Postoperative Issues and Care
Hello, Dr.
Hsu.
I had thyroid surgery in the middle of this month, and it has been over two weeks since then.
The area around the surgical site feels hard and is still a bit painful when pressed.
Is this normal? If it is normal, how long will it take for the hardness to go away? If the surface has healed, can I start applying scar cream, or would you recommend continuing to use silicone gel sheets? If I should use silicone gel sheets, how long should I apply them? How long after the surgery can I start eating hot foods?
WAN, 20~29 year old female. Ask Date: 2018/10/28
Dr. Xu Kaixi reply Surgery
After thyroid surgery, some hardening of the incision may occur due to the formation of scar tissue during the healing process.
This hardening and localized nerve pain may gradually return to normal over time, varying from a few weeks to several months depending on individual differences.
If the wound has healed (approximately two weeks), scar removal ointments or gels can be used without any time restrictions.
Normal dietary habits can typically be resumed about one to two weeks post-surgery.
Reply Date: 2018/10/28
More Info
Post-surgery care following thyroid surgery is crucial for ensuring a smooth recovery and minimizing complications. It is common to experience some discomfort and hardness around the surgical site for a few weeks after the procedure. This is typically due to swelling and the healing process of the tissues. In your case, since it has only been a little over two weeks since your surgery, experiencing hardness and some pain is generally considered normal.
The hardness you are feeling is likely due to the formation of scar tissue and inflammation in the area. As your body continues to heal, this hardness should gradually decrease. Typically, you can expect the hardness to diminish significantly within 4 to 6 weeks post-surgery, but this can vary depending on individual healing rates and overall health. If the hardness persists beyond this timeframe or if you experience increasing pain, it would be advisable to consult your surgeon for further evaluation.
Regarding scar treatment, once the surface of the incision has fully healed, which usually takes about 2 to 3 weeks, you can begin to apply topical treatments to help minimize scarring. However, it is essential to ensure that the incision is completely closed and that there are no open areas or scabs before applying any products. If you are still experiencing some tenderness or if the incision is not fully healed, it may be best to wait a little longer before starting any scar treatment.
Using silicone gel sheets or silicone gel can be an effective way to improve the appearance of scars. If your surgeon has recommended using silicone sheets, it is generally advised to apply them for at least 12 hours a day for several weeks to achieve the best results. Many patients find that using silicone sheets for 2 to 3 months post-surgery yields satisfactory results in reducing scar visibility.
As for dietary considerations, after thyroid surgery, you can typically resume a normal diet as tolerated. However, it is wise to avoid very hot foods and beverages for at least a week or two after surgery, as the heat can irritate the surgical site and potentially cause discomfort. Gradually reintroducing hot foods is advisable, starting with lukewarm temperatures to assess your comfort level.
In summary, it is normal to experience some hardness and pain around your surgical site two weeks post-thyroid surgery. The hardness should improve over the next few weeks. Once the incision is fully healed, you can start applying scar treatments, and if you are using silicone sheets, aim for consistent use over several weeks. You can begin to reintroduce hot foods into your diet gradually, ensuring that you listen to your body and avoid anything that causes discomfort. Always feel free to reach out to your healthcare provider with any concerns or questions during your recovery process.
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