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Published on: 3/17/2025

What Are the Common Causes of Hot Hands and Feet?

Hot hands and feet can be caused by normal changes in blood flow, overactive sweat glands, or reactions like hand-foot syndrome.

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Explanation

Your hands and feet might feel hot because your body adjusts blood flow to help keep you at a stable temperature. When your body heats up, blood vessels in your hands and feet dilate to let warm blood reach the skin, making these areas feel warmer. This is a normal part of temperature regulation. Sometimes, if the nerves that control these vessels are especially active, you might feel extra warmth. In other cases, a condition called palmar hyperhidrosis—where the sweat glands are overactive—can also make your hands feel hot. Hand-foot syndrome is another example; it is a reaction that can occur with certain medications, and it makes the palms and soles red, hot, and sometimes painful. Additionally, studies show that responses to cold exposure can vary between individuals, meaning that your hands and feet might be more sensitive to changes in temperature. If you experience these symptoms frequently or they come with discomfort, it may be useful to talk with a healthcare provider to find out if any treatment is needed.

(References)

  • Braghiroli CS, Ieiri R, Ocanha JP, Paschoalini RB, Miot HA. Do you know this syndrome? Hand-foot syndrome. An Bras Dermatol. 2017;92(1):131–133. doi:10.1590/abd1806-4841.20174602.

  • 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;21(5):917–921. doi:10.3346/jkms.2006.21.5.917.

  • Cheung SS. Responses of the hands and feet to cold exposure. Temperature (Austin). 2015;2(1):105–120. doi:10.1080/23328940.2015.1008890.

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