Chilblains (perniosis) - Winter Ailments: Part 2

Chilblains, also known as Perniosis, are painful, itchy, red or purple patches that occur on the skin after exposure to cold, damp conditions. They most commonly affect the extremities, such as the toes, fingers, nose, and earlobes. Elderly or sedentary individuals, as well as those with poor circulation, diabetes mellitus (DM), or sensitive skin, are particularly susceptible to developing chilblains. During an attack, the affected areas may first turn white, then blue, and finally bright red. Chilblains form due to sudden, intermittent, or prolonged exposure to cold or damp air. The cold causes blood vessels near the skin's surface to constrict, leading to decreased oxygenation and inflammation in the affected areas. Stress, anxiety, fear, or abrupt temperature changes can also trigger chilblains. If pustules or vesicles form, it is advisable to see a healthcare practitioner to treat any potential underlying infection. 

Differential Diagnosis Chilblains can be confused with other conditions that affect the skin and blood vessels, including: 

• Peripheral vascular disease
• Diabetic foot
• Frostbite
• Chilblain lupus erythematosus
• Vasculitis

 Chilblains and Raynaud's Disease are related conditions. Chilblains can often be a byproduct or complication of Raynaud's Disease. In Raynaud's Disease, the blood vessels in the fingers and toes excessively constrict in response to cold or stress, leading to reduced blood flow. Atherosclerosis may also play a role in Raynaud's. 

Prevention and Management Keeping warm is crucial to preventing chilblains. Here are some tips to help manage and prevent chilblains: 

1. Clothing: Wear warm socks, gloves, and a hat that covers your ears and nose when outdoors in cold weather.
2. Rewarming: If you develop chilblains, rewarm the skin slowly and gently. Avoid massaging, rubbing, or applying direct heat.
3. Skin Care: Keep the affected skin dry and warm, but away from direct heat sources. Avoid putting cold feet directly into hot water, as this can worsen the condition.
4. Natural Remedies: Apply natural warming or decongestant balms, such as Tui, Harker Herbal chest rub, or magnesium oil mixed with rosemary and eucalyptus oils from Absolute Essential, to your feet and hands before sleeping or going out in cold air.
5. Exercise: Regular physical activity helps improve circulation and prevent chilblains.
6. Elevation: When resting, keep your feet elevated to chest level on a chair or pillows.
7. Diet: Consume a diet rich in essential fatty acids (EFAs), greens, and clean protein sources.
8. Avoid Smoking: Nicotine causes blood vessels to constrict, exacerbating chilblains.

 Natural Support Homeopathic treatments can be highly effective in managing chilblains and Raynaud's Syndrome when combined with lifestyle changes and nutritional support. Here are some additional natural supports:

• Vitamin D: Adequate vitamin D levels are crucial for overall health and can help improve circulation. (Always have it with AFA’s for better absorption).
• Ginkgo Biloba: This herbal supplement may improve blood flow to the extremities.
• Ginger: Consuming ginger tea or supplements can help warm the body and improve circulation.
• Omega-3 Fatty Acids: Found in fish oil, flaxseed, and chia seeds, omega-3s can help reduce inflammation and improve circulation.
• Horsetail Tea: This herbal tea is believed to support vascular health.

 Conclusion Chilblains are a common yet preventable winter ailment. By taking proactive measures to stay warm and improve circulation, you can reduce your risk of developing chilblains. Natural remedies and lifestyle changes can provide significant relief and support for those affected by this condition. If you experience severe or persistent symptoms, consult a healthcare practitioner for further evaluation and treatment.