Cold Hands

Always having cold hands usually occurs due to decreased blood flow to the hands. Our bodies keep our hands warm primarily by regulating the blood flow that travels from the heart, down the arm, all the way to our fingertips. More blood to the hands means pink, warmer hands; less blood flow means colder and sometimes painful hands.


Blood that flows into our hands usually travels by two arteries: the radial artery and the ulnar artery (Figure 1). Cold hands are caused when blood flow is decreased to the hand. This can happen with several things, including:


There are muscles around all the major arteries of our body that automatically constrict or relax to decrease or increase blood flow. This allows the body to send more blood and warmth to the critical organs of your body (like the heart, lungs, and brain), temporarily decreasing the blood flow to your hands and feet. Cold hand diseases that occur from vasoconstriction happen when these muscles apply pressure to the arteries for too long, which decreases blood flow. If this loss of blood flow happens repeatedly, it can cause ulcers in the skin and tissue death (called necrosis).


This happens when one or more of the blood vessels in the hand or wrist become blocked.

Diseases of blood vessels

There are many diseases of blood vessels that can cause vasoconstriction and Vaso-occlusion. One of the most common is Raynaud’s Disease, during which there is an abnormal reaction in the hand when it is exposed to cold.

Signs and Symptoms

  • Cold hands even in mild weather
  • Pain in the fingers at cold temperatures
  • The need to wear gloves when handling frozen foods
  • Hands turning a white, blue, or red color
  • Problems healing minor wounds on fingertips


Dr. Watkins will help you determine whether you have a disease and, if so, whether the cause of the disease is in the blood vessels of the hand. If it is not, Dr. Watkins will assist you in getting evaluated by other specialists (like a rheumatologist, a hematologist, or an oncologist) to determine if you might have a cold hand-related systemic disease.

Treatment Options

Treatment for cold hands or related diseases can include:

  • Adding behaviors that are helpful to blood flow, such as:
  • Proper hand hygiene and skin care
  • Wearing the correct
  • warm and protective hand gear
  • Healthy temperature regulation
  • Quitting smoking
  • Medication
  • Steroid injections
  • Surgery


Consult Dr. Watkins to help you decide the best course of action.

We Moved Locations