Persistent Knee Pain After Stitches: When to Seek Medical Attention?

The knee has been sutured, but it still hurts?

Hello doctor, I was in a car accident in December 2022 and had four stitches.
It has been over a year since the stitches were removed, but the area still hurts when I touch it or kneel down, and it can be extremely painful if I bump into it.
Is this normal? How long does it usually take to heal? Should I go back to the hospital for an examination?

YC, 20~29 year old female. Ask Date: 2024/04/15

Dr. Chen Yongxue reply Orthopedics

Hello, please visit the orthopedic outpatient clinic for further examination.
Thank you.

Reply Date: 2024/04/15

More Info

Persistent knee pain after an injury, especially one that required stitches, can be concerning and warrants careful consideration. Given that you experienced a car accident in December 2022, and it has been over a year since your injury, it is important to evaluate the nature of your pain and any associated symptoms.

Firstly, it is not uncommon for individuals to experience lingering pain in the area of an injury long after the initial healing has occurred. This can be due to several factors, including scar tissue formation, changes in the surrounding soft tissue, or even underlying joint issues that may have developed as a result of the trauma. The pain you describe, particularly when kneeling or upon impact, suggests that there may be ongoing irritation or sensitivity in the area where the stitches were placed.

In general, the healing process for soft tissue injuries can vary significantly from person to person. While many individuals may find that their pain diminishes significantly within a few months, others may experience discomfort for a year or longer. Factors such as age, overall health, the severity of the initial injury, and adherence to rehabilitation protocols can all influence recovery time.

Here are some considerations regarding your situation:
1. Nature of Pain: If the pain is sharp, localized, and occurs primarily at the site of the stitches, it may indicate that the scar tissue is still sensitive or that there is some underlying inflammation. On the other hand, if the pain is more diffuse or accompanied by swelling, it could suggest a more complex issue, such as joint instability or damage to the cartilage.

2. Functional Limitations: If your knee pain is affecting your ability to perform daily activities, such as walking, climbing stairs, or kneeling, it is advisable to seek medical attention. Persistent pain that limits your mobility is not something to ignore.

3. Signs of Complications: Look out for any additional symptoms that may indicate complications, such as swelling, redness, warmth around the knee, or a decrease in range of motion. These could suggest an infection or other issues that may require immediate medical evaluation.

4. Consultation with a Specialist: Given that your pain has persisted for over a year, it would be prudent to consult with an orthopedic specialist. They can perform a thorough examination, possibly including imaging studies such as X-rays or an MRI, to assess the condition of your knee joint and surrounding structures. This can help identify any underlying issues that may be contributing to your pain.

5. Treatment Options: Depending on the findings, treatment options may include physical therapy to strengthen the muscles around the knee, improve flexibility, and reduce pain. In some cases, corticosteroid injections may be considered to reduce inflammation. If there are significant structural issues, surgical intervention may be necessary.

In conclusion, while some degree of discomfort after an injury is normal, persistent pain that affects your quality of life should not be overlooked. It is advisable to seek medical attention to ensure that there are no underlying issues that need to be addressed. Early intervention can often lead to better outcomes and a quicker return to normal activities.

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