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Raynaud's Phenomenon

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Raynaud’s phenomenon causes blood vessels in your extremities to narrow in cold temperatures or during emotional excitement or stress — called a Raynaud’s attack. Most often, it occurs in your hands, fingers, feet, or toes, but it can also affect your lips, tongue, nose, or chin.

When blood circulation in your body is reduced, it can cause these areas to turn white or blue, accompanied by pain, tingling, or numbness. Once blood flow is restored, the affected area may be painful and turn red. In severe instances, which are rare, reduced blood flow can lead to sores and damaged tissue.

Raynaud’s phenomenon can occur on its own (primary) or as a result of something else (secondary), such as a disease that affects blood flow (like lupus or scleroderma), medications, or injuries. Primary Raynaud’s is more common in women and in those who live in cold climates.

Rheumatologists at University of Miami Health System offer expert diagnosis and treatment of Raynaud's phenomenon. With locations throughout South Florida, you can get complete care nearby.

Why Choose UHealth?

The latest treatments for Raynaud’s phenomenon. In addition to treating patients, our doctors are also researchers committed to improving health care. That means you receive care from specialists who are knowledgeable about the latest medical advancements.

Comprehensive care from a team of specialists. Raynaud’s phenomenon can be caused by another condition or from certain medicines, so our rheumatologists work with doctors in a full range of medical specialties to help you relieve symptoms. You get comprehensive, coordinated care from a team that’s focused on your overall health.

Expert guidance to help you manage symptoms and improve your quality of life. There are a variety of lifestyle changes you can make that can minimize your symptoms, such as regular exercise, keeping warm and dry, avoiding smoking, and managing stress. Your team will educate you about how to reduce the number and severity of attacks, as well as help you prevent damage to the affected areas.

Questions? We're here to help.

Our appointment specialists are ready to help you find what you need. Contact us today.

Treatments

  • Lifestyle Changes

    Your care team will educate you about Raynaud's attack triggers, such as cold weather, stress, medicines, chemicals, or certain activities. Lifestyle changes can include a variety of approaches, such as:

    • Protecting yourself from the cold
    • Managing stress
    • Avoiding smoking and second-hand smoke
    • Limiting alcohol and caffeine
    • Wearing protective gear to avoid chemicals or other triggers while at work
    • Limiting repetitive hand motions
    • Exercising regularly to improve circulation
  • Medicines

    When lifestyle changes aren’t enough to manage symptoms, your doctor may prescribe medicine to improve blood flow and circulation, such as calcium-channel blockers, alpha-receptor blockers, and medicines that relax blood vessels.

  • Surgery

    In severe cases that don’t respond to medicine and threaten tissue, your doctor may recommend surgery. Doctors use surgery to open narrowed blood vessels or block the nerves that are causing the blood vessels to narrow. In some instances, doctors use injections rather than surgery to block nerves.


Tests

  • Cold Stimulation Test

    This test brings on Raynaud's symptoms and measures your response to cold temperatures. A small temperature measurement device is attached to your fingers, which are submerged briefly in ice water. The device measures how long it takes for your fingers to return to a normal temperature. For those with Raynaud's, it can take more than 20 minutes to warm up.

  • Other Tests

    Your doctor may use tests that look for conditions that can cause Raynaud’s phenomenon, including:

    • Blood tests such as erythrocyte sedimentation rate, C-reactive protein test, and antinuclear antibodies test (antibodies associated with lupus)
    • Nailfold capillaroscopy, a test in which your doctor examines the base of your nail under a microscope to look for signs of abnormal blood vessels

Accepted Insurances

Note: Health plans that are currently contracted with UHealth are listed below. However, please check with your insurance provider to verify that UHealth is part of your provider network.

