Is red, swollen, and itchy heel frostbite?

Written by Guan Yu Hua
Orthopedic Surgery
Updated on September 27, 2024
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Let's talk about chilblains first, which can occur on various parts of the body. The most common cause is cold stimulation, such as redness and itching on the back of the heel, which may be due to occupational or other factors. The heel is often exposed and susceptible to cold, potentially leading to chilblains. This condition can be particularly troublesome but sometimes heals on its own as the weather warms up, though it is prone to recurrence. Treatment may require the use of vasodilators or traditional Chinese medicines that improve microcirculation and invigorate the blood. Regular physical exercise to boost immunity, avoiding cold exposure, and ensuring adequate warmth and dryness are important. Tight shoes and socks should be avoided, and it is not advisable to soak in hot water immediately after getting cold; instead, gradually increase the water temperature. If there is an open wound, appropriate ointments can be applied to promote healing, ensuring the area stays dry to prevent further chilblains. For example, soaking in water daily can be beneficial if there is no open wound, starting with water at 10°C, then increasing gradually to 20°C, and finally 30°C to gradually warm the area and improve blood circulation, aiding in recovery. Additionally, using ointments like chilblain cream can help improve the condition, but the area is still prone to reoccurrence if it gets cold again. Mainly, keeping the area warm and moist is crucial. For open wounds, regular disinfection with povidone-iodine and applying erythromycin ointment to prevent infection may be beneficial. (Please use medications under the guidance of a doctor to avoid inappropriate self-medication.)

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Written by Xie Ming Feng
Dermatology
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Can frostbite be cured completely?

Chilblains can recur because, in addition to cold being the primary cause, many other factors such as the skin's moisture, abnormalities in the microvasculature, autonomic dysfunction, malnutrition, anemia, and endocrine disorders might also contribute to the condition. Additionally, lack of exercise, excessive sweating of the hands and feet, overly tight shoes and socks, and prolonged outdoor work can also promote the occurrence of chilblains. Thus, chilblains are a multifactorial disease. The best way to prevent recurrence is through preventive measures. These include: first, strengthening physical exercise to promote peripheral circulation and enhance the body's ability to adapt to the cold; second, early in the early winter season, it is important to prevent cold, frostbite, and dampness, stay warm, and avoid wearing tight shoes and socks; third, once exposed to cold, one should not immediately warm up by a fire or soak in hot water; fourth, irradiating the affected areas with infrared before winter or frequently soaking feet in hot water can also help in preventing chilblains.

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Written by Zhu Zhu
Dermatology
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Frostbite is caused by how?

Chilblains is a condition many people have suffered from, especially prone to occur in winter. The main cause is due to poor cold resistance of the skin, coupled with low temperatures, which causes the peripheral skin blood vessels to constrict or spasm. This leads to local circulatory disturbances and tissue damage. Therefore, after developing chilblains, symptoms such as itching and pain are common, and it is essential to treat them promptly with medication.

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Written by Xie Ming Feng
Dermatology
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How to treat frostbite in summer?

Chilblains usually occur in early winter and early spring. Therefore, treating chilblains in summer is mainly to prevent recurrence in winter. The routine mainly involves physical exercise. From the perspective of traditional Chinese medicine treatment, there is a concept of treating winter diseases in summer. You can use some Chinese herbal medicines that warm and promote circulation, activate blood circulation and remove blood stasis, and unblock collaterals to relieve pain. These herbs can be decocted and used for foot soaks over a period, which helps to prevent the occurrence of chilblains in winter.

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Written by Xie Ming Feng
Dermatology
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Do chilblains itch?

Chilblains are caused by the spasm and paralysis of small peripheral blood vessels due to cold, resulting in venous congestion and poor local blood circulation. Sufferers generally feel pain and itching, primarily itching, which intensifies when heated. The best approach at this time is to apply topical medications, such as chilblain cream, capsicum tincture, etc., which have an anti-itching effect.

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Written by Xie Ming Feng
Dermatology
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How to quickly form a scab when frostbite festers?

Frostbite, if the freezing duration is long, the local tissues will become more hypoxic and the cells will be severely damaged. At this point, local blisters, ruptures, erosion, and ulcers may occur. To quickly form a scab at this time, we should operate as follows: first, keep the local area as dry as possible; second, use astringent, drying, and anti-inflammatory ointments on the ruptured areas, such as boric acid ointment, boric acid zinc oxide menthol ointment, erythromycin ointment, mupirocin ointment, etc.