Post-operative care for sutured left hand fingers?
Hello, doctor.
Over ten years ago, the tip of my left index finger was crushed by a machine, but there was no bone injury.
The soft tissue was sutured and healed, but now the area where the sutures were and the gaps between them feel different.
What should I do about this? Thank you!
Mr. Wuming, 30~39 year old female. Ask Date: 2016/09/06
Dr. Li Zhonghuai reply Surgery
Hello! This does not require treatment, nor can it be treated.
It is impossible for the nerves to recover to 100% after a severe injury; achieving a state without chronic pain or discomfort would be considered perfect.
Take care! Changhua Hospital is concerned about you!
Reply Date: 2016/09/06
More Info
After a traumatic injury such as the one you described, where the tip of your left index finger was crushed and subsequently sutured, it is not uncommon to experience changes in sensation in the affected area even years later. The fact that you are noticing differences in touch sensation at the suture site and between the suture gaps indicates that there may have been some nerve damage or alteration in the sensory pathways in that region.
In cases like yours, the first step is to understand that the body’s healing process can lead to long-term changes in sensation. The nerves in the finger may have been affected during the injury, leading to altered sensation, which can manifest as numbness, tingling, or a feeling of “pins and needles.” Unfortunately, once nerve damage occurs, complete recovery to pre-injury sensation levels is often not achievable. However, there are several approaches you can take to manage your symptoms and improve your quality of life.
1. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises that promote blood flow, improve mobility, and help desensitize the area. They may also use modalities such as ultrasound or electrical stimulation to aid in recovery.
2. Sensory Re-education: This is a specific type of therapy aimed at retraining the brain to interpret sensory signals from the affected area. It involves activities that stimulate the senses, such as using different textures, temperatures, and weights to help the brain adapt to the altered sensations.
3. Pain Management: If you experience discomfort or pain in the area, over-the-counter pain relievers such as ibuprofen or acetaminophen may help. In some cases, a physician may prescribe medications specifically for nerve pain, such as gabapentin or pregabalin.
4. Occupational Therapy: An occupational therapist can assist you in adapting your daily activities to accommodate any limitations you may have due to the altered sensation. They can provide strategies to help you perform tasks more comfortably and efficiently.
5. Regular Monitoring: It’s important to keep an eye on any changes in your symptoms. If you notice an increase in pain, swelling, or any new symptoms, it would be wise to consult with a healthcare professional. They may recommend further evaluation, such as nerve conduction studies, to assess the extent of any nerve damage.
6. Lifestyle Adjustments: Incorporating gentle exercises and stretches into your daily routine can help maintain mobility in your finger. Additionally, protecting your finger from further injury is crucial, especially if you are engaged in activities that could put it at risk.
7. Surgical Options: In some cases, if the sensation changes are severe and significantly impact your quality of life, surgical options may be considered. This could involve nerve repair or decompression, but such decisions should be made in consultation with a hand surgeon or a specialist in nerve injuries.
In conclusion, while it may not be possible to fully restore sensation to your left index finger to its original state, there are several strategies you can employ to manage your symptoms and improve functionality. Engaging with healthcare professionals who specialize in rehabilitation will provide you with the best chance of adapting to these changes and enhancing your quality of life. Always feel free to seek a second opinion or further evaluation if you feel your concerns are not being adequately addressed.
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