  • Aetna WC
  • Aetna Affiliates/Signature Adm (ASA)
  • Aetna Behavioral Health
  • Aetna Elect Choice (EPO)
  • Aetna Florida Healthy Kids
  • Aetna HMO
  • Aetna Medicaid HMO
  • Aetna Medicare HMO
  • Aetna Medicare PPO
  • Aetna POS
  • Aetna PPO
  • Aetna UM Employee HMO 1
  • Aetna UM Employee HMO 2
  • Aetna UM Employee POS HRA
  • Aetna/Coventry Institutes of Excellence (IOE)
  • Amerigroup Florida Healthy Kids
  • Amerigroup Medicaid HMO
  • Argus Vision
  • AvMed Choice
  • AvMed HMO/POS
  • AvMed MDC and JHS Groups
  • AvMed Medicare HMO
  • AXIS
  • BCBS Blue Options Network Blue PPO
  • BCBS BlueCare HealthOptions HMO
  • BCBS BlueChoice PPC/PPO
  • BCBS Miami Dade Blue PPO Limited Benefits Plan
  • BCBS of Florida (All products except "SELECT" Plans)
  • BCBS of Florida (Commercial plans exclude HIX Select)
  • BCBS Traditional PHS/PPO
  • Beacon Health (ValueOption)
  • Beech Street PPO
  • Broward Health Medical Center
  • CarePlus Medicare HMO
  • Catholic Hospice
  • CCP/CMS Title XIX (Medicaid Enrolled in South Florida)
  • CCP/CMS Title XXI (Non Medicaid Enrolled in South Florida)
  • CCP/MMA (Broward County residents)
  • Charlotte County Sheriffs Office PPO
  • Cigna Affiliates
  • Cigna Behavioral Health
  • Cigna Dental HMO/PPO
  • Cigna EPO
  • Cigna HMO
  • Cigna Life Source (Intracorp is part of Cigna Lifesource)
  • Cigna MDCPS Jackson Sr. High
  • Cigna POS
  • Cigna PPO
  • Cigna Shared Administration
  • Clear Health Alliance SNP Medicaid HMO
  • Concordia Behavioral Health
  • CorVel WC
  • Coventry First Health WC
  • Coventry Health Care of Florida (HIP) HMO/POS
  • Coventry Health Care of Florida (HIP) PPO
  • Coventry Health Plan of Florida (Foundation) HMO
  • Coventry Health Plan of Florida (Foundation) POS
  • Coventry National PPO
  • Coventry Summit Medicare HMO
  • Coventry Vista Medicare HMO
  • Coventry First Health PPO
  • Delta Dental PPO
  • DentaQuest (ADI)
  • DIKLA
  • Dimension WC
  • Dimension Plus PPO
  • EHN PPO
  • EQUIAN (Health Systems International)
  • Europe Assistance/Global Corporate Solutions (Care Management Network)
  • eyeQuest
  • FCCI WC
  • Florida Healthcare Plan (Affiliate of BCBSFL)
  • Florida PACE (FPC)
  • Freedom Health Medicaid HMO
  • Freedom Health Medicare HMO
  • Gallagher Bassett WC (MDCPS & FCSRMC)
  • Global Excel Mgt PPO
  • Great West (Cigna) HMO/POS
  • Guardian Life PPO
  • HAA Preferred Partners
  • Health First Health HMO/POS
  • Health First Health Medicare HMO
  • Health First Health PPO
  • Health Net Veterans Choice HMO
  • Heritage Summit Healthcare WC
  • Humana Behavioral Health (LifeSynch)
  • Humana Dental/CompBenefits/OHS
  • Humana EPO
  • Humana HMO
  • Humana Medicaid HMO
  • Humana Medicare HMO
  • Humana National Transplant
  • Humana PPO
  • Humana Premier
  • iCare Health Solutions
  • Interlink Health Services
  • International Kids Fund (IKF)
  • League Medical Concepts Federal Inmates
  • Life Trac
  • Magellan Behavioral Health
  • Magellan Complete Care SNP Medicaid HMO
  • MDAbroad
  • Medica Medicare HMO
  • Medical Development In't (MDI)-Federal Inmates
  • Medicus
  • Metlife Dental PPO
  • MHNet Behavioral Network (MHNet)
  • Molina
  • Molina Market Place
  • Molina Medicaid HMO
  • Molina Medicare HMO
  • Morgan White International
  • MultiPlan PPO
  • Naphcare (Federal Prisoners)
  • National Healthcare Solutions Inc.
  • Neighborhood HealthPlan HMO/POS
  • Neighborhood HealthPlan PPO
  • North Broward Hospital District PPO
  • Olympus Managed Healthcare
  • Optum
  • Positive Healthcare SNP Medicaid HMO
  • Positive Healthcare SNP Medicare HMO
  • Prestige Health Choice Medicaid HMO
  • Prime Health Services WC
  • Quality Health Management
  • Religious Order of Jehovah's Witnesses PPO
  • Rockport Healthcare Group WC
  • Royal Caribbean Cruises PPO
  • Sanus Health Corporation
  • Seasons Hospice
  • Simply Healthcare Medicaid HMO
  • Solstice Dental HMO/PPO
  • Start Healthcare Network
  • Sunshine
  • Sunshine AMBETTER
  • Sunshine Healthy Kids HMO
  • Sunshine Medicaid HMO
  • Sunshine Medicare HMO
  • Tricare South Prime HMO
  • Tricare South Standard PPO
  • United Behavioral Health (UBH)
  • UnitedHealthcare Affiliates
  • UnitedHealthcare Healthy Kids HMO
  • UnitedHealthcare HMO/POS
  • UnitedHealthcare Medicaid HMO
  • UnitedHealthcare Medicare Nursing Home Plan
  • UnitedHealthcare PPO
  • University of Miami Athletic Dept PPO
  • VUMI
  • Wellcare/Staywell Healthy Kids HMO
  • Wellcare/Staywell Medicaid HMO
  • Wexford Health State Inmates
  • Worldwide Managed Care