Cold fingers questionnaire
Use our free symptom checker to find out what's causing your cold fingers.
Understand your cold fingers symptoms, including 6 causes & common questions.
Hallmarks of cold fingers
Having "cold fingers" does not simply mean that your hands feel chilly. The fingers may feel virtually frozen, with sharp pins-and-needles pain. There may be swelling and color changes as well, and the numbness that goes along with the cold can make it very hard to feel anything with your fingertips.
This symptom is virtually always due to the veins and arteries tightening up and closing down. This constriction, or vasospasm, reduces circulation to the hands and fingers and makes them feel very cold and numb.
Common characteristics of cold fingers
If you're experiencing cold fingers, they can likely be described by:
- Feeling as though they have been dipped in ice water
- Numbness and tingling in the fingertips: Also known as a pins-and-needles sensation
- Pain, throbbing, and swelling in the hands and fingers
- Joint pain in the hands, wrists, and fingers
- Change of color in the fingers: From reddened to very pale to blue-white
- Sore, broken skin at the fingertips
- Weak or absent pulses at the elbows, wrists, and fingers
Who is most often affected by cold fingers symptoms?
The following individuals are more likely to experience cold fingers.
- Women under the age of 30
- Anyone with a family history of similar circulatory conditions
- Anyone taking certain medications for migraine headaches
When are cold fingers symptoms most likely to occur?
You're more likely to experience cold fingers when:
- Surrounded by cold air: Either indoors or outdoors. Even a cool draft, especially on the hands, may bring it about.
- During tense, stressful situations
- During emotional upset
Are cold fingers serious?
The severity of your cold finger symptoms is dependent on the cause and how much they affect your daily life.
- Not serious: Occasionally experiencing cold and mildly discolored fingers is probably not serious, as long as the fingers warm up and feel normal quickly once you are out of the cold.
- Moderately serious: Fingers that are often painfully cold can certainly interfere with one's ability to work and with quality of life in general.
- Serious: If left untreated, very poor circulation can lead to tissue damage, tissue death, and gangrene.
Cold fingers causes and conditions
An autoimmune disease is one in which the body's defenses turn against itself. The nerves, cartilage, skin, joints, or other organs can be attacked as though they were invaders, causing illness and damage. Some autoimmune diseases cause inflammation of the veins and arteries. This inflammation interferes with circulation and causes long-term damage. Raynaud's Syndrome causes cold fingers when the arteries running to the extremities (including feet) spasm and reduce blood flow. Skin color changes are common.
Any number of other illnesses can affect the circulation, especially those involving metabolic disturbances or gradual organ failure. Tumors, cysts, and other growths in the arms, hands, and wrists can block the circulation and cause pain, numbness, and the sensation of cold in the fingers.
Causes of cold fingers related to trauma may include the following.
- Injury: An injury that has damaged the veins and arteries in the hand.
- Using heavy machinery or power tools: A long history of using power tools that cause heavy vibration to the hands, since this can be damaging and disruptive to circulation in the hands, wrists, and fingers.
Rare and unusual causes
The least common causes of cold fingers include the following, although possible.
- Severe emotional upset and/or very stressful situations
- Idiopathic: The condition of painful cold fingers may be idiopathic, which simply means that it happens to you for no clear reason .
This list does not constitute medical advice and may not accurately represent what you have.
Iron deficiency anemia is a condition in which the body does not have enough iron to form hemoglobin, the protein in red blood cells that carries oxygen throughout the body.
The condition can be caused by acute blood loss through injury, surgery, or childbirth;chronic b..
Hypothyroidism, or "underactive thyroid," means that the thyroid gland in the neck does not produce enough of its hormones. This causes a slowing of the body's metabolism.
The condition can occur due to autoimmune disease; any surgery or radiation treatment to the thyroid gland; some medications; pregnancy; or consuming too much or too little iodine. It is often found among older women with a family history of the disease.
Common symptoms include fatigue, constantly feeling cold, weight gain, slow heart rate, and depression. If left untreated, these and other symptoms can worsen until they lead to very low blood pressure and body temperature, and even coma.
Diagnosis is made through a simple blood test.
Hypothyroidism is easily managed with daily oral medication. The patient usually starts feeling better after a couple of weeks and may even lose some extra weight. It's important for the patient to be monitored by a doctor and have routine blood testing so that the medication can be kept at the correct levels.
Top Symptoms: fatigue, depressed mood, difficulty concentrating, weight gain, muscle aches
Urgency: Primary care doctor
Raynaud phenomenon, also called Secondary Raynaud syndrome, is a condition that causes small arteries in the skin to abnormally constrict on exposure to cold water or air. This limits blood flow to the hands, fingers, feet, toes, nose, and ears.
Secondary Raynaud syndrome is rare and is caused by another underlying medical condition, often a connective tissue disorder such as rheumatoid arthritis, scleroderma, or lupus.
Women are more likely than men to be affected, especially if living in cold climates. Family history and smoking are also risk factors.
Symptoms include the hands and feet becoming numb and cold. The skin color changes from pale to bluish, and then to red as the skin warms again.
