Raynauds, Cold Hands and Winter Training

Although it’s only October, we in Virginia have had our first snow of the year. I think it’s a good time to start this year’s discussion of cold hands, Raynaud’s Syndrome, or Raynaud’s Phenomenon, in some cases.

Raynaud’s is pretty common. Many will have it as an isolated phenomenon and in others, it accompanies a more global process. Those affected will have more issues in the cold conditions than warm, their fingers will have decreased sensation and turn white, almost snow white, on occasion. When placed in modestly warm water for 2 or 3 minutes, the digits re-warm and turn every shade of red and purple you can imagine before simply settling on only mildly red. Once warm, starting a car is easy.

If you want to document this, next time it occurs, start taking pictures with your cell phone, and save them for your health care provider. You will asked about a family history of certain kinds of arthritis, bowel disease and the like. You may find that your complaints are the same (or different) but it’s a good starting place.

My sister and I both have this to a greater or lesser degree and I think I’m the biggest purchaser of chemical hand warmers at our local backpacking store. But, I ride outdoors all year unless there’s snow or ice on the road. Cold water swimming, however, can present a significant challenge!
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For those readers who may not know (or who may have it and wonder) Raynauds Syndrome is the discoloration and numbness of the fingers that many adults see in response to cold (or sometimes changes in emotion.) The fingers turn snow white and are pretty useless in trying to type. In a few minutes, as the fingers begin to warm, they turn blue then a purple-red with a “pins and needles” feeling before they normalize. This whole process can take from just a few minutes to an hour and can be quickened by immersing ones hands in warm water, warm pockets or your abdomen, as noted above. Women seem to get this more than men, 2nd to 4th decade of life. There are medical answers to this, and especially medicines to avoid, which might increase the frequency of attacks. A surprising number of athletes suffer from Raynaud’s Syndrome, a spasming of the small arteries in the digits, often when cold. About 5% of men and 8% of women have Raynaud’s and it can affect ears, toes, and even your nose.

That said, I’ve had it for 30 years. My Mom and sister are both affected. And mostly we just live with it. I use chemical hand and foot warmers biking in the winter, and when it’s below freezing I have some Sidi rechargeable warming inserts for my winter biking boots (they’re not cheap and don’t work all that well). It’s all just a matter of preparation.

So, welcome to the world of Raynauds Syndrome, it’s an inconvenience but not much more.

A number of STer’s have had excellent posts about how to solve the cold hands problem that can accompany winter riding. Excellent suggestions have come forth about a variety of different types of gloves/mittens/socks, chemical hand warmers, etc. Some athletes have simply chosen to ride indoors until the bloom of Spring and give those Computrainers a work out. If, however, you want to stay outside all winter, depending upon your climate, some alterations may be in order to remain comfortable.

So, to remain comfortable we have to remain warm. All it takes is a little trial and error. Well, maybe a lot of trial and error. I’d suggest you start by putting a thermometer outside your window to get an accurate temperature before you venture out. It’s better than the Weather Channel as you may live a real distance from where they get their measurements. Then, get an idea of what gloves, layering of gloves, mittens and layering/lining of mittens you need at 50 - 55 degrees, 40 - 45 degrees, etc. If your mittens are so bulky that you may lose control of the bike, figure out something else. A poster from last year noted that the important thing was not to layer each digit as you might do with shirts and coats, but to provide a “den” for the fingers. Mittens, more than a single layer, with touching digits and some type of warmer seemed best for him. One thing that many over look is a product called Bar Mitts (they also have Mountain Mitts for your mountain bike.) These are sleeve-like neoprene that fit right over your handle bars and block cold, rain and snow…not that you’ll be riding outdoors on 23 mm tires in the snow. You don’t even need very thick gloves to stay toasty. I’ll admit that they may look a little dorky but the bike group conversation will quickly move on to something else and you keep your hands warm.

Darkwave suggested: “I’ve found disposable handwarmers to be essential for winter running – I start using them when the temperature drops below 50. For running races, I wear thin gloves, then handwarmers, and then socks over both. If I heat up too much in the race, I can toss the socks or even the handwarmers”

As always, please share your experience and comments

John

That’s crazy! Thanks for posting this, I’d say I’ve had this for a long time but never knew it was a condition, I just thought I wasn’t as ‘tough’ as friends. I’d go golfing in 40 degree weather and be absolutely miserable, my hands would be numb and freezing cold, unable to grip the clubs…and I’d be wearing gloves on both hands and have my hands in my pockets as much as possible, while friends wouldn’t wear any gloves and be fine. Same thing while running/cycling, my feet/hands would go completely numb in mild weather…in fact, just yesterday I was out for a 35 minute run, it was 35 degrees and raining. I actually felt alright, the legs numbed up but whatever…however, jumping in the shower after my legs turned purple then bright red with severe pins in needles.

Anyway, thanks so much for posting this. It’s cyclocross season here in the northeast and temps are dropping so I’m looking forward to any and all tips people have for keeping the hands and feet not-frozen.

2nd…I never realized this was an actual condition. thanks for the info!

You’re both welcome.

I am not the world’s authority here, just someone with a little experience. And Slowtwitch is filled with the experienced. Watch and see as those who’ve come up with little tricks, foot warmers, etc. post them making both golf and cyclocross a bit more enjoyable.

