Your hands sting and flush red every time you step into the cold.
It’s easy to dismiss it as a minor winter irritation—but persistent burning and redness can sometimes signal an underlying issue. While often harmless, these symptoms may point to circulatory or skin-related conditions. Understanding possible causes and knowing how to respond can help protect your hands until you’re able to see a healthcare professional.
Could This Be Chilblains?
Chilblains, also known as pernio, are small red or purple patches that develop after exposure to cold, damp conditions. They occur when tiny blood vessels in the skin become inflamed due to rapid temperature changes. Fingers and hands are common sites, though toes, ears, and the face can also be affected.
Symptoms may include:
Burning or stinging sensations
Red, purple, or bluish patches
Swelling or itching
Blisters or small ulcers in more severe cases
Lesions are usually about 1–3 centimeters in size and typically resolve within one to three weeks with proper care.
Warning Signs That Need Medical Attention
Although chilblains are usually mild, seek prompt medical care if you notice:
Severe or worsening pain
Increasing redness, warmth, or pus (possible infection)
Persistent numbness or dark blue/black discoloration
Open sores that do not heal
These signs may indicate frostbite, Raynaud’s phenomenon, infection, or other circulatory conditions requiring urgent evaluation.
Gentle Ways to Warm Burning Hands
If symptoms flare up:
Move indoors to a warm, dry space
Avoid direct heat (radiators, hot water, heating pads)
Gently warm hands in lukewarm water, not hot
Slowly open and close your fists or rotate wrists to stimulate circulation
Warm (not hot) compresses can also help ease inflammation and discomfort.
Rewarming Correctly — and What to Avoid
Rewarming should always be gradual:
Use lukewarm water for 15–20 minutes
Pat hands dry gently—do not rub vigorously
Apply a thick moisturizer afterward to protect the skin
Avoid hot water, hair dryers, or aggressive massage, as these can worsen pain and redness.
Protecting Your Hands Outdoors
Layering is key:
Start with thin, moisture-wicking gloves (silk or synthetic)
Add insulating layers like wool or fleece
Use waterproof outer gloves in wet or windy weather
Mittens are often warmer than gloves because they keep fingers together and retain heat more effectively.
At-Home Skin Care
Use fragrance-free creams or ointments containing:
Lanolin
Glycerin
Urea
Barrier creams can help protect against moisture loss and cold exposure. Apply after washing hands and before going outside.
Viral Remedies: Helpful or Harmful?
Some online tips can help—but caution is essential:
Petroleum jelly may protect intact skin but should not be used on broken or blistered areas
Hand warmers are helpful when wrapped in fabric and not placed directly on skin
Avoid direct heat sources like electric pads or hair dryers, which can cause burns
Habits That Can Make Symptoms Worse
Certain behaviors increase blood vessel constriction:
Smoking
Excess caffeine intake
Wearing damp gloves or clothing
Stay hydrated and eat a balanced diet rich in vitamins C and D to support skin and circulation health.
Safe Home Remedies for Relief
Some gentle options include:
Aloe vera gel to soothe inflammation
Colloidal oatmeal soaks to reduce itching
Baking soda paste for short-term itch relief
Soak hands in warm (not hot) oatmeal-infused water for 10–15 minutes if needed.
Monitoring Symptoms Until You See a Doctor
Track changes by:
Noting size, color, and pain level daily
Taking photos to document progression
Recording triggers such as weather or activities
Seek medical advice if blisters, ulcers, or color changes worsen.
Telehealth and Pharmacy Support
If in-person care isn’t immediately available:
Telehealth providers can assess symptoms visually
Pharmacists can recommend appropriate over-the-counter products
Nurse advice lines can help determine urgency
Preventing Chilblains in the Future
Long-term prevention includes:
Dressing warmly and layering appropriately
Avoiding rapid temperature changes
Gradual rewarming after cold exposure
Regular exercise to improve circulation
Some people benefit from medical evaluation for circulation issues or preventive treatments if chilblains recur frequently.
Conclusion
Red, burning hands in cold weather are often caused by chilblains—a common and usually temporary condition. Gentle warming, protective clothing, proper skin care, and healthy habits can bring relief and reduce recurrence. However, persistent, severe, or unusual symptoms should always be evaluated by a healthcare professional. With awareness and prevention, you can protect your hands and stay comfortable throughout the winter months.