Do You Need Medical Treatment for Frostbite? Expert Insights - Dermatology

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Is it necessary to seek medical treatment and medication for frostbite?


Hello, I previously inquired about a related issue, but I did not include an image, which made it difficult for the physician to assess.
I have attached a picture of the affected area below and hope the physician can take another look! https://imgur.com/dMNYsPn The affected area is outlined in red and has a slight bruise-like color (purple?).
Currently, I experience a tingling and numb sensation when walking in that area, and I am treating the frostbite with a topical pain relief ointment.
I would like to ask: 1.
Can I apply ice to the area again? (I previously mentioned that there is a point of plantar fasciitis nearby, and icing makes me feel more comfortable.) 2.
Is it serious enough to require medical attention, or will it improve on its own after some time? I would appreciate the physician's clarification.
Thank you!

Jeff, 10~19 year old female. Ask Date: 2020/11/18

Dr. Wu Yuxin reply Dermatology


Medical regulations state that "a physician must personally examine a patient before providing treatment or prescribing medication," and therefore, online diagnosis is not permissible.
If you are experiencing significant distress, it is advisable to seek medical attention promptly.

Reply Date: 2020/11/18

More Info


Frostbite is a serious condition that occurs when skin and underlying tissues freeze due to prolonged exposure to cold temperatures. It can lead to permanent damage if not treated properly. The symptoms of frostbite can vary depending on the severity of the injury, ranging from mild redness and numbness to severe cases where the skin appears blackened and necrotic. In your case, the presence of bruising and a tingling sensation in the affected area suggests that there may be some degree of tissue damage.

To address your questions:
1. Can you apply ice to the affected area? While ice can help reduce inflammation and numb pain in some conditions, it is generally not recommended to apply ice directly to frostbite-affected skin. Doing so can further damage the already compromised tissue. Instead, it is advisable to gradually rewarm the affected area using warm (not hot) water or by placing it against a warm body part. If you have plantar fasciitis, you might want to consider alternative methods for managing that pain, such as stretching exercises, supportive footwear, or using ice on the areas that are not frostbitten.

2. Is it serious enough to seek medical attention? Given the symptoms you described—particularly the bruising and the tingling sensation—it is crucial to seek medical attention. Frostbite can lead to complications such as infection, tissue necrosis, and even amputation in severe cases. A healthcare professional can assess the extent of the injury, provide appropriate treatment, and monitor for any complications. They may recommend debridement if there is dead tissue or prescribe medications to manage pain and prevent infection.

In summary, while minor frostbite may heal on its own with proper care, the symptoms you are experiencing indicate that you should consult a healthcare provider. They can provide a thorough evaluation and recommend the best course of action to ensure proper healing and prevent further complications. Remember, early intervention is key in managing frostbite effectively.

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