What causes dry and shriveled fingertips, and what should be done about it?
Dec 01, 2025
Source: Cainiu Health
Dr. Li Feng
Introduction
In general, shriveled or undernourished fingertips may be caused by insufficient water intake, dry environments, malnutrition, Raynaud's syndrome, hypothyroidism, or other conditions. Patients can choose appropriate management approaches such as general care or medication based on their specific situation. The condition of the fingertips serves as an external indicator of overall health; therefore, it is important to maintain adequate hydration, balanced nutrition, and proper hand moisturizing in daily life.
Generally, shriveled or sunken fingertips may result from insufficient water intake, dry environments, malnutrition, Raynaud's syndrome, hypothyroidism, and other causes. Patients can choose appropriate management methods such as general care or medical treatment based on their specific conditions. Detailed analysis is as follows:
1. Insufficient Hydration
Inadequate fluid intake reduces moisture levels in the skin and tissues of the hands, causing the fingertip skin to lose luster and elasticity, appearing shriveled. It is recommended to drink 1500–2000 mL of water daily in small amounts spread throughout the day, avoiding consuming large volumes at once.
2. Dry Environment
Prolonged exposure to dry air accelerates evaporation of moisture from the hand skin, leading to dryness and roughness of the stratum corneum, resulting in shriveled fingertips. Wear gloves when outdoors, use a humidifier indoors, and apply glycerin-containing hand cream immediately after washing hands to lock in moisture.
3. Malnutrition
Deficiency in nutrients such as protein and vitamins impairs skin cell repair and regeneration, leading to loose, shriveled skin on the fingers. Adjust diet by consuming more eggs, milk, lean meat, and fresh fruits and vegetables. If necessary, take supplements such as B-complex vitamins, vitamin C, or protein powder under medical guidance.
4. Raynaud's Syndrome
Spasms of small arteries in the fingers triggered by cold temperatures or emotional stress restrict blood flow, causing ischemia that leads to shriveled, cold fingers. Keep hands warm, avoid contact with cold water, and take medications such as nifedipine tablets, reserpine tablets, or tolazoline hydrochloride tablets as prescribed.
5. Hypothyroidism
Insufficient thyroid hormone secretion slows metabolism. After resolution of mucinous edema in the skin tissue, residual laxity and dryness may remain. Treatment involves taking levothyroxine sodium tablets or thyroid tablets under a doctor’s supervision, with regular follow-up tests to monitor thyroid function and adjust dosage accordingly.
The condition of the fingertips serves as an external indicator of overall health. Daily attention should be given to hydration and balanced nutrition, along with proper hand moisturizing care. If finger shriveling persists or is accompanied by symptoms such as cold intolerance or fatigue, seek timely medical evaluation to identify underlying causes and initiate early intervention for improvement.
