some approaches can offer benefit.

Very rarely, nerve surgery called a sympathectomy may be required to decrease the frequency and severity of the attacks, however, the surgery is not always successful. Injecting certain chemicals that can prevent vasoconstriction can also be effective .

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