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Non-freezing cold injuries (NFCI) is a class of tissue damage caused by sustained exposure to low temperature without actual freezing. [1] There are several forms of NFCI, and the common names may refer to the circumstances in which they commonly occur or were first described, such as trench foot, which was named after its association with trench warfare.
A mild case of trench foot. Nonfreezing cold injury commonly affects the feet due to prolonged exposure to wet socks or cold standing water. [4] Symptoms progress through a series of four stages. [4] [15] A severe case of trench foot. During cold exposure. Affected skin becomes numb, which can cause a clumsy walking pattern if the feet are affected
There are also a number of other conditions that affect hands, feet, and parts of the face with associated skin color changes that need to be differentiated from acrocyanosis: Raynaud phenomenon, pernio, acrorygosis, erythromelalgia, and blue finger syndrome. The diagnosis may be challenging in some cases, especially when these syndromes co-exist.
"If you are having persistently cold feet or if this is a new or worsening concern for you, then it is probably a good idea to speak with your doctor," Dr. Raimo shares. "Additionally, if one foot ...
Trench foot occurs due to prolonged exposure of the feet to cold, damp, and often unsanitary conditions. [1] Unlike frostbite, trench foot usually occurs at temperatures above freezing, [1] and can be classed as a form of non-freezing cold injury. [3] Onset can be as rapid as 10 hours. [1] Risk factors include overly tight boots and not moving. [4]
Along with cold feet, pay attention to other foot- and leg-related symptoms, like: Pain or cramping (at rest or during movement) Numbness. Weakness. Skin color changes. Shiny skin.
Hot and cold sensations in the feet; A feeling as though the feet do not have enough padding; Pain while operating automobiles; Pain along the posterior tibial nerve path; Burning sensation on the bottom of foot that radiates upward reaching the knee "Pins and needles"-type feeling and increased sensation on the feet; A positive Tinel's sign [1]
Trench foot is damage to nerves and blood vessels that results from exposure to cold wet (non-freezing) conditions. [17] This is reversible if treated early. Pernio or chilblains are inflammation of the skin from exposure to wet, cold (non-freezing) conditions. They can appear as various types of ulcers and blisters. [10]