Wound Healing Issues: When to See a Doctor? - Surgery

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Wound healing issues


Due to friction between the index and ring fingers and a wall during work, the fingertip of the middle finger has a loss of tissue, and the ring finger has a laceration.
After one month of healing, the injured area on the fingertip of the middle finger feels hard to the touch and is painful when pressed, while the ring finger is less severe.
Given that this condition has not improved after one month, should I see a doctor? If so, which specialty should I consult?

A-Liang, 30~39 year old female. Ask Date: 2022/08/05

Dr. Xu Kaixi reply Surgery


Based on your description, this is fibrous tissue that has developed after wound healing.
If there are no accompanying symptoms of redness, swelling, or inflammation, it should theoretically improve over time.

Reply Date: 2022/08/05

More Info


When it comes to wound healing, it’s important to understand that the process can vary significantly from person to person and can be influenced by several factors, including the type of injury, the location of the wound, and individual health conditions. In your case, you mentioned experiencing a loss of tissue on your middle finger and a laceration on your ring finger, both of which have not healed as expected after one month. The hardness and pain upon pressure in the area of the middle finger injury are particularly concerning.

Wound healing typically goes through several stages: hemostasis (stopping the bleeding), inflammation, proliferation (new tissue formation), and remodeling. In healthy individuals, most minor wounds will heal within a few weeks. However, if you notice that a wound is not improving after a month, or if you experience persistent pain, hardness, or any other unusual symptoms, it is advisable to seek medical attention.

Given your symptoms, it would be prudent to see a healthcare professional. You should consider visiting a specialist in Dermatology or Plastic Surgery, as they can assess the wound's healing process and determine if there are any underlying issues that need to be addressed. A dermatologist can evaluate the skin and soft tissue, while a plastic surgeon may be more suited for deeper injuries or those involving significant tissue loss.

In addition to the physical examination, the doctor may ask about your medical history, any underlying conditions (such as diabetes or vascular issues), and whether you are taking any medications that could affect healing. They might also perform imaging studies or lab tests if they suspect an infection or other complications.

It’s also important to monitor for signs of infection, which can include increased redness, swelling, warmth, pus or other drainage, and fever. If you experience any of these symptoms, you should seek medical care immediately.

In summary, given that your wounds have not healed properly after a month and you are experiencing pain and hardness in the affected areas, it is advisable to see a doctor. A dermatologist or plastic surgeon would be the most appropriate specialists to consult in this situation. Early intervention can help prevent further complications and promote better healing outcomes.

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