Post-Car Accident Wound Care: Concerns About Stitch Removal and Healing - Surgery

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Wound issues after a car accident?


Hello Doctor, I was in a car accident on the 12th, and today, the 27th, I had my stitches removed.
I would like to ask if walking and working after the stitches are removed could cause the wound to reopen.
I usually walk with a limp to reduce the load on my injured foot.
The injury is a one-centimeter wound on the dorsum of my right foot, just below the middle toe.
Currently, the wound feels dry and hard, and I am very concerned that any movement might cause it to reopen.
I have consulted my doctor, who said they are unsure, but since I am returning to work, I wonder if this will affect the wound and lead to it reopening and requiring stitches again.
Could you please provide some guidance?

YouYou, 20~29 year old female. Ask Date: 2024/01/27

Dr. Li Zhonghuai reply Surgery


Hello! You can simply apply the beauty patch outside.
Make sure the beauty patch is perpendicular to the wound and extend it a bit longer.
A 1 cm wound is manageable.
Take care! Changhua Hospital cares about you!

Reply Date: 2024/01/27

More Info


After a car accident, proper wound care and management are crucial for optimal healing and recovery. Based on your description, you recently had stitches removed from a wound on your right foot, and you are concerned about whether walking and returning to work might cause the wound to reopen.
Firstly, it's important to understand that after stitches are removed, the skin is still in a healing phase. The wound may appear closed, but the underlying tissues are still vulnerable. The risk of the wound reopening depends on several factors, including the location of the wound, the type of injury, and your overall health. Since your wound is on the dorsum of the foot, it is subject to movement and pressure, which can increase the risk of reopening, especially if you are walking with a limp or uneven gait.

Here are some considerations and recommendations for your situation:
1. Wound Care: After stitch removal, keep the area clean and dry. You may want to apply a thin layer of antibiotic ointment to prevent infection, unless your doctor has advised otherwise. Cover the wound with a sterile bandage to protect it from dirt and friction.

2. Activity Modification: It’s wise to limit activities that put stress on the wound. If you are walking with a limp, it may be beneficial to use crutches or a walking aid to minimize pressure on the injured foot. Avoid high-impact activities or any movements that cause pain or discomfort.

3. Monitoring for Complications: Keep an eye on the wound for any signs of reopening, increased redness, swelling, or discharge. If you notice any of these symptoms, it’s important to contact your healthcare provider promptly.

4. Gradual Return to Activity: If your job requires you to be on your feet, consider discussing with your employer the possibility of a modified work schedule or duties that allow you to sit or rest your foot more frequently. Gradually increasing your activity level can help your body adjust without putting too much strain on the healing tissue.

5. Follow-Up Care: Ensure you have a follow-up appointment with your healthcare provider to assess the healing process. They can provide guidance on when it is safe to resume normal activities and any additional care you may need.

6. Pain Management: If you experience pain while walking or using the injured foot, consider using over-the-counter pain relief medications as directed. Pain can be a sign that you are overexerting the area, so listen to your body.

7. Physical Therapy: Depending on the severity of your injury and the advice of your healthcare provider, you might benefit from physical therapy. A physical therapist can help you with exercises to strengthen the area and improve your gait, which can reduce the risk of further injury.

In summary, while it is possible to return to work after stitch removal, it is essential to take precautions to protect the healing wound. Listen to your body, modify your activities as needed, and maintain good wound care practices. If you have any doubts or concerns, do not hesitate to reach out to your healthcare provider for personalized advice. Your health and recovery should always be the top priority.

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