Is My Finger Pain Normal After Surgery? Recovery Concerns

Surgical Issues

The diagnosis certificate from 2019 states that I have an open fracture of the little finger, tendon repair, and tendon fixation surgery.
The wound has healed, but there is a painful bump that feels like a callus when pressed, and I also have difficulty bending the finger (I have been doing rehabilitation exercises daily).
The sensation is numb.
My attending physician says this is normal...
I would like to ask if this is really normal.
(I checked the attending physician's resume, and it turns out he is a general surgeon specializing in hernias and thyroid issues, with no orthopedic experience.
Is this also normal?)

A Sheng, 20~29 year old female. Ask Date: 2021/07/05

Dr. Li Qinglong reply Surgery

Hello, regarding the open fracture of the little finger, there may have been damage to the digital nerve, tendon rupture, and fracture of the phalanx.
If treated in the emergency room, an emergency surgeon with general surgical training may handle the case, especially when a specialist is not on call, as some straightforward emergency surgeries can be managed by emergency physicians.
The sensation of pain may indicate a permanent injury to the digital nerve, and the callous formation could be scar tissue from tendon repair.
Even after surgical repair, it is unlikely that the finger with an open fracture can bend as it did before the injury.
If you have further questions, please consult your original surgeon! The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2021/07/05

More Info

After undergoing surgery for an open fracture of the little finger, it is not uncommon to experience lingering pain, discomfort, and altered sensation during the recovery process. Your description of a painful, callus-like bump and difficulty bending the finger, along with a tingling sensation, raises several important considerations regarding your recovery.

Firstly, it is essential to understand that post-surgical pain can be influenced by various factors, including the nature of the injury, the surgical procedure performed, and individual healing responses. After a tendon repair and fixation surgery, it is typical for patients to experience some degree of pain and discomfort as the body heals. This pain can be exacerbated by swelling, inflammation, or the formation of scar tissue around the surgical site.
The presence of a "callus" or bump at the surgical site could indicate the formation of scar tissue, which is a normal part of the healing process. However, if this area is painful to the touch or if it restricts movement, it may warrant further evaluation. Scar tissue can sometimes adhere to surrounding structures, including tendons and nerves, leading to discomfort and limited range of motion.
The tingling or "numb" sensation you are experiencing could be attributed to nerve irritation or compression, which can occur during the healing process. Nerves can be sensitive after surgery, and it may take time for them to recover fully. In some cases, nerve-related symptoms can persist for weeks or even months post-surgery, but they should gradually improve as healing progresses.

Regarding your concern about the qualifications of your attending physician, it is crucial to have a surgeon who specializes in orthopedic procedures, particularly those involving the hand and fingers, to ensure that you receive the best possible care. If your surgeon does not have a background in orthopedics, it may be beneficial to seek a second opinion from a specialist in hand surgery or orthopedic surgery. This can provide you with more confidence in your treatment plan and recovery process.

In terms of rehabilitation, it is commendable that you are actively engaging in physical therapy and rehabilitation exercises. Rehabilitation is vital for regaining strength, flexibility, and function in the affected finger. However, it is essential to follow a structured rehabilitation program tailored to your specific needs and limitations. If you are experiencing significant pain during your exercises, it may be necessary to adjust your rehabilitation approach or consult with a physical therapist for guidance.

In summary, while some pain and discomfort after surgery can be considered normal, it is crucial to monitor your symptoms closely. If your pain persists, worsens, or if you have concerns about your recovery, it is advisable to return to your healthcare provider for further evaluation. They may recommend imaging studies, such as an X-ray or MRI, to assess the healing process and rule out any complications. Additionally, discussing your symptoms with a hand specialist could provide you with more targeted insights and treatment options. Remember, your recovery is a process, and open communication with your healthcare team is essential for achieving the best outcomes.

Similar Q&A

Understanding Post-Surgery Pain and Recovery for Trigger Finger

I would like to ask about my left thumb. The doctor said I have trigger finger. I underwent traditional surgery last month, and I had my stitches removed at the beginning of this month. Although the wound has healed, I still feel pain when lightly touching the area, and it feels ...

Dr. Zhou Jianwen reply Rehabilitation
It is recommended to schedule a follow-up appointment to check for any ongoing inflammation.

Post-Surgery Concerns: Managing Complications After Humerus Surgery

Hello Doctor, I recently had surgery, and it has been six days since the operation. 1. The back of my hand is still swollen. 2. I cannot close my index and middle fingers when they are straightened, resembling a "peace" sign. 3. The area from my ring finger to my little...

Dr. Shi Guozheng reply Orthopedics
Swelling typically subsides gradually about two to four weeks after surgery. If the fingers cannot close, it may be due to swelling or nerve compression or tension. Rehabilitation usually leads to gradual improvement; however, if recovery does not occur, further interventions may...

Post-Surgery Concerns: Understanding Wrist Surgery Recovery Symptoms

Hello, doctor. I had surgery to remove wrist screws a week ago, and I feel stiffness and a tingling sensation in the area of my palm near the wrist when I touch it. Is this a normal postoperative phenomenon?

Dr. Shi Guozheng reply Orthopedics
It is normal for the wound to heal, and gradually engaging in activities that allow the joint to move in every direction can help improve the feeling of stiffness.

Post-Surgery Recovery: Addressing Concerns About Finger Wound Healing

Dear Doctor, I would like to inquire about post-operative recovery issues. Due to an improper operation of the machine, the flesh of my finger was partially removed, exposing the bone. An X-ray showed no damage to the bone. There were several treatment options at that time: one ...

Dr. Zhou Hongzhang reply Plastic Surgery
1. The amount of seepage should be assessed; a small amount of seepage is normal. 2. The wound should be kept clean, dry, and free from contaminants. Avoid smoking, drinking alcohol, and other harmful substances that could affect the wound. 3. The more severe the injury, the ...