Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.
Tags: cold | feet | hands | thyroid | cause | remedy

Why Are My Hands and Feet Always Cold?

Friday, 13 Sep 2013 10:23 AM

By Peter Hibberd, M.D.

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Question: I have cold hands and feet every morning when I wake up and it persists throughout the day. But I'm extremely overweight so this insulation does nothing! Could this be related to hypothyroidism? Is it a vitamin deficiency?

Dr. Hibberd's answer:
 
Cool hand and feet usually relates to circulation, immune disorders, spasms, and not to hypothyroidism, although an underactive thyroid can cause weight gain. So get a TSH blood test, and quit guessing. You can also ask your doctor for an ankle brachial index screening and an assessment of your arteries and veins by ultrasound screening. You should also be assessed for any vascular problems.
 
Vitamin deficiency is usually not the cause of this. Sometimes it can be part of a nervous system condition or related to Raynaud's phenomenon. It is also often seen with various autoimmune or rheumatic disorders affecting joints and joint tissue structures. In any event, a physician examination will get to the bottom of the problem and a way to manage it.

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Dr. Hibberd's advice is based on more than 28 years of hospital work in emergency medicine and surgery.
 
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