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Published on: 3/17/2025

What Are Some Underlying Conditions That Cause My Hands and Feet to Feel Hot?

Some underlying conditions that cause hot hands and feet include nerve and blood vessel issues, such as palmar hyperhidrosis and hot foot syndrome.

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Explanation

There are a few conditions that might make your hands and feet feel hot. One important factor is how your nervous system controls your blood vessels and sweating. In palmar hyperhidrosis, for example, the nerves tell your sweat glands to work too much, which can make your palms feel hot and damp. Similarly, hot foot syndrome is a condition where your feet become abnormally warm, sometimes with pain, likely due to changes in blood vessel activity and nerve signals. Researchers have looked at how the skin temperature on your hands and feet changes when the signals from your nerves are altered. This tells us that abnormalities in the way the sympathetic nervous system works can lead to sensations of heat. In some cases, issues like small fiber neuropathy may also affect temperature perception in these areas. If your hands and feet are often hot and it bothers you, it might be a sign to check with a healthcare provider. They can help figure out if one of these conditions is present and suggest ways to manage the symptoms.

(References)

  • Evans RJ, Watson CP. The hot foot syndrome: Evans' sign and the old way. Pain Res Manag. 2012 Jan-Feb;17(1):31-4. doi: 10.1155/2012/658730. PMID: 22518365; PMCID: PMC3299035.

  • Cheung SS. Responses of the hands and feet to cold exposure. Temperature (Austin). 2015 Feb 27;2(1):105-20. doi: 10.1080/23328940.2015.1008890. PMID: 27227009; PMCID: PMC4843861.

  • Jeong SM, Kim TY, Jeong YB, Sim JY, Choi IC. The changes of skin temperature on hands and feet during and after T3 sympathicotomy for palmar hyperhidrosis. J Korean Med Sci. 2006 Oct;21(5):917-21. doi: 10.3346/jkms.2006.21.5.917. PMID: 17043429; PMCID: PMC2722005.

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