What does it mean when your hands and feet are always cold?

Physiologic variant: This condition can be a normal variant -- unless it happens suddenly or of a new onset -.

Normal or abnormal!: The body maintains temperature by limiting blood flow to skin of the extremities to avoid heat loss. When this reflex is exaggerated, cold hands and cold feet may occur in otherwise healthy person. Medication such as beta blockers can also cause cold hands and cold feet. Poor circulation, as can occur with congestive heart failure can also cause cold hands and cold feet.

Can be circulation.: This can be due to circulation difficulty, or it might be a symptom of hypothyroidism or vasculitis. There are vasospastic disorders, like raynaud's phenominon, that are triggered by cold exposure, with blanching, cyanosis, and redness, so the extremities must be kept warm. It would be a good idea to keep your feet warm anyway. It would be wise at this point to see your doctor and get tested.