Im still trying to figure out what exactly is wrong with me. All of my searches keep leading me here. I live in northern CA , in the winter it only gets to about 31°F at the coldest. For me , anything below 50°F has my finger tips feeling first like they have been set on fire, then smashed with a hammer. Today it got so bad i actually left work. I wear gloves, i even put hand warmers in my gloves. It does not help. Warm water helps , but i work outside and am not exactly close to the bathroom. Hot air from the hand dryer in the bathroom also helps. It takes about 2 minutes to thaw my hands each time i need to use it , which is half the time I'd be waiting for the water to warm up and its about a minute walk to the bathroom and a minute walk back to my work station. As you can see this is not very efficient when i need to do it as often as every 20 minutes depending on how cold it is , how much moisture in the air , wind chill factor etc. I have a pretty high tolerance for pain but i was in tears when i left work today. I dont know if it was from the pain in my fingers or the frustration of losing this ongoing battle with the cold but if anybody out there has advice that does not require moving to arizona or going to see a "medical professional" I'm all ears. Thanks for taking the time to read my story