Post-Triangular Fibrocartilage Surgery: Internal Stitch Sensations - Orthopedics

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After undergoing triangular fibrocartilage (TFC) repair surgery, it is not uncommon to experience various sensations in the wrist and hand as part of the healing process. The internal stitches used in your surgery are absorbable, which means they will gradually dissolve over time. However, the sensations you are experiencing, such as pain during finger movement and a prickling or tingling sensation when your hand is at rest, can be attributed to several factors related to the healing process.


Understanding Post-Surgical Sensations
1. Pain and Discomfort: Initially, pain during movement is expected as the tissues around the surgical site are healing. The TFC is crucial for wrist stability, and any surgical intervention can lead to inflammation and discomfort. The pain should gradually decrease as healing progresses, which aligns with your experience of reduced pain during finger movement.

2. Tingling Sensation: The prickling sensation you describe when your hand is at rest could be due to nerve irritation or compression. During surgery, nearby nerves may be affected, leading to temporary sensations such as tingling or numbness. This is often a normal part of recovery, and as the swelling decreases and the tissues heal, these sensations should diminish.

3. Absorbable Stitches: Since the stitches are absorbable, they will dissolve over time, typically within a few weeks to months. If you are feeling a sensation that feels like pulling or tightness, it could be the result of the stitches being absorbed or the surrounding tissue healing. It is unlikely that the stitches have loosened, especially if you are not experiencing significant pain or swelling.


Recommendations for Recovery
- Gradual Movement: Continue to follow your doctor's advice regarding gentle movements. Gradually increasing your range of motion is essential for recovery, but it should be done carefully to avoid overstressing the surgical site.

- Monitor Symptoms: Keep an eye on your symptoms. If the tingling sensation worsens, or if you experience increased pain, swelling, or any signs of infection (such as redness or warmth around the incision site), it is important to contact your healthcare provider.

- Physical Therapy: If you haven't already, consider engaging in physical therapy. A physical therapist can provide tailored exercises to improve your wrist's strength and flexibility while ensuring that you do not overexert yourself.

- Follow-Up Appointments: Attend all scheduled follow-up appointments with your surgeon. They will assess your healing progress and address any concerns you may have regarding your recovery.


Conclusion
In summary, the sensations you are experiencing after TFC surgery are likely part of the normal healing process. The initial pain during movement is decreasing, which is a positive sign. The tingling sensation at rest may be due to nerve irritation, which should improve over time. It is crucial to continue with gentle movements, monitor your symptoms, and maintain open communication with your healthcare provider regarding your recovery. If you have any concerns about the sensations you are experiencing, do not hesitate to reach out to your doctor for further evaluation.