Blue Toe Syndrome – Why You Need To Treat It Immediately?

When arteries or small capillaries that provide blood to foot gets blocked, blood flow to fingers and other part of foot get diminished ans ischemia sets in.

This leads to cyanosis of fingers which looks bluish in color.

Blue toe syndrome is caused by reduced blood flow to the fingers due to blockage in the vessels that provides blood to the foot. It is also know as purple toe syndrome and trash foot.

Atherosclerosis, aneurysm can be the leading cause of this syndrome.

Usually onset of this condition is sudden and may cause sever pain. Either multiple toes or a single toe may be affected in this condition and it turns blue in color.

This blue color arises due to reduced amount of oxygen in the toes and if not treated promptly this condition may lead to gangrene. If gangrene start to appear, amputation of gangrenous part is the only available treatment.

So, it is important that blue toe syndrome must be treated promptly before gangrene sets.


This condition have sudden onset and must be treated immediately to avoid complications.

Usually it limited to one leg but if any systemic cause is involved then it may affect another leg .

Most common symptoms of puprle toe syndrome are


Sever pain is the characteristic of this syndrome. As blood flow reduces, pain starts and become worse as condition aggravates.

Blue colored toes

Due to reduced blood flow, oxygen level of toes start to drops and toes look blue in color.

Livedo Reticularis

Purple discoloration of skin around affected area is known as Livedo reticularis.

Foot pulse

Trash foot mostly have palpable peripheral foot pulses which may misguide physician to rule out the vascular pathology.


This condition usually affects during the old age and more common in the people over the age of fifty.


Spontaneous breakage of small arterial plaque can lead to this condition. This plaque blocks pedal arteries and causes ischemia.

Breakage of small plaque from aorta-illiac-femoral arteries

Plaque is formed with fatty acids, cholesterol, calcium and platelet aggregation and it attaches to the inner wall of arteries. Sometimes, these plaque breaks off and start to move along the artery, this condition is known as embolism.

This embolism may travel to another place in body and can blocks artery. In blue toe syndrome blood vessels near the groin and abdomen are more prone to create a plaque.

Surgical procedures

Major surgical procedures may lead to thrombo-embolism that causes trash foot. Usually vascular surgery leads to embolism.


Blood vessel trauma may lead to embolism leading to purple toe syndrome.

Hypercoagulable blood

Thick blood may tend to coagulate faster like in case of polycythemia vera can cause this condition.


Uncontrolled diabetes may cause foot ulcers and this condition.


Patient who are taking anti-coagulant for some other reason are prone to develop this condition easily.

Anti-coagulant also known as blood thinners can break down the large blood clots and thrombo-embolism results into blue toe syndrome.


Diagnosing the trash foot is a difficult task.

Usually arterial blockage in foot leads to loss of pulsation of pedal arteries, but in this case pulsation does not vanish and make it difficult for any doctor to diagnose it.

However, with the help of past history and present symptoms clinical diagnosis can be made.

To make final diagnosis vascular testing can be done but one has to understand that performing peripheral angiogram test can make the condition worse.


Once the final diagnosis of purple toe syndrome is confirmed and doctor able to identify the cause then treatment become easy.


Stenting is the most common method that can be used to treat trash foot.

Stenting is done to reduce & prevent blockage of artery. A tube with mesh is introduced within artery and hold it open to help keep blood flow continue.

Bypass surgery

Bypass surgery helps to establish new way for blood flow. Bypassing a blocked part of major arteries a new blood vessel is attached to both end of affected part.


Anti-coagulant or anti-platelet aggregation medicine can be started.

This condition demand immediate treatment otherwise gangrene can develop. Gangrene is nothing but a condition where soft tissues of body start to die due to lack of blood supply and oxygen.

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