This striking change is familiar yet also baffling. Only the skin on our fingers and toes wrinkle when immersed in water, while other body parts such as our forearms, torso, legs and face remain no more crinkled than before they were submerged.

This water-induced wrinkling of skin on our fingertips and toes has occupied the thoughts and work of scientists for decades. Most have puzzled over what causes this puckering in the first place, but more recently the question of why, and what purpose it may serve, has attracted the attention of researchers. Perhaps more intriguing still, however, is what our shriveled fingers can reveal about our own health.

It takes around 3.5 minutes in warm water – 40C (104F) is considered the optimal temperature – for your fingertips to begin wrinkling, while in cooler temperatures of about 20C (68F) it can take up to 10 minutes. Most studies have found it takes around 30 minutes of soaking time to reach maximum wrinklage, however.

Fingertip wrinkling was commonly thought to be a passive response where the upper layers of the skin swelled as water flooded into the cells via a process known as osmosis – where water molecules move across a membrane to equalise the concentration of the solutions on either side. But as long ago as 1935, scientists have suspected there is more to the process than this.

Doctors studying patients with injuries that had severed the median nerve – one of the main nerves that run down the arm to the hand – found that their fingers did not wrinkle. Among its many roles, the median nerve helps to control so-called sympathetic activities such as sweating and the constriction of blood vessels. Their discovery suggested that the water-induced wrinkling of fingertips was in fact controlled by the nervous system.

Later studies by doctors in the 1970s provided further evidence of this, and they proposed using the immersion of the hands in water as a simple bedside test to assess nerve damage that might affect the regulation of unconscious processes such as blood flow.

Then in 2003, neurologists Einar Wilder-Smith and Adeline Chow, who were working at the National University Hospital in Singapore at the time, took measurements of blood circulation in the hands of volunteers as they soaked them in water. They found that as the skin on the volunteers' fingertips began to wrinkle, there was a significant drop in blood flow in the fingers. //

With the help of 500 volunteers who visited the Science Museum in London during 2020, Davis measured how much force they needed to use to grip a plastic object. Perhaps unsurprisingly, those with dry, unwrinkled hands needed to use less force than people whose hands were wet – so their grip on the object was better. But when they submerged their hands in a water bath for a few minutes to turn their hands wrinkly, the grip force fell between the two even though their hands were still wet.

"The results were amazingly clear," says Davis. "The wrinkling increased the amount of friction between the fingers and the object. What is particularly interesting is that our fingers are sensitive to this change in the surface friction and we use this information to apply less force to grip an object securely." //

Unsymmetrical wrinkling of the fingers – where one hand wrinkles less than the other despite the same immersion time – has even been suggested as an early sign of Parkinson's disease as it indicates the sympathetic nervous system is not functioning correctly on one side of the body.

So, while the question of why our fingers and toes began wrinkling in water in the first place remains open, our pruney digits are proving useful to doctors in other surprising ways.