Post-Surgery Wound Healing: What to Expect After Stitches - Surgery

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Wound issues?


Eleven days ago, I had a laceration on my calf that required seven stitches.
After having the stitches removed yesterday, I noticed that when I straighten my leg, there is a tight sensation at the site of the wound.
When sitting or lying flat with my leg elevated, the muscles around the wound feel like they are being pulled backward.
Additionally, the area where the stitches were removed is slightly swollen, but it is not painful.
Are these symptoms normal?

Wei, 10~19 year old female. Ask Date: 2022/08/17

Dr. Li Zhonghuai reply Surgery


Hello! To assess how deep a wound is, superficial wounds typically do not have a pulling sensation in the muscles, while deeper wounds are more likely to cause such a sensation.
The healing period for a wound may involve swelling for some time; elevating the affected lower limb while sleeping can help.
Take care! Changhua Hospital is concerned about you!

Reply Date: 2022/08/17

More Info


After undergoing a surgical procedure, especially one involving stitches, it is common to experience various sensations and changes in the wound area as it heals. In your case, having had stitches removed from a torn calf muscle, the tightness and slight swelling you are experiencing can be considered normal, particularly in the early stages of recovery.


Understanding Post-Surgery Wound Healing
1. Tightness and Discomfort: The sensation of tightness in the area where the stitches were removed is often due to the healing process. When skin is stitched together, it can create tension as the tissues begin to knit back together. This can lead to a feeling of tightness or pulling, especially when you attempt to extend your leg fully. As the tissues heal and regain their elasticity, this sensation should gradually diminish.

2. Swelling: Mild swelling after stitch removal is also a common occurrence. The body responds to surgery with inflammation, which is part of the healing process. Swelling can occur due to increased blood flow to the area as the body works to repair itself. It is important to monitor the swelling; if it becomes excessive or is accompanied by pain, redness, or warmth, it may indicate an infection or other complications that would require medical attention.

3. Pain Management: You mentioned that the area does not hurt, which is a positive sign. Pain is often a signal that something may be wrong, such as infection or improper healing. However, some discomfort or tightness is expected as the tissues adjust and heal. If you experience any sudden increase in pain or other concerning symptoms, it is advisable to consult your healthcare provider.

4. Elevation and Rest: Elevating your leg, as you mentioned, is a good practice to help reduce swelling. It allows gravity to assist in fluid drainage from the area. Additionally, resting the leg and avoiding excessive movement can promote healing. However, gentle movement and stretching, as advised by your healthcare provider, can also be beneficial in preventing stiffness.

5. Follow-Up Care: It is crucial to follow any post-operative care instructions provided by your surgeon. This may include keeping the area clean, applying any prescribed ointments, and attending follow-up appointments to monitor the healing process. If you have any concerns about the healing of your wound, do not hesitate to reach out to your healthcare provider for guidance.


Conclusion
In summary, the sensations of tightness and mild swelling you are experiencing after the removal of stitches from your calf are generally normal and part of the healing process. It is essential to continue monitoring the area for any changes and to follow your healthcare provider's recommendations. If you have any concerns or if the symptoms worsen, seeking medical advice is always the best course of action. Remember, healing takes time, and being patient with your body as it recovers is key to a successful outcome.

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