Why Are My Feet Sweating But Are Cold? Top 7 Causes and Solutions | Modern Foot & Ankle (2025)

Experiencing sweaty yet cold feet can be both uncomfortable and confusing. This odd sensation, often described as “why are my feet sweating but are cold,” commonly stems from a blend of overactive sweat glands and restricted blood circulation. Our article dives straight into the causes, effects, and ways to manage this perplexing condition, bringing you clarity and practical solutions.

Why Are My Feet Sweating but are Cold? The Science Behind It

Why Are My Feet Sweating But Are Cold? Top 7 Causes and Solutions | Modern Foot & Ankle (1)

When our feet feel cold despite being sweaty, it’s not just a quirk of our bodies. It’s science in action. Several factors come into play, including overactive eccrine sweat glands, blood circulation, and the autonomic nervous system’s role in regulating body temperature.

Blood Circulation and Cold Feet

Our bodies regulate temperature significantly through blood circulation. Upon exposure to cold temperatures, heat is instinctively conserved by reducing blood circulation to our extremities, such as hands and feet. This physiological response is why our feet often feel colder than other body parts, especially in cold weather.

However, factors like blocked blood vessels and prolonged standing can slow blood circulation, making it harder to keep our feet warm.

Sweat Glands and Excessive Sweating

Curious why your feet appear to be sweating excessively while the rest of your body doesn’t? This can be attributed to the high density of sweat glands, especially eccrine glands, present on our feet. These glands can become overactive, leading to a condition known as plantar hyperhidrosis.

Additionally, anxiety can trigger these glands, causing more sweating and exacerbating the sensation of cold feet due to the effects of sweat evaporation.

Autonomic Nervous System and Body Temperature Regulation

Body temperature maintenance is a crucial function of our autonomic nervous system. It manages the body’s heat by controlling sweat production and adjusting blood flow. When we’re hot, it makes us sweat, and when we’re cold, it constricts our blood vessels to conserve heat.

By understanding these processes, we’re better equipped to manage cold and sweaty feet effectively.

In-Depth Look at Common Causes of Cold and Sweaty Feet

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Experiencing the discomfort of cold and sweaty feet can leave you puzzled, but understanding the common causes can pave the way to finding the right solutions. Here we delve into at least seven factors that contribute to this condition, providing detailed insights into each one.

1. Raynaud’s Disease: More Than Just Cold Toes

Raynaud’s disease is a circulatory disorder that affects blood flow to certain parts of the body, particularly the fingers and toes. Individuals with this condition experience episodes where their extremities may feel numb and cold in reaction to lower temperatures or stress. These episodes, known as Raynaud's attacks, can cause a noticeable discoloration of the affected areas due to the temporary lack of blood flow.

2. Hypothyroidism: A Metabolic Culprit

Hypothyroidism is a condition where the thyroid gland is underactive and doesn't produce enough thyroid hormones. This leads to a slowed metabolism, which can reduce the body's ability to sweat normally. Consequently, individuals with hypothyroidism may experience a sensation of coldness in their extremities, including the feet, due to reduced perspiration and a lower metabolic rate keeping them from warming up efficiently.

3. Peripheral Neuropathy: Nerve Damage and Its Effects

Peripheral neuropathy arises from damage to the peripheral nerves, often due to conditions such as diabetes. This damage can disrupt normal nerve function in the feet, leading to abnormal sensations. Sufferers may experience a paradoxical combination of excessive sweating and a cold sensation in their feet, which can be particularly distressing and uncomfortable.

4. Overactive Sweat Glands: When Sweating Goes Overboard

For some, the issue lies with the eccrine glands in the feet working overtime. These overactive sweat glands can lead to a condition known as plantar hyperhidrosis, characterized by excessive sweating that doesn't necessarily correlate with the temperature or activity level of the individual. This excessive moisture can make the feet feel perpetually cold, especially when evaporation takes place.

5. Poor Circulation: A Double-Edged Sword

Poor circulation can impede the delivery of warm blood to the feet, leaving them feeling cold. However, this doesn't stop the sweat glands from doing their job. The result is feet that are not only cold due to poor blood flow but also sweaty, creating an uncomfortable and often frustrating condition.

6. Stress and Anxiety: The Sympathetic Response

Stress and anxiety can activate the sympathetic nervous system, which is responsible for the body's 'fight or flight' response. This can lead to increased sweating as the body prepares to react to perceived threats. The resulting evaporation of sweat on the feet can intensify the feeling of coldness, compounding the issue.

7. Inappropriate Footwear: A Preventable Cause

The type of shoes you wear can have a significant impact on the health of your feet. Non-breathable footwear made from materials that don't allow air to circulate can trap moisture and heat, exacerbating sweat production. This can cause the feet to remain cold due to the insulating effect of the shoes, which prevents proper temperature regulation.

Understanding these causes is the first step in effectively managing the issue of cold and sweaty feet. With this knowledge, individuals can seek out targeted treatments and make informed decisions about lifestyle changes that may alleviate their symptoms.

Tips for Managing Cold and Sweaty Feet

The good news is that cold and sweaty feet are manageable. With some simple changes in your daily routine and lifestyle, you can significantly reduce the discomfort and keep your feet warm and dry.

Let’s explore some practical tips.

Proper Foot Hygiene

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Maintaining foot hygiene is an essential step in managing cold and sweaty feet. Regular washing with antibacterial soap, using absorbent or deodorizing insoles, and trimming body hair where sweat and odor accumulate can help keep feet dry and comfortable.

Moreover, antifungal powders can treat existing fungal issues and prevent future occurrences, contributing to overall foot health.

