Safe Exercise After Arm Sutures: When to Resume Intense Activities?

Sutured arm wound: Issues with exercise?

Hello Doctor: Recently, I accidentally cut the front side of my arm and received 9 stitches (the wrist was not injured, and there are no issues with hand movement).
After changing the dressing for two weeks, the stitches were removed, and it has been a week since then.
The wound surface looks healed with the use of adhesive strips, and there is no significant pain when stretching my arm, although I do feel some sensation (not pain) when pressing on the wound.
I would like to ask how long it will take before I can start more vigorous exercise.
Should I wait until I feel no discomfort, or is it safe to exercise as long as there is no significant pain? I practice aerial yoga, which requires a lot of strength from the upper arms.
If I continue using adhesive strips and wear a compression wrist brace during exercise, will it be safe to prevent the wound from reopening? Thank you.

lulu, 20~29 year old female. Ask Date: 2023/03/12

Dr. Chen Jiaming reply Surgery

The strength of tissue wound healing is related to the original depth of the wound and varies from person to person, with no general rule.
Removing sutures only indicates that the epidermal layer has healed; deeper tissue healing does carry risks when engaging in high-intensity activities.
It is recommended to progress gradually and to increase intensity based on individual discomfort levels.

Reply Date: 2023/03/12

More Info

After undergoing suturing for a laceration on your arm, it's understandable to be eager to return to your regular activities, especially if they involve significant upper body movement, such as aerial yoga. The timeline for resuming intense activities post-surgery can vary based on several factors, including the depth and location of the injury, your overall health, and how well your body is healing.

Firstly, it’s important to recognize that while the surface of your wound may appear healed, deeper tissues, such as muscles, tendons, and ligaments, may still be in the process of healing. The sutures primarily hold the skin together, but they do not necessarily indicate that the underlying tissues are fully healed. Generally, the healing process can take anywhere from a few weeks to several months, depending on the severity of the injury.

In your case, since you mentioned that the wound has been sutured and the stitches have been removed, you should still be cautious. The fact that you feel minimal discomfort when stretching your arm is a positive sign, but it’s crucial to listen to your body. If you experience any pain or discomfort during movement, it’s advisable to stop and reassess.

Regarding your question about when to resume more intense activities, a gradual approach is recommended. Start with low-impact exercises that do not strain the arm, such as gentle stretching or movements that do not involve lifting weights or putting pressure on the arm. As you progress, you can slowly increase the intensity based on your comfort level. If you feel no pain during these initial exercises, you may consider incorporating more dynamic movements, but always with caution.

Using adhesive strips (like the ones you mentioned) and a compression wrist support can provide additional stability and protection to the area as you begin to reintroduce movement. However, it’s essential to ensure that these supports do not restrict blood flow or cause discomfort. If you decide to engage in aerial yoga or similar activities, consider modifying the movements to avoid putting excessive strain on your arm, especially in the early stages of recovery.

In terms of a specific timeline, many healthcare professionals suggest waiting at least 4 to 6 weeks post-surgery before engaging in more vigorous activities, but this can vary. It’s best to consult with your healthcare provider or a physical therapist who can assess your individual situation and provide tailored advice. They may recommend specific exercises to strengthen the arm and improve flexibility while ensuring that you do not risk re-injuring the area.

Lastly, maintaining a positive mindset during your recovery is crucial. It’s natural to feel anxious about the healing process, especially when you’re eager to return to your regular activities. Consider focusing on what you can do rather than what you can’t. Engaging in mindfulness practices, such as meditation or gentle yoga (avoiding any strain on the arm), can help alleviate anxiety and improve your overall well-being.

In summary, while it’s great that your wound appears to be healing well, proceed with caution. Start with gentle movements, listen to your body, and consult with a healthcare professional for personalized guidance. With time and care, you’ll be able to safely return to your beloved aerial yoga and other activities.

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