Swelling in the hands after chilblains may be related to tissue edema, abnormal fat metabolism, or soft tissue proliferation. Addressing this condition involves improving circulation, dietary adjustments, and appropriate exercise, with medical evaluation if necessary.
Circulatory Damage Caused by Chilblains
Chilblains are a condition where small skin blood vessels are damaged by cold. If left untreated, local blood circulation can be impaired, leading to chronic edema or compensatory thickening of the soft tissues in the hands. Improving circulation is key and can be achieved through the following methods:
Soak hands in warm water (38-40°C) to promote blood flow, for 15 minutes, 1-2 times daily.
Use medications that promote microcirculation, such as nitroglycerin ointment (use as directed by a physician).
Perform daily hand massages with gentle kneading motions to relieve local congestion, avoiding excessive pressure.
Fat Metabolism Disorders
Severe cold can disrupt the distribution of subcutaneous fat, leading to fat accumulation in some areas and causing the hands to appear thicker after chilblains heal. A balanced diet and lifestyle can help improve metabolic issues:
Increase intake of foods rich in antioxidants, such as vitamin E and polyunsaturated fatty acids (nuts, deep-sea fish).
Avoid high-sugar and high-fat foods to reduce the risk of excessive fat accumulation.
Engage in daily exercises like finger yoga and grip strength training to boost metabolism.
Soft Tissue Proliferation or Pathological Edema
Severe chilblains can lead to fibrous thickening of the subcutaneous tissue or even scar tissue formation, causing persistent hand swelling. For these cases, it is recommended to:
Consult a dermatologist or surgeon if fibrosis is suspected, and consider interventions with medications (such as scar softening agents) or physical therapies (like radiofrequency treatment).
Use medical compression gloves if there is a sensation of pain or fullness, which may indicate chronic pathological edema.
Consider minimally invasive surgical adjustments if symptoms are severe and unrelenting, but only after a thorough diagnosis.
Conclusion
Addressing hand swelling after chilblains requires identifying the underlying cause and selecting appropriate corrective or treatment methods. If the condition persists or worsens, seeking medical attention early is crucial for accurate diagnosis and personalized treatment. Additionally, protecting hands from cold exposure in daily life can help prevent chilblain recurrence.
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