Raynaud’s vs. Chilblains: Understanding the Differences and How Dr. Ho-Ellsworth Can Help

Winter weather poses unique challenges for foot health, especially if you experience conditions like Raynaud’s Phenomenon or Chilblains. Both are triggered by cold exposure, but they differ significantly in their causes, symptoms, and treatment needs. At Align Foot & Ankle, Dr. Thuy Ho-Ellsworth offers advanced, minimally invasive therapies to address these conditions and keep your feet healthy during the colder months.


What is Raynaud’s Phenomenon?

Raynaud’s is a vascular condition that affects blood flow to the extremities, causing the blood vessels to constrict excessively in response to cold or stress. This can result in:

  • Color changes in the toes: white (reduced blood flow), blue (low oxygen), then red (as circulation returns).
  • Numbness or tingling during or after an episode.
  • Cold sensitivity and potential pain when circulation normalizes.

Triggers: Sudden cold exposure, stress, or even holding cold objects.

Who’s at Risk?

  • People with autoimmune conditions like lupus or scleroderma.
  • Smokers, or individuals with a family history of Raynaud’s.
  • Those frequently exposed to cold environments.

What are Chilblains?

Chilblains are inflammatory lesions caused by prolonged exposure to cold and damp conditions. When the skin is re-warmed too quickly, blood vessels may leak, leading to:

  • Red, swollen, or itchy patches on the toes.
  • Pain or tenderness in the affected areas.
  • Blisters or sores that can develop into wounds if untreated.

Triggers: Prolonged exposure to cold, damp environments, followed by rapid warming.

Who’s at Risk?

  • Individuals with poor circulation or autoimmune diseases.
  • People in cold, damp climates or those working outdoors.

Key Differences Between Raynaud’s and Chilblains

FeatureRaynaud’s PhenomenonChilblains
CauseBlood vessel constriction (vascular spasm).Inflammatory reaction to cold exposure.
SymptomsColor changes, numbness, tingling.Red, swollen, itchy patches, blisters.
TriggersCold, stress, emotional triggers.Prolonged damp, cold conditions.
DurationTemporary episodes (minutes to hours).Can last weeks, especially if untreated.
ComplicationsTissue damage in severe cases.Open sores or wounds, secondary infection.

How Dr. Ho-Ellsworth Can Help at Align Foot & Ankle

Dr. Ho-Ellsworth provides a variety of advanced treatments to manage both Raynaud’s and Chilblains, focusing on improving circulation, healing damaged tissue, and preventing further complications.

Treatments for Raynaud’s Phenomenon

  1. Laser Therapy
    • Remy Class IV laser therapy and MLS laser therapy 
    • Enhances circulation and reduces inflammation.
    • Minimizes the frequency and severity of Raynaud’s episodes by promoting blood flow.
  2. Circulation Studies
    • Ankle-Brachial Index (ABI) and Toe-Brachial Index (TBI) tests evaluate blood flow to your extremities.
    • Results guide customized treatment plans for vascular improvement.
  3. Lifestyle Recommendations
    • Dr. Ho-Ellsworth offers advice on staying warm with insulated, moisture-wicking socks and winter footwear.
    • Stress management techniques to reduce emotional triggers.

Treatments for Chilblains

  1. Wound Care and Regenerative Medicine
    • For severe cases, Dr. Ho-Ellsworth provides expert wound care, including dressing and monitoring blisters or sores.
    • Advanced options like regenerative injections help repair tissue and promote faster healing using your body’s natural healing abilities. 
  2. Topical Treatments
    • She may recommend Tolcylen soaks, which are antifungal, antibacterial, and antiviral, to reduce inflammation and protect the skin.
  3. Advanced Diagnostics
    • Testing for underlying conditions, such as poor circulation, ensures a comprehensive approach to care.
  4. Preventive Strategies
    • Practical advice on avoiding rapid temperature changes and maintaining proper skin care during cold months.

Prevention Tips for Winter Foot Conditions

To minimize the risk of developing or worsening Raynaud’s or Chilblains, follow these tips:

  • Wear Proper Footwear: Insulated, weather-resistant shoes can help protect your feet from cold and damp conditions.
  • Keep Feet Warm: Use moisture-wicking socks and avoid prolonged exposure to cold.
  • Avoid Sudden Temperature Changes: Gradually warm up your feet to avoid skin damage.
  • Quit Smoking: Smoking reduces blood flow and exacerbates circulation issues.
  • Seek Early Treatment: Don’t wait for symptoms to worsen—early intervention can prevent serious complications like wounds or infections.

Why Choose Align Foot & Ankle?

Dr. Ho-Ellsworth’s expertise in regenerative and restorative foot care, combined with her commitment to patient education, ensures you receive a treatment plan tailored to your specific needs. Whether you’re managing the vascular spasms of Raynaud’s or the painful inflammation of Chilblains, Align Foot & Ankle offers the advanced care and guidance you need to protect your feet this winter.


Take the Next Step

Don’t let winter foot conditions hold you back. Contact Align Foot & Ankle today to schedule a consultation with Dr. Ho-Ellsworth. Whether you need help managing Raynaud’s, Chilblains, or other cold-weather foot concerns, our team is here to help you stay comfortable and healthy all season long.


Contact Align Foot & Ankle

  • Phone: 512-882-4911
  • Location: 1600 W 1600 W 38th St #408, Austin, TX 78731

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