Knee Pain After Stitching: Is It Normal and When to Seek Help? - Orthopedics

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Experiencing pain at the site of a previous injury, especially after a significant event like a car accident, can be concerning. Given that you had stitches for a wound and are still experiencing pain over a year later, it is important to consider several factors that could contribute to your ongoing discomfort.

Firstly, it is not uncommon for pain to persist after an injury, particularly if the injury involved soft tissue damage, such as muscles, tendons, or ligaments, in addition to the skin. The pain you are experiencing could be due to a number of reasons:
1. Scar Tissue Formation: After an injury, the body forms scar tissue as part of the healing process. This tissue can sometimes be less flexible than the original tissue, leading to discomfort, especially when the area is subjected to pressure or movement. Scar tissue can also adhere to surrounding tissues, which may cause pain when you kneel or bump the area.

2. Nerve Sensitivity: Injuries can lead to changes in nerve sensitivity. The area around the injury may become hypersensitive, meaning that normal sensations can be perceived as painful. This is often referred to as neuropathic pain, which can persist long after the initial injury has healed.

3. Underlying Structural Issues: Depending on the nature of the injury, there may be underlying structural issues that were not fully addressed. For example, if there was damage to the bone, cartilage, or ligaments, this could lead to ongoing pain. Conditions like post-traumatic arthritis can develop after injuries, leading to chronic pain and discomfort.

4. Infection or Complications: Although it has been over a year since your injury, it is still possible for complications such as infection or other issues to arise, particularly if the area has not healed properly. Signs of infection may include redness, swelling, warmth, or discharge from the wound site.

Given your symptoms, it is advisable to seek medical attention. Here are some steps you can take:
- Consult a Healthcare Professional: A visit to your primary care physician or an orthopedic specialist would be beneficial. They can perform a physical examination and may recommend imaging studies, such as X-rays or an MRI, to assess the underlying structures of your knee and determine if there are any issues that need to be addressed.

- Physical Therapy: If your pain is related to scar tissue or muscle weakness, a physical therapist can help. They can provide exercises to improve flexibility, strength, and function, which may alleviate some of the pain you are experiencing.

- Pain Management: Discuss your pain management options with your doctor. This may include medications, physical therapy, or other interventions to help manage your discomfort.

- Monitor Symptoms: Keep track of your symptoms, including when the pain occurs, its intensity, and any activities that exacerbate it. This information can be helpful for your healthcare provider in determining the best course of action.

In summary, while some pain after an injury can be normal, persistent pain over a year after an injury warrants further investigation. Seeking medical advice is crucial to rule out any serious underlying issues and to explore appropriate treatment options. Your health and comfort are important, and addressing these concerns with a healthcare professional can help you find relief and improve your quality of life.