Finger issues
Last week, I accidentally cut my left hand index finger behind the second joint with a kitchen knife while working.
It took about 5 minutes to stop the bleeding.
After the wound healed, I noticed a small area of skin in front of the cut that has no sensation, similar to being under local anesthesia.
This condition has persisted for about a week.
I would like to know which medical specialty would be most helpful for this situation.
yu, 20~29 year old female. Ask Date: 2024/01/26
Dr. Li Zhonghuai reply Surgery
Hello! If you have injured a superficial nerve, taking vitamin B12 can promote wound healing, and there is no need to seek medical attention.
Stay safe! Changhua Hospital cares about you!
Reply Date: 2024/01/26
More Info
After experiencing a finger injury, particularly one that involves a cut or trauma to the area, it is not uncommon to encounter symptoms such as numbness or loss of sensation. In your case, where you have a cut on the left index finger near the second joint, and you are experiencing a lack of sensation in a small area of skin, it is important to understand the underlying causes and the appropriate steps to take for recovery.
Numbness following a finger injury can occur for several reasons. One common cause is damage to the peripheral nerves that innervate the skin and muscles of the fingers. When the skin is cut, especially in areas where nerves are located, there is a risk of nerve injury. This can lead to temporary or, in some cases, long-term numbness or altered sensation in the affected area. The sensation of numbness you are experiencing, akin to a "numbed" feeling, may indicate that the nerve endings in that area have been affected.
In terms of which specialist to see, it is advisable to consult a hand surgeon or an orthopedic specialist who focuses on upper extremity injuries. These specialists have the expertise to evaluate nerve function and determine if there has been any significant nerve damage. They may perform a physical examination and, if necessary, order additional tests such as nerve conduction studies or electromyography (EMG) to assess the function of the nerves and muscles in your hand.
Additionally, if the injury is still recent, it is important to monitor the healing process. Nerve injuries can sometimes recover on their own, but the timeline for recovery can vary significantly. In many cases, it may take weeks to months for sensation to return fully, depending on the severity of the injury and the extent of nerve damage. During this time, it is crucial to keep the area clean and protected to prevent infection, which can complicate recovery.
In the meantime, you can also consider some supportive measures to promote healing. Vitamin B12 and other B vitamins are known to support nerve health and may help in the recovery process. However, it is essential to consult with your healthcare provider before starting any supplements, especially if you are taking other medications.
If you notice any worsening of symptoms, such as increased pain, swelling, or signs of infection (like redness or discharge from the wound), it is crucial to seek medical attention promptly. Persistent numbness or changes in sensation that do not improve over time should also be evaluated by a specialist, as they may indicate a more serious underlying issue that requires intervention.
In summary, for your situation, seeing a hand surgeon or orthopedic specialist would be the most appropriate course of action. They can provide a thorough assessment of your injury, determine the extent of any nerve damage, and recommend a treatment plan tailored to your needs. Remember to keep monitoring your symptoms and seek help if there are any concerning changes.
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