Why Is My Surgical Wound Still Hard After Three Weeks? - Surgery

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The wound feels firm after surgery?


Doctor, I would like to ask, I underwent a self-funded artificial cervical disc implantation surgery three weeks ago.
Since the first day after the surgery, the area around the incision has felt hard, and it has been 20 days without any reduction in the swelling.
Is this normal? Thank you.

Lao Ding, 40~49 year old female. Ask Date: 2023/06/25

Dr. Peng Xianwen reply Surgery


Hello Mr.
Ding: I recommend that you consult with the surgeon who will assist you with the operation, as they will be able to provide you with a more accurate response.
Director Peng Hsien-Wen of the General Surgery Department at Nantou Hospital.

Reply Date: 2023/06/25

More Info


After undergoing a surgical procedure, it is not uncommon to experience hardness or swelling around the incision site, especially within the first few weeks post-operation. This phenomenon can be attributed to several factors related to the body's natural healing process.

When a surgical incision is made, the body initiates a healing response that involves inflammation, tissue repair, and scar formation. The hardness you are feeling is likely due to the formation of scar tissue, also known as fibrosis. Scar tissue is a normal part of the healing process and can develop as the body repairs itself after surgery. This tissue is often denser than the surrounding skin and can feel firm or hard to the touch.

In the case of your cervical disc replacement surgery, the incision site may be particularly sensitive due to the nature of the procedure and the structures involved. The neck area has a rich supply of nerves and blood vessels, which can contribute to sensations of hardness or tightness as the tissues heal. Additionally, the presence of sutures or staples, which may be used to close the incision, can also contribute to the firmness you are experiencing.

Typically, the hardness around a surgical site should gradually decrease over time as the healing progresses. However, this process can take several weeks to months, depending on various factors such as the extent of the surgery, your overall health, and how well you follow post-operative care instructions. It is essential to monitor the incision for any signs of infection, such as increased redness, warmth, swelling, or discharge, as these could indicate complications that require medical attention.

If the hardness persists beyond a few months or if you experience any unusual symptoms, it is advisable to follow up with your surgeon or healthcare provider. They can assess the incision site and determine whether the hardness is a normal part of the healing process or if further intervention is needed.

In the meantime, here are some general recommendations to aid in your recovery:
1. Follow Post-Operative Instructions: Adhere to any guidelines provided by your surgeon regarding activity restrictions, wound care, and follow-up appointments.

2. Gentle Massage: Once your surgeon gives you the go-ahead, gentle massage around the incision site can help break down scar tissue and improve circulation, which may aid in the healing process.

3. Stay Hydrated and Nourished: Proper nutrition and hydration can support your body's healing capabilities. Ensure you are consuming a balanced diet rich in vitamins and minerals.

4. Avoid Strain: Be cautious not to overexert yourself or engage in activities that could strain the surgical site. Gradually increase your activity level as tolerated.

5. Pain Management: If you are experiencing discomfort, discuss pain management options with your healthcare provider. They may recommend over-the-counter pain relievers or prescribe medication if necessary.

In conclusion, while it is normal to experience hardness at the surgical site three weeks post-operation, it is essential to keep an eye on your recovery and consult your healthcare provider if you have any concerns. Healing is a gradual process, and with time, the hardness should diminish as your body continues to recover.

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