If not treated, patients may get ulcerated sores or deformities of the fingers and toes, or even gangrene, due to the lack of circulation.
Diagnosis is made through patient history, physical examination, and blood tests.
Treatment includes medications to help increase circulation; treatment of any underlying conditions; and lifestyle changes to gain better protection for the extremities in cold conditions.
Top Symptoms: distal numbness, cold toe, cold fingers, spontaneous toe pain, spontaneous finger pain
Frostbite of the upper limbs
Frostbite is tissue damage caused by exposure to the cold (at or below 32F or 0C). It is most commonly found in people doing leisurely activities like camping, hunting, or snow sports. It is also more likely in those who are intoxicated or have a mental disorder.
Top Symptoms: hand numbness, hand pain, hand redness, cold fingers, cold hands
Symptoms that always occur with mild frostbite of the upper limbs: cold fingers
Urgency: Hospital emergency room
Frostnip of the upper limbs
Frostnip is damage of the outermost layers of the skin caused by exposure to the cold (at or below 32F or 0C). It is most commonly found in people doing leisurely activities like camping, hunting, or snow sports.
Top Symptoms: hand numbness, hand pain, hand redness, cold hands, cold fingers
Symptoms that always occur with frostnip of the upper limbs: cold fingers
Urgency: In-person visit
Cold fingers treatments and relief
When cold fingers are an emergency
Seek immediate cold fingers treatment in the emergency room or call 911 if:
- You cannot detect a pulse in your hands or fingers, the hand is very numb and looks very white, and it feels cold to someone else's touch
- The fingers begin to show open sores, especially if the sores appear blackened
When to see a doctor for cold fingers
You should schedule an appointment for:
- Treatment of cold fingers that are persistent or worsening
- Treatment of any underlying illness that may be causing the condition
- Discussion of getting physical therapy: This can improve circulation and help ease the symptoms.
- Discussion of your medications: If any of them tend to cause constriction of the veins and arteries, your medical provider may be able to substitute a different one.
- Discussion of counseling: This can help with stress management.
- Discussion of smoking cessation: Cigarette smoking causes constriction of the veins and arteries.
At-home treatments for cold fingers
You can begin to address your cold finger symptoms at home with the following methods.
- Stop smoking: Don't hesitate to ask your medical provider for help with this if you need it.
- Keep your body warm: If your core temperature drops, blood will be withdrawn first from the hands and feet and sent to vital internal organs such as the heart and lungs in order to keep them functioning.
- Wear fingerless gloves when indoors: They will still help keep the fingers warm, since the rest of the hand is warm, while allowing you to type or do other work.
- Try not to touch cold water, ice cubes, drinking glasses, or anything else that's cold
- Look into comfort devices such as heated gloves
- Address overall health: Make improvements in diet, sleep, and exercise, because this will help with overall health, circulation, and tolerance of stress.
Questions your doctor may ask about cold fingers
- Stress can cause changes in your body. Are you under a lot of stress?
- Do you currently smoke?
- Has anyone in your family been diagnosed with Raynaud Phenomenon?
- Were you recently exposed to the freezing cold (under 32F or 0C)?
Self-diagnose with our free Buoy Assistant if you answer yes on any of these questions.
Cold fingers statistics
People who have experienced cold fingers have also experienced:
- 5% Hand Numbness
- 4% Cold Toe
- 3% Hand Tingling
People who have experienced cold fingers were most often matched with:
- 42% Iron Deficiency Anemia
- 42% Hypothyroidism
- 14% Raynaud Phenomenon
Source: Aggregated and anonymized results from Buoy Assistant (a.k.a. the quiz).
- Raynaud phenomenon symptoms & causes. Boston Childrens Hospital. Boston Childrens Hospital Link
- Vascular disorders. American Society for Surgery of the Hand. Published 2013. ASSH Link
- Raynaud phenomenon. Scleroderma Foundation. Published March 2017. Scleroderma Foundation Link
- Cold fingers, cold toes? Could be Raynaud's. Harvard Medical School: Harvard Health Publishing. Published March 2009. Harvard Health Publishing Link
- Myositis. ColumbiaDoctors. ColumbiaDoctors Link
- Raynaud phenomenon. Scleroderma Foundation. Published March 2017. Scleroderma Foundation Link
- About peripheral artery disease. Fairview Health Services. Published 2006. Fairview Health Services Link
- Bayle O, Consoli SM, Baudin M, Vayssairat M, Fiessinger JN, Housset E. [Idiopathic and secondary Raynaud's phenomenon. A comparative psychosomatic approach]. Presse Med. 1990;19(16):741-5. NCBI Link
- Gangrene: Symptoms. NHS. Updated August 16, 2018. NHS Link
- Falkowski G. 8 natural circulation boosters. MS Focus Magazine. Updated November 2016. MS Focus Magazine Link
- Vorvick LJ. Vasoconstriction. U.S. National Library of Medicine: MedlinePlus. Updated December 6, 2018. MedlinePlus Link