UNDERSTANDING RAYNAUD'S DISEASE

What you need to know....

At our hand therapy clinic, we often see patients experiencing cold, discolored fingers and discomfort during colder months or stressful situations. 

Raynaud’s Disease is a condition where the small blood vessels in the fingers (and sometimes toes) overreact to cold temperatures or emotional stress, causing them to narrow and temporarily reduce blood flow. This leads to colour changes in the skin — typically white, then blue, followed by red as circulation returns — often accompanied by numbness, tingling, or discomfort.

For many people, Raynaud’s is more of an inconvenience than a serious problem, but for others, it can significantly impact daily function, especially in colder months or in air-conditioned environments. Tasks that require fine motor skills, like typing, writing, or opening jars, can become frustrating when your hands suddenly lose circulation.

​Symptoms to Watch For

​Symptoms usually affect the fingers and may include:

• Coldness or numbness
• Skin color changes (white, then blue, then red)
• Tingling, throbbing, or pain upon warming or stress relief
• In severe cases, sores or ulcers
  
• Episodes can last from minutes to hours and vary in frequency and severity.

​Treatment and Management

​While there’s no cure for Raynaud’s, as a hand therapist, I often work with people experiencing Raynaud’s to help manage symptoms and maintain hand function. Key strategies include:

1. Thermal protection – Keeping hands warm is essential. Layering, using heated gloves or hand warmers, and insulating drink bottles or steering wheels can help reduce the frequency of attacks.
2. Stress management – Emotional stress can trigger Raynaud’s, so learning calming techniques like paced breathing or gentle stretching can reduce the severity and frequency of episodes.
3. Exercise and hand therapy – Regular movement improves circulation. Hand therapy may include guided exercises to encourage blood flow, gentle desensitisation techniques, and education on avoiding prolonged exposure to cold.
4. Medical input – In more severe or persistent cases, a GP or specialist may recommend medications to assist with blood flow or investigate if there’s an underlying autoimmune condition.

​Consequences of Not Managing Raynaud’s

If left unmanaged, Raynaud’s can lead to:

• Frequent, painful attacks
• Skin sores or infections
• Permanent tissue damage or ulcers in severe cases
• Loss of dexterity or function, impacting daily activities

​We're Here to Help

​Raynaud’s is manageable with the right supports in place. Early recognition and a tailored plan from your hand therapist can make a significant difference — helping you stay active, independent, and comfortable in your daily life.