Swelling of the wound after suture removal?
Hello Doctor, I would like to ask you some questions.
Two weeks ago, I was punctured by the tip of a knife on the front of my right leg, just above the knee.
The wound is about 3 cm long and I believe it is more than 0.5 cm deep, but the emergency doctor said it did not damage the muscle.
Before the stitches were removed, I was unable to bend my leg, but yesterday when the doctor removed the stitches, he said that I should have been able to bend my leg all along.
Now I can barely bend it, but I feel noticeable swelling at the suture site, which affects my ability to bend my leg.
Bending it also causes pain.
I would like to know if this swelling will subside.
I am very concerned that if this swelling does not go down, it will affect my daily life.
I kindly ask for your help in clarifying this issue.
Thank you.
A-Ming, 20~29 year old female. Ask Date: 2020/07/01
Dr. Chen Jiaming reply Surgery
Your description clearly indicates an issue related to the scar tissue effect.
The area near the knee requires the skin to stretch and tighten when bending, and during this time, the scar tissue may not have good elasticity initially, leading to discomfort.
It is necessary to gradually practice stretching the scar (daily bending exercises) to see improvement over time.
However, sometimes the scar may grow excessively, resulting in hypertrophic scars, which presents another issue.
In summary, wounds near the knee are often difficult to make aesthetically pleasing.
Reply Date: 2020/07/01
More Info
Post-surgery swelling, especially around the knee area, can be a common concern for many patients after undergoing surgical procedures. In your case, it seems that you experienced a significant injury to the area above your knee, which has resulted in swelling and discomfort following the removal of stitches. Let’s address your concerns systematically.
1. Understanding Swelling Post-Surgery: Swelling is a natural response of the body to injury or surgery. When tissues are damaged, the body sends fluids and immune cells to the area to promote healing, which can lead to inflammation and swelling. This process is part of the healing mechanism, but it can also cause discomfort and restrict movement, as you are experiencing.
2. Duration of Swelling: The duration of swelling can vary significantly from person to person and depends on several factors, including the extent of the injury, the surgical procedure performed, and individual healing rates. Generally, swelling can last for several weeks post-surgery, but it should gradually decrease over time. If the swelling persists beyond a few weeks or worsens, it may indicate complications such as infection or improper healing.
3. Pain and Range of Motion: The pain you feel when bending your knee is likely related to the swelling and the healing process. As the swelling decreases, you should gradually regain your range of motion. It’s important to follow your doctor’s advice regarding physical therapy and rehabilitation exercises, as these can help improve flexibility and strength in the affected area.
4. Management of Swelling: To help manage swelling, consider the following strategies:
- Rest: Avoid putting too much weight on the affected leg.
- Ice Therapy: Applying ice packs to the swollen area for 15-20 minutes several times a day can help reduce swelling and numb the pain.
- Elevation: Keeping your leg elevated above the level of your heart can help reduce swelling by allowing fluids to drain away from the injured area.
- Compression: Using a compression bandage can help control swelling, but ensure it’s not too tight to avoid restricting blood flow.
5. When to Seek Further Medical Attention: If you notice any of the following symptoms, it’s crucial to contact your healthcare provider:
- Increased swelling or pain that does not improve with rest and ice.
- Redness or warmth around the incision site, which could indicate an infection.
- Fever or chills, which may also suggest an infection.
- Any unusual discharge from the wound.
6. Long-Term Considerations: If the swelling does not subside or if you continue to experience significant pain and limited mobility, it may be necessary to investigate further. This could involve imaging studies like an ultrasound or MRI to assess for complications such as fluid accumulation (effusion) or other underlying issues.
In conclusion, while it’s understandable to be concerned about the swelling and its impact on your recovery, it’s important to remember that some degree of swelling is normal after surgery. With proper care and rehabilitation, you should see improvement over time. Always keep an open line of communication with your healthcare provider, as they can provide personalized advice and adjustments to your recovery plan based on your specific situation. Wishing you a smooth recovery!
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