How to Regain Finger Flexibility After Skin Loss from Injury - Surgery

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After a finger joint injury, there is a missing piece of skin and the finger cannot bend?


Hello doctor, a little over a month ago, I accidentally cut a piece of skin off the joint of my index finger with kitchen scissors.
After receiving stitches, the wound has healed, but I am unable to fully bend the finger due to the missing piece of skin.
Currently, I can only bend it about 60 degrees.
What should I do? Thank you, doctor.

Wei Ru, 20~29 year old female. Ask Date: 2021/06/10

Dr. Li Zhonghuai reply Surgery


Hello! The skin is very elastic, so please don't worry.
You can use your other hand to assist in bending a little more each day.
If it really doesn't work, consider consulting a rehabilitation specialist.
Take care! Changhua Hospital cares about you!

Reply Date: 2021/06/10

More Info


Regaining finger flexibility after an injury, especially one that involves skin loss, can be a challenging process. The situation you described, where you lost a piece of skin from your finger joint and are now experiencing limited range of motion, is not uncommon. The healing process for skin and underlying tissues can take time, and the loss of skin can lead to scarring, which may restrict movement.

First and foremost, it's important to understand that the skin plays a crucial role in the overall function of the finger. It provides protection, sensation, and contributes to the finger's ability to move freely. When skin is lost, the underlying structures, including tendons and joints, may also be affected, leading to stiffness and reduced flexibility.

Here are some steps you can take to help regain flexibility in your finger:
1. Consult a Specialist: Since you have already seen a doctor for your injury, it may be beneficial to follow up with a hand specialist or a physical therapist who specializes in hand rehabilitation. They can assess your specific situation and provide tailored exercises and treatments.

2. Physical Therapy: Engaging in physical therapy can be extremely beneficial. A therapist can guide you through specific exercises designed to improve flexibility and strength in your finger. They may use techniques such as manual therapy, stretching, and strengthening exercises to help restore function.

3. Gentle Stretching Exercises: Start with gentle stretching exercises to gradually increase your range of motion. For example, you can try to gently bend your finger as far as it can go without causing pain, holding the position for a few seconds before relaxing. Repeat this several times a day.

4. Heat Therapy: Applying heat to the affected area can help relax the muscles and improve blood circulation, which may facilitate healing and flexibility. You can use warm compresses or soak your finger in warm water before performing exercises.

5. Scar Management: Since you mentioned skin loss, managing the scar tissue is crucial. Silicone gel sheets or silicone ointments can help soften and flatten scars, which may improve mobility. Continue using the silicone sheets as recommended by your dermatologist.

6. Gradual Progression: Be patient and allow your finger to heal gradually. Overexerting yourself can lead to further injury. It's important to listen to your body and avoid pushing through pain.

7. Nutritional Support: Ensure you are consuming a balanced diet rich in vitamins and minerals that support healing. Vitamin B12, as mentioned in previous discussions, is important for nerve health, while vitamin C is essential for collagen formation, which is vital for skin healing.

8. Avoiding Activities that Strain the Finger: While it's important to work on regaining flexibility, avoid activities that may strain your finger or exacerbate the injury. This includes heavy lifting or activities that require a strong grip until you have regained sufficient flexibility and strength.

9. Regular Follow-ups: Keep in touch with your healthcare provider to monitor your progress. If you notice any signs of complications, such as increased pain, swelling, or changes in sensation, seek medical attention promptly.

In conclusion, regaining finger flexibility after skin loss from an injury requires a combination of proper medical care, physical therapy, and self-management strategies. With time, patience, and the right approach, you can improve your finger's range of motion and functionality. Remember, every individual's healing process is unique, so it's essential to tailor your recovery plan to your specific needs and circumstances.

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