Post-Surgery Finger Injury: Swelling, Weakness, and Nerve Concerns

After suturing a laceration on the index finger, there is swelling and weakness following the removal of the stitches?

Hello Doctor, I injured my left index finger on Monday afternoon, which resulted in bleeding.
I went to an orthopedic clinic where they stitched it up with four stitches.
The doctor mentioned there is a concern about possible nerve damage, and the worst-case scenario is that the nerve may not reconnect.
On the fourth day, Thursday evening, the doctor said the stitches could be removed, and I could apply medication and use a bandage for two days before getting the wound wet.
On the sixth day, Saturday noon, while applying pressure with my left thumb and index finger, I experienced severe pain in the index finger, but it subsided after about five minutes.
At that moment, the bandage had not been removed, so I was unaware of the wound's condition.
That Saturday evening, when I removed the bandage, I noticed that the surface of the wound did not seem to be fully healed (or possibly opened?).
Today is Sunday, the seventh day, and my index finger remains bent at about a 120-degree angle from when it was stitched.
It feels swollen and weak, and I am hesitant to bend it.
Occasionally, I experience nerve pain.
Currently, I am applying Betadine to the wound.
Doctor, do you think I need to return to the original clinic, or is it sufficient to rest and supplement with vitamin B complex? I have attached a photo of the wound [link] in case it helps with the assessment.
Thank you, Doctor.

Guo Xiansheng, 20~29 year old female. Ask Date: 2017/09/17

Dr. Li Zhonghuai reply Surgery

Hello! The wound looks okay.
If the swelling persists, it's safer to return for a follow-up.
Intermittent sharp pain within six months is common, and you can supplement with B vitamins.
Once the wound has healed, you should gradually start bending your right hand to prevent joint stiffness.
Take care! Changhua Hospital is concerned about you!

Reply Date: 2017/09/17

More Info

Post-surgery symptoms such as swelling, weakness, and nerve pain in your finger can be concerning, especially after a significant injury like the one you've described. It's essential to understand that recovery from such injuries can vary widely among individuals, and several factors can influence your healing process.

Firstly, the swelling and weakness you are experiencing in your left index finger are not uncommon after a surgical procedure, especially one involving the potential damage to nerves. When nerves are injured, they can take a considerable amount of time to heal, and symptoms such as swelling and weakness can persist for weeks or even months. The fact that you are experiencing intermittent sharp pain could indicate that the nerve is still healing or that there may be some irritation or compression occurring.

Regarding the healing of your wound, it is crucial to monitor the condition of the incision site closely. If you notice that the wound appears to be opening or not healing properly, it is advisable to return to your original clinic for a follow-up appointment. A healthcare professional can assess the wound and determine if any additional treatment is necessary. It is better to err on the side of caution, especially when it comes to potential nerve damage and wound healing.

As for the advice to rest and supplement with vitamin B, it is indeed beneficial to support nerve health during your recovery. Vitamin B12, in particular, is known to play a vital role in nerve repair and regeneration. However, while supplements can be helpful, they should not replace professional medical advice or treatment.
In addition to taking vitamins, gentle range-of-motion exercises may also be beneficial once your doctor gives you the green light. These exercises can help prevent stiffness and improve circulation to the area, which is crucial for healing. However, it is essential to avoid any movements that cause pain or discomfort, as this could exacerbate your symptoms.

Furthermore, if you continue to experience significant pain, swelling, or any other concerning symptoms, it is crucial to seek medical attention. Persistent nerve pain, especially if it is accompanied by other symptoms like numbness or tingling, may require further evaluation to rule out complications such as nerve entrapment or inadequate healing.

In summary, while some swelling and weakness can be expected after your surgery, it is essential to monitor your symptoms closely. If you have any doubts about your recovery or if your symptoms worsen, do not hesitate to return to your healthcare provider. They can provide you with the most accurate assessment and guidance tailored to your specific situation. Remember, healing takes time, and being proactive about your recovery is key to regaining full function of your finger.

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