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Raynaud’s Phenomenon

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Elite Rheumatology and Arthritis Center
Dr. Sumalatha Nandikonda, MD
1727 Orlando Central Pkwy, Orlando, FL 32809
Phone/Text: 407-888-5980

Fax: 4078882492

“Please note that Elite Rheumatology and Arthritis Center operates under the legal business name 
Sunshine Specialty Healthcare LLC”.

What is Raynaud’s Phenomenon? 

Raynaud’s Phenomenon is a condition in which the small blood vessels in the fingers, toes, and sometimes other extremities overreact to cold temperatures or stress. During an episode, blood flow is temporarily reduced, causing affected areas to turn white or blue, feel cold, numb, or tingly. When circulation returns, the skin may turn red and throb.

There are two main types:

  • Primary Raynaud’s – Occurs on its own, generally mild, and more common.

  • Secondary Raynaud’s – Associated with autoimmune or connective tissue disorders such as lupus, scleroderma, or rheumatoid arthritis, often more severe and requiring specialized care.
     

Early evaluation by a Raynaud’s disease specialist is recommended if symptoms are frequent, severe, or affecting daily life. Patients seeking Raynaud’s phenomenon treatment in Orlando can benefit from tailored care from experts familiar with autoimmune-related vascular conditions.
 

Signs & Symptoms

  • Color changes in fingers or toes: white → blue → red

  • Coldness, numbness, or tingling during attacks

  • Throbbing, prickling, or pain as blood flow returns

  • Most commonly affects fingers and toes, sometimes ears, nose, or lips
     

Attacks may last from minutes to over an hour and often follow cold exposure or emotional stress.

 

Triggers

Episodes of Raynaud’s can be triggered by:

  • Cold exposure – such as winter weather, air conditioning, or handling cold objects

  • Emotional stress – sudden anxiety, excitement, or stress

  • Vibrating tools – using power tools or machinery

  • Lifestyle factors – smoking and caffeine can worsen attacks

Understanding personal triggers is an important part of long-term Raynaud phenomenon treatment in Orlando, especially for patients with frequent or severe episodes.

Diagnosis

Diagnosis of Raynaud’s Phenomenon is typically based on:

  • Medical history and physical examination – observing patterns and frequency of attacks

  • Nailfold capillaroscopy – microscopic examination of tiny blood vessels

  • Blood tests – to check for underlying autoimmune conditions

  • Early and accurate Raynaud’s diagnosis and treatment can prevent complications, especially in cases of secondary Raynaud’s linked to autoimmune diseases.

 

Treatment & Management

Lifestyle Tips:

  • Dress warmly; use gloves and socks in cold weather

  • Avoid sudden temperature changes

  • Manage stress with relaxation techniques

  • Don’t smoke; limit caffeine intake

 

Medications:

  • Calcium channel blockers (e.g., nifedipine) to improve blood flow

  • Topical nitroglycerin or other vasodilators in some cases

  • Treatment of underlying autoimmune disease if present

A structured plan for Raynaud phenomenon treatment in Orlando focuses on reducing attack frequency, improving circulation, and protecting the skin from injury.

 

When to Call a Doctor

Seek medical attention if:

  • Symptoms worsen or attacks become more frequent

  • Sores, ulcers, or signs of infection develop on fingers or toes

  • You suspect secondary Raynaud’s linked to an autoimmune condition
     

Early consultation with a Raynaud’s disease specialist ensures prompt care, prevents complications, and allows for advanced treatment options.

Frequently Asked Questions 
 

1. Is Raynaud’s Phenomenon dangerous?

Primary Raynaud’s is generally mild and manageable. Secondary Raynaud’s can be serious, potentially causing ulcers or tissue damage, especially if linked to autoimmune disease.

 

2. How can I prevent Raynaud’s attacks?

Avoid cold exposure, dress warmly, manage stress, and quit smoking. Identifying and avoiding personal triggers is a key part of Raynaud’s disease treatment in Orlando, Florida.

 

3. What medications help with Raynaud’s?

Calcium channel blockers and topical vasodilators are common, and treatment of underlying autoimmune conditions may also be needed. Biologic therapies are sometimes used in secondary cases for targeted immune control.

 

4. Can Raynaud’s affect other parts of the body?

Yes, besides fingers and toes, ears, nose, and lips can be affected during attacks, particularly in severe secondary cases.

 

5. When should I see a Raynaud’s specialist?

If attacks are frequent, severe, or accompanied by sores, a Raynaud’s disease specialist or best doctor for Raynaud disease can provide expert evaluation, advanced treatment, and ongoing monitoring.

 

6. Can Raynaud’s be managed long-term?

With lifestyle changes, medications, and regular follow-ups, most patients can manage symptoms effectively. Early care and access to a Raynaud’s disease specialist improve outcomes and prevent complications.

For more information or to schedule an appointment, contact us

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Dr. Sumalatha Nandikonda brings extensive experience in treating a wide range of rheumatologic conditions. At Elite Rheumatology and Arthritis Center, we are committed to delivering comprehensive, compassionate care tailored to each patient’s needs.

For educational purposes, we have listed a few of the common conditions we treat on our website.If you don’t see your condition listed, please contact us directly—we’re happy to discuss how we can help.

Please note that Elite Rheumatology and Arthritis Center operates under the legal business name Sunshine Specialty Healthcare LLC.

Dr. Nandikonda brings a wealth of clinical experience, having worked as a hospitalist for eight years, followed by three years in a rheumatology clinic. To further enhance her expertise, she pursued a two-year fellowship under Top rheumatologists in Orlando, Florida. After completing her advanced training, Dr. Nandikonda founded Elite Rheumatology and Arthritis Center with the mission of providing high-quality, compassionate rheumatologic care to the Orlando and Central Florida community.”

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