Discomfort After Surgery: Is Your Pin Misplaced?

Nail problems

Hello, doctor.
I was involved in a car accident at the beginning of September, which resulted in a fracture of the metacarpal bone in my right hand.
After surgery, a steel pin was inserted.
The recovery process has been relatively smooth; the swelling in my hand significantly improved within a week post-surgery, and I had my stitches removed 11 days after the operation.
I often perform simple rehabilitation exercises, such as gripping and making a fist, and I also try to engage in basic daily activities like writing, using chopsticks, and wringing out a towel.
However, in the past two days, I've been experiencing some discomfort in the surgical area, with a sensation of pressure from the steel pin.
It feels like the presence of the pin has become more pronounced, leading to an uncomfortable foreign body sensation.
Could this be caused by the pin shifting out of place? Additionally, I occasionally feel a tingling sensation near the base of my middle finger post-surgery; is this normal? I would appreciate your clarification on these matters.
Thank you.

Yao, 30~39 year old female. Ask Date: 2016/09/19

Dr. Li Yongheng reply Orthopedics

There is a possibility of bone screws or fracture displacement, and a follow-up appointment for an X-ray examination should be scheduled as soon as possible.
Occasionally, there may be a tingling sensation, but it should not be a major concern.

Reply Date: 2016/09/19

More Info

After undergoing surgery for a bone fracture, particularly in the hand where a steel pin has been inserted, it is not uncommon to experience discomfort or sensations that may feel unusual. In your case, the discomfort you are feeling, described as a sensation of pressure from the steel pin, could be attributed to several factors.

Firstly, it is important to understand that after surgery, the body goes through a healing process that can involve inflammation and changes in the surrounding tissues. This can lead to sensations that may feel like pressure or discomfort as the body adjusts to the presence of the implant. The steel pin, while designed to stabilize the bone, can sometimes create a feeling of foreignness, especially if the surrounding soft tissues are still healing.

Regarding your concern about the pin possibly being misplaced or displaced, it is essential to note that while this can happen, it is relatively rare if the surgery was performed correctly and the pin was properly secured. If the pin were to shift significantly, it would likely cause more pronounced pain or functional issues, such as difficulty moving the finger or hand. However, if you are experiencing increased discomfort, it is advisable to consult your surgeon or healthcare provider to evaluate the situation. They may recommend imaging studies, such as an X-ray, to ensure that the pin remains in the correct position and that there are no complications.

As for the tingling sensation in your middle finger, this could be related to nerve irritation or compression, which can occur post-surgery. The surgical procedure may have temporarily affected the nerves in the area, leading to sensations such as tingling, numbness, or a "pins and needles" feeling. This is not uncommon and can improve over time as the nerves heal. However, if the tingling persists or worsens, it is crucial to bring this to the attention of your healthcare provider, as they may need to assess for any potential nerve damage or other complications.

In summary, while the sensations you are experiencing can be concerning, they are not uncommon after surgery involving the insertion of hardware like steel pins. It is essential to maintain open communication with your healthcare provider, especially if the discomfort increases or if you have any new symptoms. They can provide reassurance, conduct necessary evaluations, and guide you through your recovery process. Remember, healing takes time, and it is important to be patient with your body as it recovers from surgery.

Similar Q&A

Post-Surgery Pain and Recovery After Removing Exposed Bone Pins

A few days ago, I had the exposed steel pin removed from the area just below my left wrist. Since then, whenever I try to lift anything, I experience significant pain and soreness in the wrist and the area where the pin was removed. I would like to know if this is a normal phenom...

Dr. Zhan Xian reply Orthopedics
A physical examination and imaging assessment are required; please visit the orthopedic outpatient clinic!

Managing Pain and Recovery After Ankle Surgery with Screws

Hello, Doctor. On August 13, I missed a step on the company stairs, resulting in a dislocated fracture of the left ankle involving the talus and the tibiofibular joint. After seeking medical attention, the doctor inserted three steel pins for stabilization. One of the pins protru...

Dr. Zhou Lizhi reply Orthopedics
According to the information provided by a netizen, the complications mentioned are typical aftercare issues following a general fracture treatment. Here are the responses to the netizen's questions: 1. It is unlikely that all fragments can be completely removed; usually, o...

Is Swelling Normal After Removing Surgical Pins? Expert Insights

Hello, I had my metal pins removed the day before yesterday, and I started swelling the next day. It feels very uncomfortable. Is this a normal phenomenon?

Dr. Shi Guozheng reply Orthopedics
It depends on which part of the body the metal pins are located and what type of pins they are. It is normal to experience swelling and pain after the removal of the pins, but this should improve within three to five days. On the first day, ice packs should be applied, and after ...

Understanding Post-Dislocation Pain After Pin Insertion Surgery

Hello Doctor, I had a motorcycle accident on November 11th this year, which resulted in a dislocation of my right shoulder and arm. After surgery, I had steel pins inserted for stabilization. My attending physician mentioned that the pins need to remain in place for 4 to 6 months...

Dr. Ye Qingnian reply Orthopedics
There is discomfort with soreness and friction at the site of the steel needle. An X-ray is needed before effective advice can be provided. Be cautious of joint stiffness with the right shoulder dislocation; early rehabilitation may be necessary. It is recommended to discuss shou...