As winter settles in and temperatures drop, we often hear people talk about chilblains — those painful, itchy, red or purple patches that appear on fingers, toes, ears, and even the nose. Once considered a very old-fashioned condition, chilblains have made something of a comeback in recent years. But are they really a thing of the past… or a winter health concern worth keeping on our radar?

At Prema Health, we believe in helping you understand the everyday conditions that affect your wellbeing, and chilblains are no exception.

What Exactly Are Chilblains?

Chilblains (also known as pernio) occur when small blood vessels in the skin react abnormally to cold temperatures. Instead of gradually adjusting to warmth after being chilled, these tiny vessels expand too quickly — leading to inflammation, swelling, itching, and sometimes blistering.

Common symptoms include:

• Red, purple, or dark patches on the skin
• Burning, itching, or tingling
• Swelling and tenderness
• In some cases, cracks or sores

Although uncomfortable, they are usually harmless and clear within one to two weeks. However, they can persist or worsen without proper care.

Are Chilblains Becoming Less Common?

While better heating, improved clothing, and greater awareness of cold-weather risks mean that chilblains are less widespread than they once were, they haven’t disappeared entirely. In fact, certain groups still experience them regularly:

• People with poor circulation
• Those who work outdoors
• Individuals with low body weight
• People who warm up too quickly after being in the cold
• Those with underlying autoimmune or vascular conditions

In colder months, we continue to see patients experiencing chilblains — often surprised that something “old-fashioned” is still very much around.

Why Do They Keep Happening?

Chilblains remain common because they’re not just about cold weather — they’re about how your body responds to temperature changes. Even modern lifestyles, central heating, and better clothing can’t completely prevent abrupt temperature shifts.

For example, going from a frosty morning dog walk into a hot car or placing icy fingers straight under warm water can trigger symptoms.

How to Prevent Chilblains

The good news is that small lifestyle adjustments can make a big difference:

• Warm up gradually after being outside
• Wear thermal socks and gloves
• Keep your home at a steady, comfortable temperature
• Avoid sitting too close to direct heat sources
• Stay active to support healthy circulation
• Moisturise feet and hands to maintain skin integrity

If chilblains occur frequently or severely, it may signal an underlying circulatory or autoimmune issue that requires medical assessment.

When to See a GP

Most chilblains heal on their own, but there are times when it’s important to seek medical advice:

• If symptoms are severe or persistent
• If the skin breaks or becomes infected
• If you experience recurrent chilblains every winter
• If you have diabetes or circulation problems
• If you’re unsure whether your symptoms are chilblains or something else

How Prema Health Can Help

Our private GPs at Prema Health are experienced in diagnosing and managing winter-related skin and circulation issues, including chilblains. We take a comprehensive approach, looking not only at your symptoms but also at any underlying factors contributing to them.

We can support you with:

• Expert diagnosis and personalised treatment
• Advice on preventing future flare-ups
• Assessment for underlying conditions, if needed
• Prescription treatments where appropriate
• Guidance on skincare and circulation health

Whether you’re dealing with recurring chilblains or simply want peace of mind, our GPs are here to help you stay healthy and comfortable throughout the colder months.

Final Thoughts

Chilblains may feel like a condition from the past, but they are still very much present — especially during winter. With the right knowledge, preventive care, and medical support, they can be managed effectively and comfortably.

If you’re concerned about these, or any other cold-weather health issue, book an appointment with a Prema Health GP today. We’re here to keep you well, warm, and thriving this winter.