Occasional Numbness and Pain After Hand Surgery - Surgery

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Occasional numbness and pain after suturing a hand injury?


Hello, doctor: My palm was cut by a machine at the beginning of this year and underwent surgical suturing.
The wound has completely healed, but occasionally I experience tingling and pain at the original site.
The tingling sensation occurs sporadically and does not last long, but I would like to understand if this condition is abnormal.

Jian Xiansheng, 50~59 year old female. Ask Date: 2020/10/11

Dr. Peng Xianwen reply Surgery


Hello Mr.
Jian: The wound from the injury you sustained at the beginning of the year has been healing for some time, and it may be related to scar tissue.
Dr.
Peng Hsien-Wen, Chief of Surgery, Nantou Hospital.

Reply Date: 2020/10/11

More Info


Experiencing occasional numbness and pain after hand surgery, such as the one you described following a machine injury, is not uncommon. This phenomenon can be attributed to several factors related to the healing process and nerve function.

Firstly, after any surgical procedure, especially one involving the hand, the nerves in the area can be affected. The surgical trauma can lead to inflammation, which may irritate the nearby nerves. This irritation can manifest as numbness, tingling, or pain, commonly referred to as neuropathic pain. It is essential to understand that nerve regeneration is a gradual process, and it can take time for the nerves to heal completely. In some cases, the nerves may not heal perfectly, leading to persistent sensations like numbness or pain.

Secondly, scar tissue formation is another factor that can contribute to these symptoms. When the skin and underlying tissues heal, scar tissue can develop, which may put pressure on the nerves or other structures in the area. This pressure can result in intermittent pain or numbness. The presence of scar tissue can also affect the range of motion and functionality of the hand, potentially leading to discomfort during certain movements.

In your case, since the numbness and pain are occasional and not persistent, it may indicate that your nerves are healing, but they are still sensitive to certain stimuli. However, if these sensations become more frequent, intense, or are accompanied by other symptoms such as weakness or changes in hand function, it would be prudent to consult your healthcare provider. They may recommend further evaluation, which could include imaging studies or nerve conduction studies, to assess the status of the nerves and surrounding tissues.

In terms of management, there are several approaches you can consider to alleviate these symptoms. Physical therapy can be beneficial in improving hand function and reducing discomfort. A physical therapist can guide you through exercises that promote flexibility, strength, and coordination, which can help in reducing the impact of scar tissue and improving nerve function.

Additionally, over-the-counter pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs), may help manage any discomfort you experience. If the pain is more severe or persistent, your doctor may prescribe stronger medications or recommend other interventions, such as corticosteroid injections, to reduce inflammation and pain.

Lastly, it is essential to practice good hand care and avoid activities that may exacerbate your symptoms. Gradually reintroducing activities and ensuring proper ergonomics can help minimize strain on your hand as it continues to heal.

In summary, occasional numbness and pain after hand surgery can be a normal part of the healing process, particularly if the symptoms are not severe or persistent. However, staying vigilant about any changes in your symptoms and maintaining open communication with your healthcare provider is crucial for ensuring optimal recovery. If you have any concerns or if your symptoms worsen, do not hesitate to seek medical advice.

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