Mine started in my feet, and now is much worse in my hands. My index finger is almost blue 24/7 so its kind of a miracle I haven't gotten an ulcer this past year (knock on wood). I have to take medications because just keeping my hands and feet warm isn't enough. Also, my rheum always says that just keeping the affected areas warm isn't enough you need to keep your WHOLE body warm. Wear hats! You lose a lot of heat through your head.