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Raynaud's phenomenon - Treatment

Treatment:

The following lifestyle changes may help people with Raynaud's phenomenon:

  • Stop smoking
  • Avoid caffeine
  • Stop and avoid medications that cause tightening or spasms of the blood vessels
  • Keep the body warm. Avoid exposure to cold in any form. Wear mittens or gloves outdoors and when handling ice or frozen food. Avoid getting chilled, which may happen after any active recreational sport.
  • Wear comfortable, roomy shoes and wool socks. When outside, always wear shoes.

Your health care provider may prescribe medications to relax the walls of the blood vessels. These include topical nitroglycerin, calcium channel blockers, sildenafil (Viagra), and ace inhibitors.

It is important to treat the condition causing Raynaud's phenomenon.

Expectations (prognosis):

The outcome varies depending on the cause and the severity of the condition.

Complications:

  • Gangrene or skin ulcers may occur if an artery becomes completely blocked (most likely to occur in people who also have arthritis or autoimmune conditions)
  • Permanently decreased blood flow to the area can lead to thin and tapered fingers, with smooth, shiny skin and slow growing nails

Calling your health care provider:

Call your health care provider if:

  • You have a history of Raynaud's phenomenon and the affected body part (arm, hand, leg, foot, or other part) becomes infected or develops a sore
  • Your fingers change color and you do not know the cause
  • Your fingers or toes turn black or the skin breaks
  • You have a sore on the skin of your feet or hands
  • You have a fever, swollen or painful joints, or skin rashes
  • Reviewed last on: 6/28/2011
  • Ariel D. Teitel, MD, MBA, Chief, Division of Rheumatology, St. Vincent’s Hospital, New York, NY; Neil J. Gonter, MD, Assistant Professor of Medicine, Columbia University, NY and private practice specializing in Rheumatology at Rheumatology Associates of North Jersey, Teaneck, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Bakst R, Merola JF, Franks AG Jr., Sanchez M, Perelman RO. Raynaud's phenomenon: pathogenesis and management. J Am Acad Dermatol. 2008;59:633-653.

Ferri FF, ed. Ferri’s Clinical Advisor 2011. 1st ed. Philadelphia, Pa: Mosby Elsevier; 2010.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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