If you live in or around Worcester we been getting a lot of snow this year and here you can see it on this patient’s fourth toe there is some swelling and redness. She thought it was frostbite but it ended up being something similar called pernio. If you have this type of a condition there’s not much you can do except keep your feet very warm in one of the ways is to use a heating pad in your shoes or even there are some socks that I have some electricity to keep them warm. Usually multiple pairs of socks aren’t enough. So if you live in or around Worcester it’s best to keep your feet warm in if you have any signs of frostbite come to the clinic.