Post-Surgery Concerns: Numbness and Pain After Stitches and Delayed Removal

Two questions: the first is about suturing, and the second is about delayed suture removal?

I would like to ask my first question: Is it normal to experience localized numbness and pain in the thumb after wound suturing, and even to feel similar numbness and pain when extending the arm, lasting for 21 days? My second question is: If the sutures are removed too late, besides leaving a scar, could there be any other complications?

Xiao Kai, 30~39 year old female. Ask Date: 2023/05/06

Dr. Xu Kaixi reply Surgery

1.
"The occurrence of localized numbness and pain in the thumb after wound suturing, as well as similar numbness and pain when extending the arm, lasting for 21 days, is not normal.
It is recommended to return for a follow-up examination of the wound."
2.
"For wounds located at the joints of the limbs, sutures can typically be removed about 2-3 weeks post-surgery, depending on the healing status of the wound.
If the removal time exceeds the normal duration, there generally will not be any significant complications."

Reply Date: 2023/05/06

More Info

Post-surgery concerns, particularly regarding numbness and pain after stitches, are quite common and can be distressing for patients. Let's address your questions one by one.

Numbness and Pain After Stitches
Experiencing numbness and pain in the area of a surgical incision, especially if it radiates to other parts of the body (like your thumb and arm), can be attributed to several factors. After surgery, it is not unusual for patients to experience nerve irritation or damage, which can lead to sensations of numbness, tingling, or pain. This can occur due to:
1. Surgical Trauma: During surgery, nerves can be stretched or compressed, leading to temporary or, in some cases, prolonged symptoms.

2. Swelling: Post-operative swelling can exert pressure on nearby nerves, causing discomfort and altered sensations.

3. Scar Tissue Formation: As the body heals, scar tissue can develop around the incision site, which may also affect nerve function.

In your case, since the numbness and pain have persisted for 21 days, it is advisable to consult with your surgeon or a neurologist. They may recommend imaging studies, such as an MRI or nerve conduction studies, to assess the extent of nerve involvement and rule out any complications.

Delayed Suture Removal and Potential Complications
Regarding your second question about the timing of suture removal, it is essential to follow your surgeon's recommendations. While it is true that delayed suture removal can lead to increased scarring, there are other potential complications to consider:
1. Infection: Prolonged presence of sutures can increase the risk of infection, especially if the wound is not healing properly. Infections can lead to more severe complications, including the need for further surgical intervention.

2. Inflammation: If sutures remain in place longer than necessary, they can cause localized inflammation, which may contribute to pain and discomfort.

3. Delayed Healing: In some cases, sutures that are not removed in a timely manner can impede the healing process, leading to complications such as dehiscence (wound opening).

Typically, sutures are removed within 7 to 14 days post-surgery, depending on the type of surgery and the location of the incision. If you are concerned about the timing of your suture removal, it is crucial to communicate with your healthcare provider. They can assess your wound and determine the best course of action.

Conclusion
In summary, while experiencing numbness and pain after surgery can be common, persistent symptoms warrant further evaluation. Delaying suture removal can lead to complications beyond just scarring, including infection and delayed healing. It is always best to maintain open communication with your healthcare provider regarding any post-operative concerns. They can provide tailored advice based on your specific situation and ensure that you receive the appropriate care to facilitate your recovery.

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