Injury to the index finger?
Hello, Dr.
Ko.
A while ago, I injured the left side of the nail on my right index finger and had three stitches.
It has been two weeks since the stitches were removed, and the wound is healing slowly.
However, my index finger still experiences numbness and swelling, and I even have lost sensation! Is this normal? How long will it take to recover?
Mr. Zheng, 30~39 year old female. Ask Date: 2016/03/19
Dr. Ke Fangxu reply Surgery
The sensory nerves of the fingers are located on the sides of the fingertips.
Therefore, if the injury occurs on the side, there is a possibility that the sensory nerves may be affected.
If the injury is fortunate enough to only involve swelling and compression of the wound, recovery may occur within 2 to 4 weeks.
If the nerve is damaged but not completely severed, symptoms may persist for about three months.
However, if the wound is deep enough to cause nerve transection, symptoms may last for over a year or may not recover at all.
Please be patient and allow time for symptom recovery, as there is currently nothing that can be done to aid in the restoration of sensation.
Reply Date: 2016/03/19
More Info
When it comes to finger injuries, particularly those involving cuts or lacerations, understanding the healing process and the associated symptoms is crucial for recovery. In your case, you've experienced a cut on the left side of your right index finger that required stitches, and while the wound has begun to heal, you're still experiencing numbness, swelling, and a loss of sensation.
Firstly, it’s important to recognize that the symptoms you’re experiencing can be quite common following a finger injury, especially one that involves the skin and underlying tissues. The nerves that provide sensation to the fingers are located near the surface of the skin, and injuries to the area can lead to temporary or, in some cases, prolonged nerve dysfunction.
In general, the healing timeline for soft tissue injuries, including those involving the skin and nerves, can vary significantly based on the severity of the injury and the specific structures involved. After a laceration, the skin typically begins to heal within a couple of weeks, which aligns with your experience of having the stitches removed after two weeks. However, the deeper structures, including nerves, may take longer to recover.
1. Nerve Healing: If the injury has affected the sensory nerves, you might experience numbness or tingling sensations. If the nerve was merely compressed or bruised, it could take anywhere from a few weeks to a few months for normal sensation to return. In cases where the nerve is partially injured but not completely severed, recovery can take several months. If the nerve was cut, it could take a year or more for full recovery, and in some cases, the sensation may not return completely.
2. Swelling: Swelling is a natural part of the healing process. It can persist for several weeks post-injury, especially if the area is still healing. Elevating the hand, applying ice, and avoiding excessive use of the finger can help manage swelling.
3. Physical Therapy: Engaging in gentle range-of-motion exercises as soon as the pain allows can be beneficial. This helps prevent stiffness and promotes circulation, which is essential for healing. However, it’s crucial to follow your healthcare provider's recommendations regarding when and how to start these exercises.
4. Follow-Up Care: Since you are still experiencing significant symptoms like numbness and swelling, it’s advisable to follow up with your healthcare provider. They may recommend further evaluation, such as imaging studies, to assess for any underlying issues that could be contributing to your symptoms.
5. Timeframe for Recovery: Based on your description, if the numbness is due to nerve irritation or mild injury, you might expect improvement within 2-4 weeks. However, if the nerve was more significantly affected, it could take several months for full recovery.
In summary, while some degree of numbness and swelling can be normal following a finger injury, persistent symptoms warrant further evaluation. It’s essential to monitor your symptoms closely and maintain open communication with your healthcare provider to ensure a proper recovery plan is in place. Remember, patience is key in the healing process, and following medical advice will help you regain full function of your finger.
Similar Q&A
Understanding Finger Ligament Inflammation and Recovery Time
Hello doctor, I had an accident that caused an injury to my right hand fingers. The doctor diagnosed it as finger ligament inflammation. I have been undergoing regular rehabilitation, applying heat, and using topical ointments. I read in previous articles that it usually takes ab...
Dr. He Yujun reply Traditional Chinese Medicine
Hello, Xiao Yu: 1. Regarding your statement that "my fingers feel swollen and painful when bent," the swelling and pain are mostly due to poor local circulation and the accumulation of metabolic waste. Therefore, if there is a misalignment, it should be realigned, and...[Read More] Understanding Finger Ligament Inflammation and Recovery Time
Understanding Wound Healing Issues: When to See a Doctor?
Due to friction between the index and ring fingers and a wall during work, the fingertip of the middle finger has a loss of tissue, and the ring finger has a laceration. After one month of healing, the injured area on the fingertip of the middle finger feels hard to the touch and...
Dr. Xu Kaixi reply Surgery
Based on your description, this is fibrous tissue that has developed after wound healing. If there are no accompanying symptoms of redness, swelling, or inflammation, it should theoretically improve over time.[Read More] Understanding Wound Healing Issues: When to See a Doctor?
Understanding Nerve Repair After Thumb Injury: Key Concerns and Recovery
Hello Doctor, On January 19, I accidentally cut my thumb while slicing fruit, resulting in a wound approximately 10 cm long, and I was urgently taken to the hospital for surgery. My first follow-up appointment after discharge was on January 31, where the doctor informed me that ...
Dr. Lu Daokuan reply Plastic Surgery
Nerve repair in the fingers does take time, and after the follow-up appointment at the end of March, rehabilitation should be actively pursued. Whether the cast needs to be fixed for six weeks should be determined by the attending physician. You can discuss the rehabilitation sch...[Read More] Understanding Nerve Repair After Thumb Injury: Key Concerns and Recovery
Understanding Thumb Injuries: Recovery and Rehabilitation Insights
Hello Doctor: My left thumb was cut by a falling glass window. The wound has healed, but the joint is not as flexible as it was before the injury. I am experiencing swelling and pain; could this indicate a ligament tear? Is it too late to start rehabilitation after a week of dela...
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry. Here are my responses and suggestions: 1. Generally speaking, you should consult a rehabilitation specialist or an orthopedic surgeon (hand surgery) for an examination. Although swelling and pain are not the only signs of ligament or tend...[Read More] Understanding Thumb Injuries: Recovery and Rehabilitation Insights
Related FAQ
(Surgery)
Toe Injury(Surgery)
Wound Healing(Surgery)
Palm(Surgery)
Toe Injury(Rehabilitation)
Postoperative(Surgery)
Hand Fracture(Orthopedics)
Trigger Finger(Rehabilitation)
Finger Joints(Orthopedics)
Ankle Injury(Surgery)