Wound Healing: Is Your Hand Recovery Normal? - Surgery

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Healing status of a laceration?


Hello, I cut the upper inner side of my palm a month and a half ago and had six stitches.
The stitches have been removed, but the area around the wound feels a bit hard and is somewhat painful when pressed.
My question is: since the skin where the wound is located has become less elastic, I am unable to fully open my palm without stretching the skin at the wound site.
Is this recovery situation normal? Will I be unable to fully open my palm in the future? What can I do to promote faster healing of the wound?

cheer, 10~19 year old female. Ask Date: 2004/04/15

Dr. Huang Junxiong reply Surgery


Hello: Wound healing involves an [acute inflammatory phase] followed by the [proliferative phase] and [fibrotic phase].
Your condition may be between the latter two phases, where fibrosis can occur, resulting in a firm texture upon touch and potentially reduced skin elasticity.
However, these changes generally do not affect function.
If your palm (or the wound?) cannot open as a result, it is important to differentiate whether this is due to the injury or scarring causing wound contracture, as this could impact hand function and requires prompt attention.
It is advisable to consult a trauma surgeon or plastic surgeon.
Thank you!

Reply Date: 2004/04/15

More Info


When it comes to wound healing, especially after a significant injury like the one you've described, it's important to understand that the recovery process can vary greatly from person to person. Based on your description, it seems that you are experiencing some common issues that can arise after a hand injury, particularly one that required stitches.

Firstly, the hardness and tenderness around the wound site are not unusual. After an injury, the body goes through several stages of healing, which include inflammation, tissue formation, and remodeling. During the tissue formation phase, collagen is laid down to repair the damaged area, which can lead to a feeling of hardness or tightness. This is often accompanied by some discomfort or pain, especially when pressure is applied. It's also common for the skin in the area to feel less elastic, which can limit your range of motion, as you have experienced.

The fact that you are unable to fully extend your hand without discomfort suggests that the healing process is still ongoing. Scar tissue can form as a result of the healing process, and this tissue is often less flexible than the original skin. This can lead to restrictions in movement, which may be concerning for you. However, it is important to note that with time and appropriate care, many people experience significant improvement in both the appearance and function of the scarred area.

To promote faster and more effective healing, there are several strategies you can consider:
1. Physical Therapy: Engaging in physical therapy can be highly beneficial. A physical therapist can provide you with specific exercises designed to improve flexibility and strength in your hand. They may also use modalities such as ultrasound or electrical stimulation to promote healing.

2. Scar Management: There are various products available that can help with scar healing. Silicone gel sheets or silicone ointments can be effective in reducing the appearance of scars and improving elasticity. Massaging the scar tissue gently with these products can also help break down the dense collagen fibers that form during healing.

3. Moisturization: Keeping the area well-moisturized can help improve the elasticity of the skin. Use a good quality lotion or ointment regularly to keep the skin hydrated.

4. Gentle Stretching: Performing gentle stretching exercises can help maintain and improve your range of motion. Be sure to do this carefully and avoid any movements that cause significant pain.

5. Nutrition: A balanced diet rich in vitamins and minerals, particularly vitamin C and zinc, can support the healing process. These nutrients play a crucial role in collagen synthesis and tissue repair.

6. Follow-Up Care: Regular follow-up appointments with your healthcare provider are essential. They can monitor your healing progress and make recommendations based on your specific situation. If you notice any signs of infection, such as increased redness, swelling, or discharge, seek medical attention promptly.

In conclusion, while your current symptoms may be concerning, they are not uncommon after a hand injury. With appropriate care and time, many individuals see significant improvement in both function and appearance of the affected area. If you continue to have concerns about your recovery or if your symptoms worsen, it is advisable to consult with your healthcare provider for further evaluation and management. Remember, healing is a process, and being proactive about your recovery can lead to better outcomes.

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