Recovery After Finger Laceration: What to Expect - Surgery

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Sutured wound


The finger was cut by glass due to work, and 11 stitches were placed at the hospital.
The injury is located at the web space near the index finger.
After receiving anesthesia, it has been three days, and the index finger is still very swollen, but there is no pain or redness.
Is this a normal situation? There is pain when the index finger is straightened; is this also normal?

Mr. Jin, 20~29 year old female. Ask Date: 2024/02/01

Dr. Peng Xianwen reply Surgery


Hello Mr.
Jin: Pain and swelling are symptoms that accompany injuries and can be acceptable, but it cannot be deemed normal without an in-person examination.
Please wait for two weeks until the stitches are removed for the physician to evaluate and discuss the treatment direction.
Director Peng Hsien-Wen, General Surgery, Nantou Hospital.

Reply Date: 2024/02/01

More Info


When recovering from a finger laceration, especially one that required stitches, it's important to understand the healing process and what to expect during recovery. Based on your description, it seems you have undergone a significant injury that necessitated 11 stitches, and you are experiencing some swelling and discomfort in your index finger.

Firstly, swelling is a common response to injury. It occurs as part of the body's natural healing process, where increased blood flow and fluid accumulation help to deliver nutrients and immune cells to the damaged area. In the initial days following the injury, it is typical for the affected area to swell, especially if the injury is near a joint or involves a lot of soft tissue. The fact that your finger is swollen but not painful or red is a positive sign, indicating that there may not be an infection present. However, the swelling should gradually decrease over the next few days to weeks.

Regarding the pain you experience when trying to extend your finger, this can also be expected. After a laceration, especially one that involves deeper structures like tendons or ligaments, there can be stiffness and discomfort as the tissues heal. The pain may be due to inflammation, the healing of the tissues, or even the stitches themselves. It's essential to follow your healthcare provider's advice regarding pain management, which may include over-the-counter pain relievers like ibuprofen or acetaminophen.

Here are some additional points to consider during your recovery:
1. Follow-Up Care: It is crucial to attend any follow-up appointments with your healthcare provider. They will assess the healing process, check for signs of infection, and determine when it is appropriate to remove the stitches.

2. Movement and Rehabilitation: While it may be tempting to keep your finger immobilized, gentle movement is often encouraged to prevent stiffness. Your doctor or a physical therapist may provide specific exercises to help restore range of motion and strength. However, these should be done cautiously and within the limits of your pain.

3. Signs of Complications: Keep an eye out for any signs of complications, such as increased redness, warmth, or discharge from the wound, as these could indicate an infection. If you experience severe pain, increased swelling, or any other concerning symptoms, contact your healthcare provider immediately.

4. Gradual Return to Activities: Depending on the severity of the laceration and your healing progress, you may need to modify your activities for a while. Avoid heavy lifting or activities that put strain on your finger until you receive clearance from your healthcare provider.

5. Scar Management: Once the wound has healed, you may want to consider scar management techniques, such as silicone gel sheets or massage, to improve the appearance and flexibility of the scar.

In summary, while some swelling and discomfort are normal after a finger laceration, it is essential to monitor your symptoms and follow your healthcare provider's recommendations closely. Healing takes time, and with proper care and rehabilitation, you can expect to regain function in your finger. If you have any concerns or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation.

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