Post-Stitch Pain: Is It Normal and How to Heal?

Wound after suturing

Hello doctor, I would like to ask, it has been a year and a half since I had stitches on my hand, but I still feel pain when pressure is applied to the scar.
Is this normal? What can be done to heal it so that the scar no longer hurts? Thank you.

Ling, 20~29 year old female. Ask Date: 2020/05/12

Dr. Li Zhonghuai reply Surgery

Hello! This goes back to the extent of your injury at the time, whether it was superficial or involved the underlying muscles, nerves, and blood vessels.
The deeper the injury, the longer the recovery will take.
Additionally, there are cases of hypertrophic scars and keloids, as well as instances where absorbable sutures did not absorb properly.
It is recommended to return for an evaluation.
Take care! Changhua Hospital cares about you!

Reply Date: 2020/05/12

More Info

Experiencing pain at a surgical site, even a year and a half after stitches have been removed, can be concerning and frustrating. It is not uncommon for individuals to experience lingering discomfort or sensitivity in areas where surgical procedures have taken place. This phenomenon can be attributed to several factors, including nerve regeneration, scar tissue formation, and the overall healing process.

Understanding Post-Stitch Pain:
1. Nerve Sensitivity and Regeneration: After surgery, nerves in the area may be damaged or irritated. As they heal, they can become hypersensitive, leading to pain when pressure is applied. This is particularly true if the surgery involved deeper tissues or nerves. The healing process for nerves can take time, and some individuals may experience pain or discomfort long after the initial injury or surgery.

2. Scar Tissue Formation: When the body heals, it forms scar tissue, which can be less flexible than the surrounding tissue. This scar tissue can sometimes adhere to underlying structures, leading to discomfort or pain when pressure is applied. Scar tissue can also affect the normal movement of muscles and tendons, contributing to pain.

3. Complex Regional Pain Syndrome (CRPS): In some cases, individuals may develop a condition known as Complex Regional Pain Syndrome, which is characterized by prolonged pain and sensitivity in the affected area. This condition often occurs after an injury or surgery and can involve changes in skin color, temperature, and swelling.

What Can Be Done to Alleviate Pain?
1. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises to improve flexibility, strength, and range of motion in the affected area. They can also employ techniques to reduce sensitivity and improve overall function.

2. Scar Management: Techniques such as massage therapy, silicone gel sheets, or topical treatments can help manage scar tissue. Gentle massage around the scar can promote blood flow and reduce sensitivity over time.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort. If the pain is severe, a healthcare provider may prescribe stronger medications or recommend nerve blocks or other interventions.

4. Alternative Therapies: Some individuals find relief through alternative therapies such as acupuncture, chiropractic care, or mindfulness practices. These approaches can help manage pain and improve overall well-being.

5. Consultation with Specialists: If pain persists, it may be beneficial to consult with a pain management specialist or a neurologist. They can assess the situation more thoroughly and provide targeted treatments, such as nerve blocks or medications specifically designed for nerve pain.

6. Patience and Monitoring: Healing is a gradual process, and it is essential to be patient. Keeping a pain diary to track triggers and patterns can be helpful for discussions with healthcare providers.

In conclusion, while it is not unusual to experience pain at a surgical site long after the procedure, it is essential to address these symptoms proactively. Engaging in physical therapy, managing scar tissue, and consulting with specialists can significantly improve your quality of life and help alleviate discomfort. If the pain continues or worsens, seeking further evaluation is crucial to rule out any underlying issues and to explore more targeted treatment options.

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