Post-Accident Pain Near Scar: Is It Normal and When to Seek Help?

Pain near scars after a car accident?

On December 15, my mother was in a car accident and received about four stitches on the anterior tibia of her right lower leg.
Debridement was performed, and the stitches were removed on December 29.
At that time, the surgeon determined that a follow-up visit was not necessary, and we were advised to care for the skin normally.
As of January 11, the wound shows no signs of drainage, swelling, or discoloration; however, she experiences pain when moving, which she describes as severe enough to discourage her from walking.
The pain does not occur when she is at rest.
My questions are: 1.
Is the current pain a normal phenomenon? We are comforting ourselves by thinking that the wound is still healing and needs time.
2.
What signs should prompt a visit to the doctor? Which specialty should we consult? Thank you, doctor, for taking the time to answer these questions!

Wang, 50~59 year old female. Ask Date: 2022/01/11

Dr. Li Zhonghuai reply Surgery

Hello! The wound has been healing for a month, with no drainage and minimal swelling, indicating that it is healing well.
If there is pain, it is important to assess whether it is true wound pain or pain from the surrounding joints, bones, or muscles, such as from a torn cruciate ligament or meniscus.
Take care! Changhua Hospital is concerned about you!

Reply Date: 2022/01/11

More Info

After a car accident, it is not uncommon to experience pain in the affected areas, especially if there has been an injury that required stitches, as in your mother's case. The presence of pain near the scar on her right shin, particularly when moving, can be attributed to several factors related to the healing process.

1. Normal Healing Process: Following surgery or injury, it is typical for the body to experience pain as part of the healing process. The pain can be due to inflammation, nerve regeneration, or the healing of soft tissues. Since your mother had stitches and underwent a cleaning procedure, it is reasonable to expect some discomfort as the tissues heal. The fact that the wound is not showing signs of infection (no drainage, swelling, or discoloration) is a positive sign that the healing process is on track.

2. Pain Management: It is essential to manage pain effectively to ensure that your mother can engage in her daily activities without excessive discomfort. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can be helpful. However, it is crucial to follow the dosage instructions on the packaging or those provided by her healthcare provider.

3. When to Seek Medical Attention: While some pain is expected, there are specific signs that warrant a visit to a healthcare professional:
- Increased Pain: If the pain worsens significantly or becomes unbearable, it may indicate complications.

- Signs of Infection: If there is any redness, warmth, swelling, or discharge from the wound, these could be signs of an infection that needs to be addressed.

- Limited Mobility: If your mother finds it increasingly difficult to move her leg or if the pain prevents her from walking, it may be necessary to seek further evaluation.

- Persistent Pain: If the pain continues for an extended period without improvement, it is advisable to consult a physician.

4. Specialist Consultation: If you decide to seek medical help, it would be appropriate to consult an orthopedic surgeon or a general surgeon, as they specialize in musculoskeletal injuries and post-surgical care. They can assess the healing process and determine if any further intervention is necessary.

5. Rehabilitation: Depending on the severity of the injury and the pain experienced, physical therapy may be beneficial. A physical therapist can provide exercises to improve mobility and strength while also addressing pain management techniques.

In summary, while some pain is expected after an injury and subsequent surgical intervention, it is essential to monitor the situation closely. If any concerning symptoms arise, do not hesitate to seek medical advice. Your mother's recovery is paramount, and ensuring she receives appropriate care will help facilitate her healing process.

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