Slow Healing Wounds After a Motorcycle Accident - Surgery

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Wound healing issues after a car accident?


Hello Doctor, I had a bike accident recently and have been going to the clinic daily for dressing changes.
Most of my wounds have healed, but the small wound on the top of my foot is deeper, so it is healing more slowly.
The wound is shown in the image below: https://i.imgur.com/kDFgiiK.jpg.
Following the clinic doctor's instructions, I applied a synthetic skin dressing, and there are no concerns about infection.
After removing the synthetic skin, the appearance of the wound is quite dark around the edges.
I am wondering if this is a normal phenomenon? However, it no longer hurts and there is no discharge.
Thank you, Doctor, for taking the time to respond.
I appreciate it!

C, 20~29 year old female. Ask Date: 2023/06/30

Dr. Li Zhonghuai reply Surgery


Hello! After an injury, it is recommended to apply scar gel for hyperpigmentation.
Skin whitening is very important for women! Take care! Changhua Hospital cares about you!

Reply Date: 2023/06/30

More Info


After a motorcycle accident, it is common to experience slow healing wounds, particularly if the injury was deep or involved significant trauma to the skin and underlying tissues. In your case, it sounds like you have been following the appropriate steps for wound care, including regular dressing changes and the use of artificial skin, which is a good practice for promoting healing.

The appearance of your wound, especially the dark coloration around the edges, can be concerning. However, it is important to understand that this can be a normal part of the healing process. When a wound heals, the body goes through several stages, including inflammation, tissue formation, and remodeling. The dark color you are observing may be due to several factors:
1. Bruising: If the injury was significant, there may have been some bruising that is now resolving. Bruises can change color as they heal, often appearing dark purple or black initially and then transitioning to green or yellow as they fade.

2. Scab Formation: If the wound was deep, it may have formed a scab, which can appear darker than the surrounding skin. This is a protective layer that helps prevent infection while the underlying tissue heals.

3. Hyperpigmentation: After a wound heals, some individuals may experience hyperpigmentation, where the skin around the healed area becomes darker. This is often temporary and can fade over time.

4. Blood Flow and Healing: The body increases blood flow to the area to promote healing, which can sometimes cause the skin to appear darker due to increased vascularity or the presence of healing tissue.

Since you mentioned that the wound is no longer painful and there is no discharge, these are positive signs indicating that the healing process is progressing well. However, it is essential to continue monitoring the wound for any signs of infection, such as increased redness, swelling, warmth, or discharge.

Here are some additional tips for managing slow-healing wounds:
- Keep the Wound Clean: Continue to follow your doctor's instructions for cleaning the wound. Use mild soap and water, and avoid harsh chemicals that could irritate the skin.

- Moisture Management: Keeping the wound moist (but not overly wet) can promote faster healing. Artificial skin can help maintain moisture while protecting the wound.

- Nutrition: Ensure you are consuming a balanced diet rich in vitamins and minerals that support healing, particularly vitamin C, zinc, and protein.

- Avoid Irritation: Be cautious about clothing or activities that may irritate the wound. Protect the area from friction and pressure.

- Follow-Up Care: Continue to attend your follow-up appointments with your healthcare provider to monitor the healing process. If you notice any changes or have concerns, do not hesitate to reach out to them.

In summary, while the slow healing of your wound may be frustrating, it is often a normal part of the recovery process after a significant injury. The dark coloration around the wound may also be a typical response to healing. Keep an eye on the wound, maintain proper care, and consult your healthcare provider if you have any concerns. Healing takes time, and with proper care, you should see continued improvement.

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