Wound Healing: When to Seek Further Medical Attention

Wound healing issues?

I would like to ask about a previous cat scratch injury that was somewhat deep.
I went to see a doctor, and after the wound was dressed, I was given medication to change the dressing myself.
Following the clinic's instructions, I took antibiotics and changed the dressing daily (rinsing with saline, applying povidone-iodine, then medication, and finally covering with a bandage).
After about a week, I went for a follow-up appointment and took antibiotics again.
The doctor mentioned that if there was no pain, I didn't need to return for a follow-up.
However, it has now been over three weeks, and I am still changing the dressing myself, though less frequently.
The wound is no longer bleeding or painful, but it is still open and not fully healed.
Should I return for another follow-up to check the wound's condition, or should I wait a bit longer to observe? Since the wound is on the pad of my finger, it is easily irritated and tends to reopen.
I'm concerned that this might prevent the edges from healing together.
Is there anything I can do to promote healing? Thank you, doctor!

Miao Miao, 20~29 year old female. Ask Date: 2020/10/20

Dr. Li Zhonghuai reply Surgery

Hello! Sometimes, deeper wounds require debridement to promote faster healing.
It is recommended to return for an evaluation.
Take care! Changhua Hospital cares about you!

Reply Date: 2020/10/20

More Info

When it comes to wound healing, especially after an injury like a cat scratch, it's essential to monitor the healing process closely. From your description, it seems that while the wound is no longer bleeding and is not painful, it remains open and has not fully healed after three weeks. This situation raises a few important considerations regarding wound care and when to seek further medical attention.

First, it's crucial to understand that wounds can take varying amounts of time to heal depending on several factors, including the depth of the wound, the location, the individual's overall health, and whether there are any underlying conditions that could impede healing (such as diabetes or immune system issues). In your case, since the wound is located on the fingertip, it is subject to frequent movement and pressure, which can hinder the healing process.
Given that the wound has not fully closed after three weeks, it is advisable to seek further medical evaluation. Here are some reasons why you should consider revisiting your healthcare provider:
1. Infection Risk: Although you mentioned that the wound is not painful and does not bleed, there is still a risk of infection, especially if the wound remains open. Signs of infection can include increased redness, swelling, warmth around the wound, or the presence of pus. If any of these symptoms develop, you should seek medical attention immediately.

2. Wound Assessment: A healthcare professional can assess the wound to determine if there are any underlying issues preventing healing. They may check for foreign bodies, assess the tissue around the wound, and evaluate whether the wound edges are approximating properly.

3. Treatment Options: Depending on the assessment, your doctor may recommend additional treatments. This could include a different type of dressing that provides better protection and moisture balance, or in some cases, they may suggest a procedure to promote healing, such as debridement (removal of dead tissue) or even a skin graft if the wound is particularly stubborn.

4. Advice on Care: A healthcare provider can give you tailored advice on how to care for the wound at home. This may include recommendations for specific types of dressings that can help keep the wound moist and protected, which is crucial for optimal healing.
5. Monitoring for Complications: If the wound continues to remain open or shows signs of complications, such as delayed healing or recurrent opening, further intervention may be necessary.
In the meantime, continue to keep the wound clean and covered. If you are using a bandage, ensure it is breathable and allows for moisture control. Avoid excessive movement of the finger that could cause the wound to reopen. If you notice any changes in the wound's appearance or if you experience any new symptoms, do not hesitate to seek medical attention sooner.

In summary, while it is good that the wound is not painful and does not bleed, the fact that it remains open after three weeks warrants a follow-up with your healthcare provider. They can provide a thorough evaluation and appropriate treatment to facilitate healing. Your health and safety should always come first, so don't hesitate to seek help when in doubt.

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