Post-Surgery Concerns: Pain and Sensation After Distal Ulnar Fracture Repair

Postoperative issues following distal ulnar fracture and radioulnar joint dislocation of the left hand?

Hello Doctor, I sustained an injury on November 20 and underwent surgery the same day, staying in the hospital for three days before being discharged.
I returned for a follow-up appointment on December 1, where X-rays confirmed my recovery status.
However, in the past few days, I have been experiencing a tingling and sharp pain at the site of the incision (where six steel pins were placed).
The sensation becomes more pronounced when I apply ointment with a cotton swab during dressing changes.
Could this indicate an internal inflammation? This sensation only started a few days ago; I did not experience it during the first week after my discharge.
Is this normal? My next follow-up appointment is on December 15; should I schedule an earlier visit for examination? Thank you.

Mr. Li, 20~29 year old female. Ask Date: 2017/12/03

Dr. Chen Yongxue reply Orthopedics

Hello, to determine if the wound is infected, clinical observation of the color and any discharge may be necessary.
Please return to the original hospital for evaluation.
Thank you.

Reply Date: 2017/12/03

More Info

After undergoing surgery for a distal ulnar fracture repair, experiencing pain and unusual sensations at the surgical site can be concerning. It’s important to understand that post-surgical recovery can vary significantly among individuals, and several factors can contribute to the sensations you are experiencing.

Firstly, the presence of sharp, tingling, or "pins and needles" sensations around the surgical site may indicate nerve irritation or inflammation. This can occur as a result of the surgical procedure itself, where nerves may have been manipulated or compressed during the operation. Additionally, the healing process can lead to swelling and inflammation, which can further irritate nearby nerves, causing these sensations.

The fact that you are experiencing these symptoms a few days after surgery, when you initially felt fine, could suggest that inflammation is developing as part of the healing process. It is not uncommon for patients to experience increased sensitivity or discomfort as they begin to use the affected area more or as swelling increases. However, if the pain is severe, persistent, or accompanied by other symptoms such as increased redness, warmth, or discharge from the incision site, it could indicate an infection or other complications that would require immediate medical attention.

Regarding your question about whether you should return to the clinic before your scheduled appointment on December 15, it is advisable to err on the side of caution. If the sensations you are experiencing are causing significant discomfort, or if you notice any signs of infection or other complications, it would be prudent to contact your healthcare provider and discuss your symptoms. They may recommend an earlier evaluation to ensure that your recovery is progressing as expected and to rule out any potential issues.

In the meantime, managing your pain and discomfort is crucial. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, may help alleviate some of the pain and reduce inflammation. However, always consult your physician before taking any medication, especially if you are already on prescribed pain management.

Physical therapy may also be beneficial in your recovery process. A physical therapist can provide exercises tailored to your condition, which can help improve mobility and reduce discomfort. They can also guide you on how to safely use your arm and wrist as they heal, which may help alleviate some of the sensations you are experiencing.

Lastly, it’s essential to follow your surgeon’s post-operative care instructions closely. Keeping the surgical site clean and dry, attending follow-up appointments, and avoiding activities that could stress the healing area are all vital components of a successful recovery.

In summary, while some discomfort and unusual sensations can be a normal part of the healing process after surgery, it is essential to monitor your symptoms closely. If you have concerns about the severity or nature of your pain, do not hesitate to reach out to your healthcare provider for further evaluation. Your health and comfort are paramount, and proactive communication with your medical team can help ensure a smoother recovery.

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