Which action is contraindicated in chilblains management?

• A. Disturbing blisters
• B. Elevating the limb
• C. Keeping the area warm and dry
• D. Avoiding weight bearing

Answer: (A)

Chilblains require gentle rewarming and protection of the affected skin. Blisters form as part of the inflammatory response, and they serve as a protective barrier. Disturbing or popping blisters disrupts that natural protection, increases the risk of infection, and can slow healing by exposing raw skin to moisture and bacteria. So keeping blisters intact and protecting them with a sterile nonadherent dressing is the safer, more effective approach. Elevating the limb helps reduce swelling, and keeping the area warm and dry after rewarming minimizes further cold injury. Weight bearing is managed based on comfort and pain, but it’s not the primary issue in the acute management of chilblains.