John

I have a bad case of Raynaud’s, but I can run or xc ski through a cold Ottawa with no problems. As long as I keep the heartrate up and the arms moving it’s not a problem. It’s only a few minutes after a run is finished that it acts up, due to lowering of the heart rate. So I’ve learned to make sure that after a run is finished I get indoors and into a warm shower before it starts to appear.

I stop biking outdoors as soon as the weather nears the freezing point - I think the lack of arm movement, frequent stops and lower heart rate make it more uncomfortable than running or skiing.

I have this and my solution is to live somewhere warm all year.

But even in Hawaii there are times when I’m swimming that I experience this and my friends are always amazed at how my fingers turn colors (mine turn purple, not white) after being in the ‘cold’ ocean or pool for 20-30 minutes.

I notice this when skiing, even when the sun it up and the temps are high, my fingers hurt…I do not ride my bike when its cold, its just a non-starter - which is difficult now that I live in Maine.

Ghia - now there’s a solution for you! I would expect that you might want to “share” your success by keeping that guest bedroom open for ST’ers who’d like to visit the Hawaiian Islands! (And discuss Raynauds of course!)

Do you find that there’s a seasonal nature to your Raynauds like we would see on the mainland? Do you see it in your toes?

Mahalo.

John

While I’m not as far north as you are in Ottawa, I have the same experience, keep the HR up and I don’t have an issue. Then get home and take a hot shower.

It can even happen to me on cloudy 70° (21°C) days

jaretj

Although it’s only October, we in Virginia have had our first snow of the year. I think it’s a good time to start this year’s discussion of cold hands, Raynaud’s Syndrome, or Raynaud’s Phenomenon, in some cases.

As always, please share your experience and comments

John

no snow in the city yet up here but ski season has already started… Canmore Nordic Centre and Nakiska are both open

Glad I don’t have issues in this area. I don’t give too much thought on this until it’s below 0C (32)…

I’ve always had Raynauds-like symptoms, and deal with it using black diamond’s mercury mitt for biking and everything else under 50*F. The liner has a trigger finger, perfect for shifting.

I’ve been dealing with this for over 30 years. I was always the kid that had to come inside when downhill skiing or sledding because my toes would turn dead-person white. My hand are affected too… Once it gets below about 65 outside, I need to start using toe covers. A little colder and the chemical packs get used. I won’t go out if it’s below about 50 since it’s almost impossible to keep my feet from going numb. Running is not as much of a problem since the toes will usually regain circulation after a few miles. I’ve found that keeping my core and feet warm before starting a run (or bike) helps. Post-workout, I need to get the wet clothes off ASAP or toes & fingers go numb. Usually they turn the dead-person white, but sometimes they go purple. It even happens in my office at work, especially after lunch when the blood is diverted to my stomach!

It’s a pain in the butt, but I’ve learned how to deal with it though years of practice. I do a lot more indoor trainer rides than the average person, and I am always the first to bust out the mittens when the weather starts turning…

Em - thanks for sharing. It’s people like you who are at the far end of bell curve who stand as educators of the rest. We appreciate your suggestions.

John

I now have Raynaud’s to a significant extent in my hands, but not much if at all in my feet. What I haven’t seen discussed is that I think I managed to create the situation myself. I never used to suffer from this, maybe even had above average tolerance to cold hands. But as I got more into running, and was running outdoors through the winters, I created a kind of death spiral. I habitually went out with insufficient gloves; after a season or so of this, it started to really bother me and I started to get smarter about gloves. But at the same time, my sensitivity was increasing, so even with what should have been appropriate gloves I was still getting severely cold hands and the whiteness, etc. So maybe this is just a caution that even though you don’t mind toughing out a cold run or bike and having really cold hands/feet at the end, you might be increasing your sensitivity to it. Given this experience, I have been really careful with my feet so they don’t also get sensitized, so far successfully.

It took a few years to get to some kind of equilibrium, but I now find that I need to wear light gloves from the low 60’s, and I have a bunch of pairs of increasing insulation that I wear as needed. For extreme cold, I have Burton snowboard mittens with liners that are good to well below freezing for running. For cycling, again a bunch of pairs. I need full-fingered gloves from the low 60’s, and range all the way to lobster claw shells into which I can fit thick fleece gloves. Even at that it’s dicey in the 20’s. I wear gloves all the time once cold weather is here (now); and usually need to wear thin gloves indoors until I warm up if I’ve been outside for a while. Get some looks, but at this point don’t care.

Brian

I don’t think you can blame yourself for getting Raynauds, and I don’t believe that you can prevent becoming more sensitive to it. I believe that it’s a physiological condition related to poor circulation and body temperature control system. When the core temperature drops, your temperature control system prevents blood from flowing to extremities so that it can keep the core warm. I believe that it’s also very much related to resting heart rate. Being active triathletes, we are more prone to this than the average population. The worst cases for me are walking to the car after a sedentary day in the office. My heart rate has settled down to such a low rate all day (40’s), that when I hit the fresh air outside the heart rate is insufficient to keep the extremities warm and I get the dead person white fingers referred to above, even on days that are not that cold.

The good news, is that I don’t suffer from this while running or cross country skiing, even on the coldest of days, since the heart rate is now sufficient to keep everything warm. Just don’t stop!!!