Breathable and Insulated Footwear

The condition of your feet can be significantly influenced by your choice of best bunion footwear. Breathable and insulated footwear can prevent sweaty feet and keep them warm.

Moisture-wicking socks made from materials like natural or acrylic fiber blends can help absorb sweat and keep your feet dry.

Stress Reduction Techniques

Finally, excessive sweating induced by anxiety can be controlled with stress reduction techniques like yoga and meditation. Managing stress effectively can limit stress sweating and help you maintain dry and comfortable feet, preventing excessively sweaty feet.

Why Are My Feet Sweating But Are Cold? Top 7 Causes and Solutions | Modern Foot & Ankle (2025)

FAQs

Why Are My Feet Sweating But Are Cold? Top 7 Causes and Solutions | Modern Foot & Ankle? ›

Feeling cold and sweating at the same time can be a response to anxiety, stress, or an underlying health condition such as low blood sugar or infections. It is the body's way of reacting to the fight or flight response, or an imbalance in the body's internal environment. Can a podiatrist help with ankle issues?

What does it mean when your feet are cold but sweaty? ›

Your feet might be sweaty but cold due to factors like stress, tight shoes, or side effects of medications. Make sure to wear breathable shoes and manage stress to help alleviate the issue.

Why do my feet sweat but nothing else? ›

Your Sweaty Feet Could be Hyperhidrosis

Hyperhidrosis is the medical term for excessive sweating. Plantar hyperhidrosis is when people experience excessive sweating of the feet. Men are often more likely than women to develop this issue.

What illness causes sweaty feet? ›

The main symptom of hyperhidrosis is heavy sweating. This goes beyond the sweating from being in a hot environment, exercising, or feeling anxious or stressed. The type of hyperhidrosis that usually affects the hands, feet, underarms or face causes at least one episode a week when you're awake.

How do I stop my feet from sweating all the time? ›

Wash your feet daily with an antibacterial soap; be sure to wash between the toes. Dry the feet thoroughly, then apply cornstarch, foot powder, or an antifungal powder to your feet. Wear wicking socks made of natural or acrylic fiber blends that draw the moisture away from your feet instead of trapping it.

What does it mean when your feet are cold but your body is hot? ›

Dr. Agarwal notes that the blood vessels in your feet and hands are some of the smallest and most sensitive. So poor circulation may cause your feet and hands to feel particularly chilly, even if your body is warm (or simply not cold).

What deficiency causes cold feet? ›

Vitamin D: Vitamin D plays a crucial role in maintaining bone health and regulating calcium levels in the body. Deficiency in vitamin D has been linked to poor circulation, which can contribute to cold hands and feet.

Should I be worried about sweaty feet? ›

Many people who think they suffer from sweaty feet or hyperhidrosis are actually only being subjected to climate related normal sweating. However, hyperhidrosis can sometimes be a major health issue and may give rise to other complications. Hence, it should not be ignored, but be diagnosed and treated.

What socks are good for sweaty feet? ›

He recommends selecting socks made of moisture-wicking materials such as polyester, nylon, and wool, which are most effective at keeping sweaty feet dry, cool, and comfortable to reduce sweat and keep your feet dry.

What are the symptoms of anhidrosis in the feet? ›

This is common and can happen to anyone but more so with ageing, psoriasis, eczema, some medical conditions or can be due to the effect of a medication you may be taking. Symptoms include roughness of the skin, itching, tightening of the skin and cracking particularly around the heel of the feet.

Can sweaty feet be cured? ›

Hyperhidrosis, also called excessive sweating, is a medical condition that affects different body areas including the feet. Fortunately, there are treatments available. Treatments for sweaty feet include antiperspirants, iontophoresis (a great option, learn more about it), and Botox injections.

What medication is used to stop sweating? ›

You may be prescribed a type of medicine called an anticholinergic or antimuscarinic. These work by blocking the effects of a chemical called acetylcholine, which the nervous system uses to activate the sweat glands. Anticholinergics are available as tablets or solutions that are applied to affected areas.

What is the best treatment for hyperhidrosis? ›

We can treat mild forms of hyperhidrosis without surgery. The most common approaches include use of astringents, talc or starch, sedatives, antihistamine medicines, or beta blockers. We can also try more aggressive therapy such as liposuction, botulinum toxin injections, or iontophoresis.

What vitamin helps with sweaty feet? ›

Diets rich in vitamin B and magnesium are thought to help reduce excessive sweating. Maintaining a proper diet with all the required vitamins and minerals is crucial for your health, and can reduce sweat.

Why do my feet sweat so much when doing nothing? ›

Hyperhidrosis (hi-pur-hi-DROE-sis) is abnormally excessive sweating that's not necessarily related to heat or exercise. You may sweat so much that it soaks through your clothes or drips off your hands.

How to unclog sweat glands in feet? ›

Your podiatrist will likely perform curetting of the lesion which should not cause you pain. Other options your doctor may offer for treatment are injections into the area or use of diluted acids to get rid of the clogged sweat gland entirely.

Why am I sweating but cold? ›

“Regular sweating is the body's way of regulating our temperature and often occurs to help cool our core temperature,” said Colton Redding, DO, a family medicine physician with Banner Health. “But cold sweat, or diaphoresis, is a sign of significant stress on the body and often indicates an infection or illness.”

Why do my feet feel cold and wet? ›

Frequent or constant sweating (hyperhidrosis) can also make feet feel cold, especially when evaporation cools the feet quickly. This can often be caused by nervousness, literally "getting cold feet." Lack of adequate blood flow to the feet through the arteries can also make the feet cold.

Can anxiety cause cold and sweaty feet? ›

The physical symptoms associated with anxiety disorder may include: cold, clammy (or sweaty) hands and feet.

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