Post-removal care for finger lacerations?
The finger near the nail was cut about 2 centimeters by a utility knife and required two stitches.
After the stitches were removed, the doctor advised to continue applying ointment.
Currently, the wound still has some minor cracking.
I would like to ask how long the ointment should be applied? Does the wound need to be covered with silicone gel? What further care should be taken to prevent scarring? Additionally, the wound sometimes feels numb, and the injured nail seems to be not growing.
Is this normal?
Vivien, 20~29 year old female. Ask Date: 2017/03/07
Dr. Li Zhonghuai reply Surgery
Hello! The wound is still slightly cracked? It is recommended to continue applying the ointment.
Does the injured nail feel like it is not growing? Is there an injury to the nail? It is advisable to return for a follow-up consultation.
Ping An Changhua Hospital cares about you!
Reply Date: 2017/03/07
More Info
When it comes to post-stitch care for finger cuts, especially those that are near the nail area, it is essential to follow a structured approach to ensure proper healing and minimize scarring. Here are some comprehensive tips based on your questions:
1. Duration for Applying Ointment
After your stitches have been removed, it is generally recommended to continue applying antibiotic ointment (like Neosporin) for at least one to two weeks, or until the wound has completely healed. This helps keep the area moist, which can promote faster healing and reduce the risk of scarring. If your doctor has provided specific instructions, it is best to follow those. If the wound appears to be cracking or is not healing well, you may want to consult your healthcare provider for further evaluation.
2. Use of Silicone Gel or Scar Sheets
Using silicone gel or silicone sheets can be beneficial for scar prevention. These products can help flatten and soften scars and are typically recommended to be used once the wound has fully closed (usually a few weeks after the stitches are removed). You can start applying them once your doctor gives you the go-ahead. They should be worn for several hours a day, and consistency is key for effectiveness.
3. General Wound Care
To care for your wound and minimize scarring, consider the following tips:
- Keep the area clean and dry: Gently wash the area with mild soap and water, then pat it dry.
- Moisturize: Keeping the wound moisturized with ointment or a healing cream can prevent scabs from forming, which can lead to more noticeable scars.
- Avoid sun exposure: UV rays can darken scars, so it’s crucial to protect the healing skin from sunlight. Use sunscreen or cover the area when exposed to the sun.
- Do not pick at scabs: Allow the wound to heal naturally; picking can lead to more pronounced scars.
4. Sensation Changes and Nail Growth
Experiencing a tingling or "pins and needles" sensation in the injured area can be normal, especially if the injury affected nerves. This sensation may gradually improve as the nerve heals. However, if it persists or worsens, it is advisable to consult your doctor.
Regarding your nail, it is not uncommon for nails to grow slowly or appear to be stunted in growth after an injury, especially if the nail bed was affected. Nail growth can be influenced by various factors, including the severity of the injury and the healing process. If you notice any unusual changes in the nail's appearance or if it seems to be growing in an abnormal way, a follow-up with a healthcare professional is recommended.
5. Diet and Nutrition
To support healing, ensure you are consuming a balanced diet rich in:
- Protein: Essential for tissue repair. Include lean meats, fish, eggs, beans, and nuts.
- Vitamin C: Important for collagen formation, which is crucial for skin healing. Citrus fruits, strawberries, and bell peppers are excellent sources.
- Zinc: Plays a role in wound healing. Foods like meat, shellfish, legumes, and seeds are good options.
Conclusion
In summary, proper post-stitch care involves consistent application of ointment, potential use of silicone products for scar prevention, and maintaining a clean and moisturized environment for the wound. Pay attention to any unusual sensations or changes in nail growth, and consult your healthcare provider if you have concerns. Lastly, a nutritious diet can significantly aid in the healing process, so focus on foods that support recovery. Following these guidelines will help you achieve the best possible outcome for your finger injury.
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